Texoma Healthcare Center
Sherman, Texas · CCN 455573
34 surveys since 2011, 7 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
- 94
- Surveys
- 34
- Harm or worse
- 7
- Immediate jeopardyall corrected before survey
- 6
Findings at the most serious level CMS records. All were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 179
- Ownership
- For profit - Corporation
- Chain
- CREATIVE SOLUTIONS IN HEALTHCARE
- County
- Grayson
- Medicare-certified since
- 1985
CMS ratings
- Overall
- 1
- Health inspection
- 2
- Staffing
- 1
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.
Weighted by harm level, against 209 for-profit facilities with 128 or more beds in Texas.
Last survey on record
Jul 27, 2026
105 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.24 | 3.26 |
| Registered-nurse hours per resident day | 0.50 | — |
| Annual nurse turnover | 93.7% | 55.3% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $16,441 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J24.4% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D2453.3% | E1942.2% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F7615×
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- F8125×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F6953×
Provide safe and appropriate respiratory care for a resident when needed.
- F7553×
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F5502×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
In the surveyor’s words
From the most serious findings on record at Texoma Healthcare Center, in the surveyor’s own words.
- Immediate jeopardy, isolatedF550Jun 18, 2025
Based on observation, interview, and record review, the facility failed to ensure the right to a dignified existence and self-determination facility for 1 of 9 (Resident #1) residents reviewed for resident rights. The facility failed to ensure Resident #1 was treated with respect and dignity when she refused a shower on 05/21/25 around 9:30 PM and was showered despite her refusals by CNA A. This failure could place residents at risk for diminished quality of life, loss of dignity and self-worth, psychosocial harm and distrust with staff. The noncompliance was identified as Immediate Jeopardy Past Noncompliance (PNC). The Immediate Jeopardy began on 05/21/25 at 9:30 PM and ended on 05/28/25. […]
- Immediate jeopardy, isolatedF600Jun 18, 2025
Based on interviews and record review the facility failed to ensure residents were free from abuse for two (Resident #1 and Resident # 2) of 9 residents reviewed for abuse. The facility failed to protect Resident #1, who was on mental health services, from mental anguish on 05/21/25 at 9:30 PM when, when despite her refusals, she was physically lifted, under her armpits, by CNA A from her bed to the shower chair was given a shower by despite her refusals. As a result, Resident #1 experienced mental anguish and anger. Resident #2 who was on mental health services experienced mental anguish/being upset after hearing her roommate being forced to shower by facility aides. […]
- No harm, potential for more than minimal, patternF689Jul 27, 2026
Based on observations, interviews, and record reviews, the facility failed to ensure that residents' environment remained free of accident hazards as was possible for four of nine residents (Resident #3, #5, #6, and #8) reviewed for accident prevention. The facility failed to ensure Resident #6 did not have scissors and odor ban disinfectant spray in his room on 07/27/26. The facility failed to ensure Resident #5 did not have a container of Tide Pods laundry soap in her room on 07/27/26. The facility failed to ensure Resident #8 did not have Nystatin cream, scissors and safety pin in his room on 07/27/26. The facility failed to ensure that Resident #3 did not have scissors and 2 nail clippers in his room on 07/27/26. […]
- No harm, potential for more than minimal, patternF695Jul 27, 2026
Based on observations, interviews, and record reviews the facility failed to ensure that residents, who needed respiratory care, were provided care consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 3 of 9 residents (Residents #5, #7 and #1) reviewed for respiratory care. The facility failed to ensure Resident #5's Oxygen Nasal Canula and breathing treatment masks storage bags were changed every 7 days on 07/27/26. The facility failed to ensure Resident #7's breathing treatment masks storage bag was changed every 7 days on 07/27/26. The facility failed to ensure Resident #1's CPAP storage bag was changed every 7 days on 07/27/26. […]
- No harm, potential for more than minimal, patternF695Jul 11, 2026
Based on observation, interview and record review the facility failed to ensure that a resident who needed respiratory care was provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for two of ten residents (Resident #1 and Resident #14) reviewed for respiratory care. 1.The facility failed to ensure Resident #4's oxygen nasal canula and Nebulizer mask were properly stored when not in use on 07/11/26. 2.The facility failed to ensure Resident #1's nebulizer mask was properly stored when not in use on 07/11/26. 3.The facility failed to ensure Resident #3's nebulizer mask was properly stored when not in use on 07/11/26. […]
Read 27 findings in full →The most serious and the most recent: 27 of 94 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 19, 2026Complaint2 findings
- Aug 11, 2026Complaint2 findings
- Jul 27, 2026Complaint6 findings
- Jul 11, 2026Complaint2 findings
- Jun 16, 2026Complaint1 finding
- Mar 19, 2026Standard5 findings
- Jan 21, 2026Complaint2 findings
- Dec 9, 2025Complaint2 findings
Show the 26 earlier surveys
- Jun 18, 2025Complaint7 findings · 2 harm
- Nov 20, 2024Standard and complaint7 findings
- Nov 13, 2024Complaint1 finding
- Aug 1, 2024Complaint2 findings
- Dec 6, 2023Complaint3 findings
- Oct 12, 2023Standard and complaint6 findings
- Aug 3, 2023Complaint1 finding
- Sep 8, 2022Standard4 findings
- Jul 27, 2022Complaint1 finding
- Jun 14, 2022Complaint2 findings
- Dec 22, 2021Complaint2 findings
- Jul 15, 2021Complaint2 findings
- May 4, 2021Complaint3 findings
- Oct 19, 2020Infection control1 finding
- Feb 13, 2020Complaint1 finding
- Sep 19, 2019Standard2 findings
- Sep 20, 2018Standard7 findings
- Feb 22, 2018Complaint1 finding
- Dec 20, 2017Complaint1 finding
- Sep 26, 2017Complaint1 finding · 1 harm
- Sep 13, 2017Standard and complaint3 findings
- Sep 14, 2016Standard and complaint2 findings
- Sep 24, 2015Standard2 findings
- Sep 18, 2014Standard1 finding
- Sep 28, 2013—8 findings · 4 harm
- Mar 9, 2011—1 finding
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.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction