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Nursing homeFAID #12112

Sulphur Springs Health and Rehabilitation

411 AIRPORT RD, SULPHUR SPRINGS, TX, 75482

(903) 885-7668

128 licensed beds

CMS rates Sulphur Springs Health and Rehabilitation 2 out of 5 overall. Federal inspectors issued 58 citations across 10 inspections in the last three years, with $44,044 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo of SULPHUR SPRINGS HEALTH AND REHABILITATION

Photo via Google · Avir at Sulphur Springs

Address

411 Airport Rd

Sulphur Springs, TX 75482

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Public record summary

What we can show you for free.

Bed capacity

128

CMS facility ID

455579

Care type

Nursing home

County

Hopkins

Facility name

Sulphur Springs Health and Rehabilitation

Street address

411 AIRPORT RD

City / state / ZIP

Sulphur Springs, TX 75482

Phone

(903) 885-7668

Website

avirhg.com

About this facility — Sulphur Springs Health and Rehabilitation

Sulphur Springs Health and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Sulphur Springs, Texas. It is licensed for 128 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 7 senior care facilities in Sulphur Springs and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Advanced Healthcare Solutions, a group of 28 facilities on this site.

Federal inspectors have cited Sulphur Springs Health and Rehabilitation 58 times across 10 inspections in the last three years, including 7 food-safety citations, and CMS has imposed $44,044 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Advanced Healthcare Solutions

Ownership type

Government - Hospital district

Registered owners & officers

Blue, Christopher

Managing employee — since 2023

Hooper, Grady

Director — since 2023

Scheiner, Eliezer

Operational control — since 2023

Sulphur Springs Hc, Llc

Operational control — since 2023

Regulatory standing

Federal court records

5 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1985-07-12

CMS overall rating

2 of 5 stars

Health deficiencies

18 at the last standard inspection

Federal fines

$44,044 total

Last standard inspection

2026-03-25

Nurse staffing

3.5 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges

$329 per day (≈ $10,000/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

75% Medicaid · 9% Medicare · 16% private/other

Occupancy

47% (fiscal year 2024)

Vs. state median

19% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

128

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 7 food-safety citations on its three-year record — flagged below among the inspections.

2026-06-24Health inspectionComplaint-triggered2 citations

F-0551

D · No harm foundFrom a complaint

Give the resident's representative the ability to exercise the resident's rights.

Corrected 2026-07-25

F-0563

D · No harm foundFrom a complaint

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Corrected 2026-07-25

2026-03-25Health inspection16 citations

F-0552

D · No harm found

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2026-03-26

F-0607

D · No harm found

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2026-03-26

F-0609

D · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-03-26

F-0656

E · No harm found

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

Corrected 2026-03-26

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-03-26

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2026-03-26

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-03-26

F-0686

E · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2026-03-26

F-0689

D · No harm found

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

Corrected 2026-03-26

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-03-26

F-0757

D · No harm found

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2026-03-26

F-0770

D · No harm found

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2026-03-26

F-0804

F · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2026-03-26

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-03-26

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-03-26

F-0925

F · No harm found

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2026-03-26

6 earlier / fire-safety inspections (40 citations)

2025-04-08Health inspectionComplaint-triggered1 citation

F-0812

E · No harm foundFood safetyFrom a complaint

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-04-10

2024-12-12Health inspectionComplaint-triggered16 citations

F-0561

D · No harm foundFrom a complaint

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-12-13

F-0573

D · No harm foundFrom a complaint

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Corrected 2024-12-13

F-0580

D · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-12-13

F-0583

D · No harm foundFrom a complaint

Keep residents' personal and medical records private and confidential.

Corrected 2024-12-13

F-0655

D · No harm found

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-12-13

F-0656

D · No harm found

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

Corrected 2024-12-13

F-0679

E · No harm foundFrom a complaint

Provide activities to meet all resident's needs.

Corrected 2024-12-13

F-0689

J · Immediate jeopardyFrom a complaint

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

Corrected 2024-12-13

F-0695

D · No harm foundFrom a complaint

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

Corrected 2024-12-13

F-0761

D · No harm foundFrom a complaint

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.

Corrected 2024-12-13

F-0770

D · No harm found

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2024-12-13

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-12-13

F-0839

D · No harm foundFrom a complaint

Employ staff that are licensed, certified, or registered in accordance with state laws.

Corrected 2024-12-13

F-0840

D · No harm foundFrom a complaint

Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

Corrected 2024-12-13

F-0849

D · No harm foundFrom a complaint

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2024-12-13

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-12-13

2024-08-12Health inspectionComplaint-triggered1 citation

F-0550

D · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-09-07

2023-11-15Health inspection16 citations

F-0580

D · No harm found

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-12-20

F-0640

D · No harm found

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2023-12-20

F-0656

D · No harm found

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

Corrected 2023-12-20

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-12-20

F-0695

E · No harm found

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

Corrected 2023-12-20

F-0745

D · No harm found

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2023-12-20

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-12-20

F-0756

E · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-12-20

F-0758

E · No harm found

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-12-20

F-0770

D · No harm found

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2023-12-20

F-0804

F · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-12-20

F-0809

F · No harm foundFood safety

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2023-12-20

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-12-20

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-12-20

F-0881

D · No harm found

Implement a program that monitors antibiotic use.

Corrected 2023-12-20

F-0926

D · No harm found

Have policies on smoking.

Corrected 2023-12-20

2024-12-12Fire-safety inspection3 citations

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-01-06

K-0374

E · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-01-06

K-0741

F · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-01-06

2023-11-15Fire-safety inspection3 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2024-01-19

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-01-19

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2024-01-19

Federal penalties

2024-12-12Fine$44,044

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 455579.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 87% of nursing homes in the state

State median: 33

Federal fines, 3 years

$44,044

More than 74% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

3.5

Higher than 71% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

48%

Higher than 43% of nursing homes in the state

State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 6 and worse on 9. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	14.3%	15.8%	13.5%	Near state average
Lose too much weight	4.5%	2.9%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.4%	0.3%	0.7%	Worse than state
With a urinary tract infection	0.0%	0.8%	1.5%	Better than state
Have depressive symptoms	2.9%	2.3%	13.5%	Worse than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	0.5%	3.2%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	96.4%	93.7%	Near state average
Ability to walk independently worsened	12.5%	12.9%	12.7%	Near state average
Received an antianxiety or hypnotic medication	26.0%	17.8%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.0%	95.3%	Near state average
With pressure ulcers	6.5%	3.7%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	13.0%	12.5%	18.3%	Near state average
Received an antipsychotic medication	12.9%	9.8%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	2.33	2.05	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	2.91	1.97	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	96.8%	88.7%	82.3%	Near state average
Newly received an antipsychotic medication	0.0%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	95.7%	85.4%	80.1%	Better than state
Were rehospitalized after a nursing home admission	15.8%	25.5%	23.4%	Better than state
Had an outpatient emergency department visit	15.6%	12.2%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0812 4 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0656 3 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0770 3 inspections. Provide timely, quality laboratory services/tests to meet the needs of residents.
F-0880 3 inspections. Provide and implement an infection prevention and control program.
F-0677 2 inspections. Provide care and assistance to perform activities of daily living for any resident who is unable.
F-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Christus Mother Frances Hospital Sulphur Springs, about 0.3 miles. CMS rating 4 of 5.
Christus Mother Frances Hospital- Winnsboro, about 23 miles.
Ut Health East Texas Quitman Hospital, about 26 miles. CMS rating 4 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Carriage House Manor, Sulphur Springs, about 0.5 miles. CMS rating 4 of 5.
Sunny Springs Nursing & Rehab, Sulphur Springs, about 0.5 miles. CMS rating 1 of 5.
Rock Creek Health and Rehabilitation, Sulphur Springs, about 2.4 miles. CMS rating 2 of 5.
Birchwood Nursing and Rehabilitation, Cooper, about 16 miles. CMS rating 4 of 5.
Avir At Commerce, Commerce, about 18 miles. CMS rating 1 of 5.

Visitor reviews

What people say on Google.

5.03 ratings on Google

★★★★★Brittany Johnson · 2026-07-17 · via Google
“Great building, great staff!!”

★★★★★Michael Robinson · 2026-07-17 · via Google
“This place has been great for me and my family. The staff really knows what they are doing and treat us with the greatest respect and have been really helpful every step of the way”

★★★★★Mariah Edwards · 2026-07-17 · via Google
“This is such a sweet home with a great staff who have BIG heart and long-term experience! Stop by and meet our awesome team!”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

Locked

The 58 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered