Deficiency Index

Hansford Manor

Spearman, Texas · CCN 45F497

23 surveys since 2010, 8 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
75
Surveys
23
Harm or worse
8
Immediate jeopardy
4
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy4

Findings at the most serious level CMS records.

Beyond CMS’s monthly file20/23

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
60
Ownership
Government - Hospital district
Chain
Independent
County
Hansford · rural
Medicare-certified since
2001

CMS ratings

Overall
4
Health inspection
4
Staffing
3
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=13, floor 20).

Last survey on record

Sep 10, 2025

425 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.834.31
Registered-nurse hours per resident day0.70—

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD880.0%E110.0%F110.0%
No harm, potential for minimalA—B—C—
CMS’s current file: 10 of the 75 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F5781×

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

  • F6411×

    Ensure each resident receives an accurate assessment.

  • F6891×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F6951×

    Provide safe and appropriate respiratory care for a resident when needed.

In the surveyor’s words

From the most serious findings on record at Hansford Manor, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Sep 10, 2025

    Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with the professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation. 1. The facility failed to ensure food items were properly stored, labeled, and dated.2. The facility failed to the kitchen was free of expired foods.These failures could place residents who ate food served by the kitchen at risk of food-borne illness. Findings included: Findings included: In an observation and interview of the kitchen with the DM and the RD on 9/8/25 at 10:10 AM the following was observed in the freezer:1. large plastic bag of French fries, open to air, not in original box2. […]

  • No harm, potential for more than minimal, patternF689Jun 21, 2023

    Based on observation, interview, and record review the facility failed to ensure the resident environment remained as free of accident hazards as is possible for 14 of 49 residents (Resident #7 and the 13 residents residing on the north end of hall 1) reviewed for accident hazards. 1. Resident #7 was allowed to keep his cigarettes and lighter with him. 2. Three 200 mg tablets of Amiodarone were found on the floor of the north end of hall 1. These failures could place residents at risk of injury. Findings included: 1. […]

  • No harm, potential for more than minimal, isolatedF578Sep 10, 2025

    Based on observation, interview, and record review, the facility failed to ensure all residents had the right to formulate an advanced directive for 1 (Resident #25) of 24 residents reviewed for advanced directives. Resident #25 had a DNR in her record that was missing the date of when Resident #25 signed the DNR. This failure could place residents a risk for not receiving healthcare as per their or their legal representatives wishes.Findings included: Record review of Resident #25's face sheet revealed she was a [AGE] year-old female resident admitted to the facility on [DATE] with diagnoses to include (idiopathic) normal pressure hydrocephalus (a neurological condition primarily affecting older adults characterized by enlarged ventricles in the brain and a specific triad of symptoms:… […]

  • No harm, potential for more than minimal, isolatedF656Sep 10, 2025

    Based on observation, interview and record review, the facility failed to implement a comprehensive care plan for each resident that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment and describes the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 1 (Resident #1) of 15 Residents reviewed for comprehensive care plans. -The facility failed to include a care plan for Resident #1's wounds. This failure could result in resident not being able to attain or maintain their highest practicable physical, mental, and psychosocial well-being. […]

  • No harm, potential for more than minimal, isolatedF695Sep 10, 2025

    Based on observation, interview, and record review, the facility failed to ensure residents who need respiratory care were provided such care consistent with professional standards of practice for 1 (Resident #12) of 15 residents reviewed for respiratory care. -Resident #12 was not receiving oxygen at the correct dose. This failure could place residents at risk for respiratory compromise and associated complications such as shortness of breath, confusion, respiratory failure, infection, and exacerbation of their condition. […]

Read 28 findings in full →The most serious and the most recent: 28 of 75 on record.

Every survey on record

FindingsAt actual harm or above

  • Sep 10, 2025Standard5 findings
  • Aug 21, 2024Standard3 findings
  • Jun 21, 2023Standard2 findings
  • Sep 26, 2022Infection control1 finding
  • Aug 4, 2022Complaint1 finding
  • Apr 29, 2022Standard1 finding
  • Nov 13, 2020Infection control1 finding
  • Oct 5, 2020Complaint1 finding
Show the 15 earlier surveys
  • Sep 4, 2020Infection control1 finding
  • Oct 17, 2019Standard2 findings
  • Jan 9, 2019Standard5 findings
  • Feb 8, 2018Standard3 findings
  • Feb 23, 2017Standard2 findings
  • Mar 31, 2016Standard and complaint4 findings
  • Apr 15, 2015Standard5 findings
  • Mar 7, 2015Complaint2 findings
  • Jul 11, 2014Complaint5 findings · 4 harm
  • May 14, 2014Standard9 findings
  • Nov 18, 2013—2 findings
  • Apr 3, 2013—3 findings
  • Jun 28, 2012—7 findings
  • Jul 27, 2011—5 findings
  • Nov 9, 2010—5 findings · 4 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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