Arbor Grace Wellness Center
1241 W MARSHALL HOWARD BLVD, Littlefield, TX, 79339
Yes. Federal inspectors cited 10 deficiencies against Arbor Grace Wellness Center in Littlefield, Texas at its most recent standard inspection on 2026-02-26, 1 of them arising from complaints. 2 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 2 times, totalling $44,434. Medicare rates it 1 out of 5 overall.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · F0576 · 2026-02-26 · standard survey · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0585 · 2026-02-26 · standard survey · No actual harm, potential for more than minimal harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · F0692 · 2026-02-26 · standard survey · No actual harm, potential for more than minimal harm
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.
Nutrition and Dietary Deficiencies · F0803 · 2026-02-26 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2026-02-26 · standard survey · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0761 · 2026-02-26 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2026-02-26 · standard survey · No actual harm, potential for more than minimal harm
Have policies on smoking.
Environmental Deficiencies · F0926 · 2026-02-26 · standard survey · No actual harm, potential for more than minimal harm
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies · F0577 · 2026-02-26 · standard survey · No actual harm, potential for minimal harm
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies · F0740 · 2025-12-22 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-01-15 · from a complaint · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2024-11-22 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2024-11-22 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2024-11-22 · standard survey · No actual harm, potential for more than minimal harm
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.
Nursing and Physician Services Deficiencies · F0727 · 2024-11-22 · standard survey · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0761 · 2024-11-22 · standard survey · No actual harm, potential for more than minimal harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · F0580 · 2024-08-26 · from a complaint · Immediate jeopardy to resident health or safety
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2024-08-26 · from a complaint · Immediate jeopardy to resident health or safety
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · F0655 · 2024-06-05 · from a complaint · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2024-06-05 · from a complaint · No actual harm, potential for more than minimal harm
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
What Medicare has fined this home
Who owns Arbor Grace Wellness Center
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| SMITH, DAWNE | Individual | 100% | since 03/01/2017 |
| LITTLEFIELD SMITH, LLC | Organization | NOT APPLICABLE | since 01/01/2008 |
| SHEPPEL LITTLEFIELD, LLC | Organization | NOT APPLICABLE | since 01/01/2008 |
| SMITH FAMILY 2001 TRUST | Organization | NOT APPLICABLE | since 01/01/2008 |
| THE RUSSELL M. SHEPPEL 2010 SEPARATE PROPERTY TRUST | Organization | NOT APPLICABLE | since 01/01/2008 |
| RIOJAS, DIANA | Individual | NOT APPLICABLE | since 06/26/2023 |
| SHEPPEL, RUSSELL | Individual | NOT APPLICABLE | since 05/13/2025 |
| SMITH, BRADLEY | Individual | NOT APPLICABLE | since 05/13/2025 |
| LITTLEFIELD SMITH, LLC | Organization | NOT APPLICABLE | since 01/01/2008 |
| PARAMOUNT HEALTHCARE CONSULTANTS, LLC | Organization | NOT APPLICABLE | since 03/01/2017 |
| SHEPPEL LITTLEFIELD, LLC | Organization | NOT APPLICABLE | since 01/01/2008 |
| SMITH FAMILY 2001 TRUST | Organization | NOT APPLICABLE | since 01/01/2008 |
Part of the PARAMOUNT HEALTHCARE CONSULTANTS group.
Ask Arbor Grace Wellness Center a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 675978.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction