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Nursing homeFAID #14402

Sunset Valley Rehabilitation and Healthcare Center

1241 W. Marshall Howard Blvd., LITTLEFIELD, TX, 79339
(806) 385-6600
80 licensed beds
★★★★★1/5CMS Five-Star overall2/5 health inspections2/5 staffing1/5 quality measuresSource: CMS Care Compare

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Address

1241 W. Marshall Howard Blvd.
Littlefield, TX 79339
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Public record summary

What we can show you for free.
Bed capacity
80
CMS facility ID
675978
Care type
Nursing home
County
Lamb
Facility name
Sunset Valley Rehabilitation and Healthcare Center
Street address
1241 W. Marshall Howard Blvd.
City / state / ZIP
Littlefield, TX 79339
Phone
(806) 385-6600

About this facility — Sunset Valley Rehabilitation and Healthcare Center

Sunset Valley Rehabilitation and Healthcare Center is a Medicare/Medicaid-certified skilled nursing facility in Littlefield, Texas. It is licensed for 80 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 2 senior care facilities in Littlefield and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Sunset Valley Rehabilitation and Healthcare Center 45 times across 13 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $44,434 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 August 31, 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
Paramount Healthcare Consultants
Ownership type
For profit - Limited Liability company

Registered owners & officers

Smith, Dawne
Direct owner — 100% stake — since 2017
George, Cindy
Additional disclosable party — since 2017
Littlefield Smith, Llc
Mortgage holder · Additional disclosable party — since 2008
Paramount Healthcare Consultants, Llc
Additional disclosable party — since 2017
Riojas, Diana
Operational control · Additional disclosable party — since 2023
Sheppel Littlefield, Llc
Mortgage holder · Additional disclosable party — since 2008
Sheppel, Russell
Owner of a disclosable party — since 2025
Smith Family 2001 Trust
Mortgage holder · Additional disclosable party — since 2008
Smith, Bradley
Owner of a disclosable party — since 2025
The Russell M. Sheppel 2010 Separate Property Trust
Mortgage holder · Additional disclosable party — since 2008

Regulatory standing

Federal court records
4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2003-06-25
CMS overall rating
1 of 5 stars
Health deficiencies
10 at the last standard inspection
Federal fines
$44,434 total
Last standard inspection
2026-02-26
Nurse staffing
3.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$168 per day (≈ $5,110/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
78% Medicaid · 9% Medicare · 13% private/other
Occupancy
55% (fiscal year 2023)
Vs. state median
39% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
80
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. 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 4 food-safety citations on its three-year record — flagged below among the inspections.
2026-02-26Health inspection9 citations
F-0576
E · No harm found
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2026-03-02
F-0577
C · No harm found
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2026-03-02
F-0585
E · No harm found
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2026-03-02
F-0692
E · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2026-03-02
F-0761
D · No harm found
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 2026-03-02
F-0803
E · No harm foundFood safety
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2026-03-02
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 2026-03-02
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-03-02
F-0926
D · No harm found
Have policies on smoking.
Corrected 2026-03-02
2025-12-22Health inspectionComplaint-triggered1 citation
F-0740
D · No harm foundFrom a complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2026-01-21
10 earlier / fire-safety inspections (35 citations)
2025-01-15Health inspectionComplaint-triggered1 citation
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-01-30
2024-11-22Health inspection5 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-12-10
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-10
F-0727
D · No harm found
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-12-20
F-0761
D · No harm found
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 2024-12-10
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 2024-12-10
2024-08-26Health inspectionComplaint-triggered2 citations
F-0580
J · Immediate jeopardyFrom 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 2024-08-27
F-0686
J · Immediate jeopardyFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-08-27
2024-06-05Health inspectionComplaint-triggered4 citations
F-0655
D · No harm foundFrom a complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-07-05
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-07-05
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-05
F-0727
D · No harm foundFrom a complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-06-08
2024-02-28Health inspectionComplaint-triggered2 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-03-29
F-0727
E · No harm foundFrom a complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-03-29
2023-11-01Health inspectionComplaint-triggered1 citation
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2023-11-15
2023-10-10Health inspection11 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 2023-11-10
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-11-10
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 2023-11-10
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-11-10
F-0676
D · No harm found
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2023-11-10
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-11-10
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 2023-11-10
F-0725
E · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-11-10
F-0732
C · No harm found
Post nurse staffing information every day.
Corrected 2023-11-10
F-0791
D · No harm found
Provide or obtain dental services for each resident.
Corrected 2023-11-14
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 2023-11-10
2023-08-29Health inspectionComplaint-triggered2 citations
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-10-01
F-0692
G · Actual harmFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-10-01
2026-02-26Fire-safety inspection5 citations
E-0030
F · No harm found
List the names and contact information of those in the facility.
Corrected 2026-03-02
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 2026-03-27
K-0351
E · No harm found
Install an approved automatic sprinkler system.
Corrected 2026-03-02
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-03-04
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2026-03-02
2024-11-22Fire-safety inspection2 citations
K-0222
D · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-12-20
K-0355
F · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-12-20

Federal penalties

2024-08-26Fine$15,944
2023-08-29Fine$28,490
2023-08-29Medicare payment denial — 1 days
Total fines$44,434
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 675978.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 45 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 2026-08-31
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