PlainNursing
CMS Nursing Home Compare · August 2026

Wells LTC Nursing & Rehabilitation

46 May Street, Wells, TX 75976

Wells LTC Nursing & Rehabilitation, a 90-bed for profit - limited liability company nursing facility in Wells, TX, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #998 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 6 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 9368674707

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1 / 5
Much below average · CMS overall · nat'l 3.0
#998 of 1,165
In-state rank among rated TX homes
4.82
Well above average · nurse hrs/day · nat'l 3.86
38
Inspection findings · 6 serious

The verdict

Wells LTC Nursing & Rehabilitation, a 90-bed for profit - limited liability company nursing facility in Wells, TX, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #998 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 6 inspection findings reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#998 of 1,165
In-state rank among rated TX homes
4.82
Nurse hrs/resident-day · national 3.86
38
Inspection findings · 6 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 1,177 TX nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

3/5

Quality Measures

2/5

Long-Stay Quality

2/5

Facility Information

Provider Number
676103
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
90
Residents
43
In Hospital
No
County
Cherokee
Last Inspection
Dec 3, 2025
Special Focus
SFF Candidate
Abuse citation on record

Staffing Data

How the 4.82 total nursing hours per resident-day are staffed:

RN Hours
0.20 (nat'l avg: 0.69)
LPN Hours
1.33
CNA Hours
3.30
Total Nursing Hours
4.82 (nat'l avg: 3.86)
PT Hours
0.01
Nursing Turnover
52.0%

What the CMS Record Reveals About Wells LTC Nursing & Rehabilitation

According to CMS Nursing Home Compare, Wells LTC Nursing & Rehabilitation ranks #998 of 1,165 rated nursing homes in TX on overall stars (tie-broken by health+staffing+quality, then fewer fines). Wells LTC Nursing & Rehabilitation operates 90 certified beds in Wells, TX with approximately 43 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 3★ · quality 2★).

The inspection file contains 38 deficiency records from recent surveys, of which 6 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 2 penalties totaling $94K levied against this facility. Per resident day, this facility reports 4.82 total nursing hours (national average 3.86) and 0.20 RN hours. This facility is flagged as an SFF Candidate, a larger pool of providers eligible for the Special Focus Facility program but not currently selected (states have a limited number of active SFF slots); it remains under normal, not enhanced, oversight.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Wells LTC Nursing & Rehabilitation falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 52.0% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (38 most recent)

D - Isolated - Minimal harm Jun 23, 2026 Tag: 0926

Have policies on smoking.

Category: Environmental Deficiencies

Corrected: Jul 20, 2026

D - Isolated - Minimal harm Jun 23, 2026 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 20, 2026

D - Isolated - Minimal harm Feb 24, 2026 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Feb 25, 2026

F - Widespread - Minimal harm Feb 24, 2026 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Feb 25, 2026

J - Isolated - Jeopardy Jan 7, 2026 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

D - Isolated - Minimal harm Dec 3, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 5, 2025

D - Isolated - Minimal harm Dec 3, 2025 Tag: 0813

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 5, 2025

D - Isolated - Minimal harm Dec 3, 2025 Tag: 0742

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 5, 2025

D - Isolated - Minimal harm Dec 3, 2025 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 5, 2025

E - Pattern - Minimal harm Dec 3, 2025 Tag: 0925

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

Category: Environmental Deficiencies

Corrected: Dec 5, 2025

F - Widespread - Minimal harm Dec 3, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 5, 2025

D - Isolated - Minimal harm Nov 25, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 26, 2025

D - Isolated - Minimal harm Nov 25, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 26, 2025

D - Isolated - Minimal harm Nov 25, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 26, 2025

E - Pattern - Minimal harm Nov 25, 2025 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: Nov 26, 2025

K - Pattern - Jeopardy Sep 4, 2025 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Sep 5, 2025

K - Pattern - Jeopardy Sep 4, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 5, 2025

K - Pattern - Jeopardy Sep 4, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 5, 2025

D - Isolated - Minimal harm Apr 24, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 29, 2025

D - Isolated - Minimal harm Sep 5, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 4, 2024

D - Isolated - Minimal harm Sep 5, 2024 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Oct 4, 2024

E - Pattern - Minimal harm Sep 5, 2024 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 4, 2024

E - Pattern - Minimal harm Sep 5, 2024 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Oct 4, 2024

F - Widespread - Minimal harm Sep 5, 2024 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 4, 2024

D - Isolated - Minimal harm Mar 12, 2024 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 4, 2024

J - Isolated - Jeopardy Mar 12, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 5, 2023

C - Widespread - No harm Aug 10, 2023 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: Sep 8, 2023

D - Isolated - Minimal harm Aug 10, 2023 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Sep 8, 2023

D - Isolated - Minimal harm Aug 10, 2023 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 8, 2023

D - Isolated - Minimal harm Aug 10, 2023 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 8, 2023

D - Isolated - Minimal harm Aug 10, 2023 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

D - Isolated - Minimal harm Aug 10, 2023 Tag: 0550

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

Category: Resident Rights Deficiencies

E - Pattern - Minimal harm Aug 10, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 8, 2023

E - Pattern - Minimal harm Aug 10, 2023 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 8, 2023

E - Pattern - Minimal harm Aug 10, 2023 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Sep 8, 2023

F - Widespread - Minimal harm Aug 10, 2023 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Sep 8, 2023

F - Widespread - Minimal harm Aug 10, 2023 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Sep 8, 2023

J - Isolated - Jeopardy Aug 10, 2023 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 21.5% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 4.3% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 7.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 11.0% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 5.3% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 28.3% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents who lose too much weight Long Stay 9.3% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.4% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 17.3% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 16.5% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 83.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 82.6% No

Penalty History 2 penalties totaling $94K

Date Type Amount
Jan 7, 2026 Fine $12K
Sep 4, 2025 Fine $81K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Wells LTC Nursing & Rehabilitation, both outside TX so the neighborhoods are not the same-state geography list below.

What the CMS records show for Wells LTC Nursing & Rehabilitation

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The TX registry aggregates state averages and the highest-rated homes in this cohort. View TX registry
  • Peer homes near 90 beds show how CMS stars vary at a similar scale in TX. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Wells LTC Nursing & Rehabilitation?
Wells LTC Nursing & Rehabilitation has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (3★), and quality measures (2★).
Where does Wells LTC Nursing & Rehabilitation rank among nursing homes in TX?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Wells LTC Nursing & Rehabilitation ranks 998th among 1,165 rated nursing homes in TX (#998 of 1,165). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Wells LTC Nursing & Rehabilitation?
Wells LTC Nursing & Rehabilitation reports 4.82 total nursing hours per resident day (national average: 3.86). RN hours are 0.20 per resident day (national average: 0.69). Nursing staff turnover is 52.0%.
How many beds does Wells LTC Nursing & Rehabilitation have?
Wells LTC Nursing & Rehabilitation has 90 certified beds with approximately 43 residents. The facility is located at 46 May Street, Wells, TX 75976.
Does Wells LTC Nursing & Rehabilitation have any deficiencies on record?
Yes, Wells LTC Nursing & Rehabilitation has 38 deficiencies on record from recent inspections. Of these, 6 are classified as causing actual harm or jeopardy.
Has Wells LTC Nursing & Rehabilitation received any fines or penalties?
Yes, Wells LTC Nursing & Rehabilitation has received 2 penalties totaling $94K.
Who owns Wells LTC Nursing & Rehabilitation?
Wells LTC Nursing & Rehabilitation is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Wells LTC Nursing & Rehabilitation last inspected?
The most recent health inspection for Wells LTC Nursing & Rehabilitation was on Dec 3, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Wells LTC Nursing & Rehabilitation?
Wells LTC Nursing & Rehabilitation is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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