{
 "id": "675978",
 "kind": "snf",
 "kind_label": "Nursing home",
 "name": "Arbor Grace Wellness Center",
 "slug": "arbor-grace-wellness-center",
 "path": "/tx/lamb/littlefield/arbor-grace-wellness-center",
 "address": {
  "street": "1241 W MARSHALL HOWARD BLVD",
  "city": "Littlefield",
  "county": "Lamb",
  "state": "TX",
  "state_name": "Texas",
  "zip": "79339"
 },
 "phone": "8063856600",
 "coords": [
  33.907755,
  -102.341488
 ],
 "capacity": 80,
 "residents_per_day": 42.7,
 "status": "Medicare and Medicaid",
 "licensee": "PDM Operators LLC",
 "administrator": null,
 "licensed_since": "2003-06-25",
 "last_visit": "2026-02-26",
 "visits_total": null,
 "citations": {
  "type_a": null,
  "type_b": null,
  "basis": "Not applicable: certified federally, not cited by the state"
 },
 "citations_by_visit_type": {
  "complaint": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "inspection": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "other": {
   "visits": null,
   "type_a": null,
   "type_b": null
  }
 },
 "allegations": {
  "substantiated": null,
  "inconclusive": null,
  "unsubstantiated": null,
  "unfounded": null,
  "investigated": null
 },
 "capabilities": {},
 "capabilities_raw": null,
 "reports_on_file": 0,
 "reports": [],
 "federal": {
  "ownership_type": "For profit - Limited Liability company",
  "chain": "PARAMOUNT HEALTHCARE CONSULTANTS",
  "in_hospital": false,
  "ccrc": false,
  "abuse_icon": false,
  "special_focus": null,
  "ratings": {
   "overall": 1,
   "health_inspection": 2,
   "staffing": 2,
   "quality": 1
  },
  "cycle1": {
   "date": "2026-02-26",
   "total": 10,
   "standard": 9,
   "complaint": 1
  },
  "fines": {
   "count": 2,
   "dollars": 44434,
   "penalties": 3
  },
  "staffing": {
   "nurse_hours_per_resident_day": 3.07731,
   "turnover_pct": 58.6
  },
  "on_record": {
   "immediate_jeopardy": 2,
   "actual_harm": 2,
   "potential_harm": 32,
   "minimal": 2
  },
  "penalties_on_file": {
   "count": 3,
   "dollars": 44434
  },
  "owners": [
   {
    "name": "SMITH, DAWNE",
    "role": "Individual",
    "since": "since 03/01/2017",
    "share": "100%"
   },
   {
    "name": "LITTLEFIELD SMITH, LLC",
    "role": "Organization",
    "since": "since 01/01/2008",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "SHEPPEL LITTLEFIELD, LLC",
    "role": "Organization",
    "since": "since 01/01/2008",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "SMITH FAMILY 2001 TRUST",
    "role": "Organization",
    "since": "since 01/01/2008",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "THE RUSSELL M. SHEPPEL 2010 SEPARATE PROPERTY TRUST",
    "role": "Organization",
    "since": "since 01/01/2008",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "RIOJAS, DIANA",
    "role": "Individual",
    "since": "since 06/26/2023",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "SHEPPEL, RUSSELL",
    "role": "Individual",
    "since": "since 05/13/2025",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "SMITH, BRADLEY",
    "role": "Individual",
    "since": "since 05/13/2025",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "LITTLEFIELD SMITH, LLC",
    "role": "Organization",
    "since": "since 01/01/2008",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "PARAMOUNT HEALTHCARE CONSULTANTS, LLC",
    "role": "Organization",
    "since": "since 03/01/2017",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "SHEPPEL LITTLEFIELD, LLC",
    "role": "Organization",
    "since": "since 01/01/2008",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "SMITH FAMILY 2001 TRUST",
    "role": "Organization",
    "since": "since 01/01/2008",
    "share": "NOT APPLICABLE"
   }
  ]
 },
 "deficiencies": [
  {
   "date": "2026-02-26",
   "tag": "0576",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2026-02-26",
   "tag": "0585",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2026-02-26",
   "tag": "0692",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2026-02-26",
   "tag": "0803",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2026-02-26",
   "tag": "0812",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2026-02-26",
   "tag": "0761",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2026-02-26",
   "tag": "0880",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2026-02-26",
   "tag": "0926",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2026-02-26",
   "tag": "0577",
   "sev": "C",
   "complaint": false
  },
  {
   "date": "2025-12-22",
   "tag": "0740",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-01-15",
   "tag": "0880",
   "sev": "E",
   "complaint": true
  },
  {
   "date": "2024-11-22",
   "tag": "0812",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2024-11-22",
   "tag": "0550",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-11-22",
   "tag": "0684",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-11-22",
   "tag": "0727",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-11-22",
   "tag": "0761",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-08-26",
   "tag": "0580",
   "sev": "J",
   "complaint": true
  },
  {
   "date": "2024-08-26",
   "tag": "0686",
   "sev": "J",
   "complaint": true
  },
  {
   "date": "2024-06-05",
   "tag": "0655",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2024-06-05",
   "tag": "0656",
   "sev": "D",
   "complaint": true
  }
 ],
 "source": {
  "name": "Centers for Medicare & Medicaid Services, Nursing Home Care Compare",
  "retrieved": "2026-07-29",
  "licence_number": "675978"
 }
}