Villa Haven Health and Rehabilitation Center
300 S Jackson St, Breckenridge, TX 76424
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Follow this homeVilla Haven Health and Rehabilitation Center is a nursing home in Breckenridge, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating5 of 5
- Last standard health inspectionMarch 13, 2026 (7 months ago)
- Health citations since November 2, 20239 (Texas average 28)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
CMS update of July 29, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 1 of 5.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Staffing
Total nurse staffing reported to CMS went from 3.9 to 3.5 hours per resident per day.
Health inspection on March 13, 2026
2 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 2 citations
Citation F0949. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
CMS lists it as corrected on April 6, 2026.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on March 31, 2026.
Fire safety inspection on March 13, 2026
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation E0041. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Implement emergency and standby power systems.
CMS lists it as corrected on April 13, 2026.
Citation K0916. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have a battery powered remote alarm panel in a location accessible by operating personnel.
CMS lists it as corrected on April 13, 2026.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on April 13, 2026.
Citation K0372. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on April 13, 2026.
Citation K0521. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on April 13, 2026.
CMS has cited this home for K0521 3 times since 2023.
CMS update of February 25, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Health inspection on December 27, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0844. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
CMS lists it as corrected on January 14, 2026.
CMS update of November 20, 2025
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
CMS update of March 26, 2025
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
CMS update of February 26, 2025
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5.
Health inspection on December 19, 2024
2 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 2 citations
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on January 9, 2025.
CMS has cited this home for F0880 3 times since 2023.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on December 23, 2024.
Fire safety inspection on December 19, 2024
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0521. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on December 20, 2024.
CMS update of September 26, 2024
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
CMS update of July 31, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Health inspection on July 18, 2024
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on August 6, 2024.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Health inspection on November 2, 2023
3 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 3 citations
Citation F0656. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on November 20, 2023.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on November 21, 2023.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on November 20, 2023.
Fire safety inspection on November 2, 2023
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on November 20, 2023.
Citation K0741. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
CMS lists it as corrected on November 20, 2023.
Citation K0521. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on November 20, 2023.
CMS star ratings
- 5 of 5CMS overall star rating
- 5 of 5CMS health inspection star rating
- 2 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (254) 559-3386
- Last standard health inspection
- March 13, 2026 (7 months ago)
- Certified beds
- 92
- Residents per day, on average
- 35
- Ownership type
- Government - Hospital district
- Legal business name
- Childress County Hospital District
- Chain
- Fundamental Healthcare
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Texas average (9 vs 28).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- CHILDRESS COUNTY HOSPITAL DISTRICT5% or greater direct ownership interest · 100% · since 04/01/2017
- BRECKERIDGETX LLCOperational/managerial control · not applicable · since 08/01/2025
- GRAY, DEANNEOperational/managerial control · not applicable · since 03/20/2023
- PFEIFER, MARYOperational/managerial control · not applicable · since 08/01/2025
- PRATER, WILLIAMOperational/managerial control · not applicable · since 08/01/2025
Questions
When was Villa Haven Health and Rehabilitation Center last inspected?
CMS lists March 13, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Villa Haven Health and Rehabilitation Center have?
CMS lists 9 health citations since November 2, 2023. CMS also calls these deficiencies.
Has Villa Haven Health and Rehabilitation Center been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Villa Haven Health and Rehabilitation Center?
Its CMS overall star rating is 5 of 5.
Is Villa Haven Health and Rehabilitation Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.