facebook tracking Prairie Acres, Friona TX: CMS Ratings & Inspections
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Prairie Acres

All states › Texas › Friona › Prairie Acres

201 E 15th Friona, TX 79035 · Parmer County

(806) 250-3922

Accepts Medicare Accepts Medicaid 83 certified beds Government

CMS certification number 675443 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Prairie Acres a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Prairie Acres as of October 2026.

CMS rates it 4 out of 5 stars overall, above the Texas average of 2.8. Inspectors issued 16 citations in the last three years. CMS imposed 2 penalties, including $10,033 in fines, in that time.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 4.04 hours per resident per day at Prairie Acres, above the Texas median of 3.30 (US median: 3.72). About 0.55 of those hours are from registered nurses. On weekends it falls to 3.14 hours, 22% below its all-week average. Ask how weekends are staffed. 53.7% of nursing staff left within a year (Texas median 50.2%).

Nursing care per resident per day 4.04 hours
Above the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.55 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.14 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 53.7% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 20% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds83
Residents per day 40 About 49% of beds filled, on average
OwnershipGovernment - Hospital district
Payment acceptedMedicare and Medicaid
Certified sinceJanuary 1995
Legal business namePARMER COUNTY HOSPITAL DISTRICT

Paying for care at Prairie Acres: Medicare and Medicaid

Prairie Acres is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on July 31, 2025 and found 3 deficiencies. In total, inspectors issued 16 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 16 citations at Prairie Acres across 3 inspection dates. 1 was at the actual-harm level (G–I), most recently on May 30, 2024. The most common areas cited were quality of life and care (4) and resident assessment and care planning (3). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, May 30, 2024). 2 citations were under CMS's abuse, neglect and exploitation rules.

July 31, 2025 · 3 citations

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Aug 5, 2025)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Aug 18, 2025)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Aug 12, 2025)

May 30, 2024 · 10 citations, includes actual harm

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

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Jul 13, 2024)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jul 13, 2024)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jul 13, 2024)

DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 · Deficient, Provider has date of correction (Jul 13, 2024)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jul 13, 2024)

DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0693 · Deficient, Provider has date of correction (Jul 13, 2024)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Jul 13, 2024)

DEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Deficient, Provider has date of correction (Jul 13, 2024)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Jul 13, 2024)

DGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0943 · Deficient, Provider has date of correction (Jul 13, 2024)

March 23, 2023 · 3 citations

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (May 7, 2023)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (May 7, 2023)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (May 7, 2023)

Questions to ask on a tour of Prairie Acres

  1. Inspectors cited the home at the actual-harm level on May 30, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on May 30, 2024. How are staff trained, and how are concerns reported?
  3. Weekend staffing is 22% below the all-week average. Who is on duty on Saturday nights?
  4. The home averages about 49% of its beds filled. Are any units closed?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

2 penalties in the last three years, including $10,033 in fines.

DateTypeAmount or length
May 30, 2024 Fine $10,033
May 30, 2024 Payment Denial 15 days of payments denied

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 4/5 4/5 4/5 2/5
August 2026 4/5 4/5 3/5 3/5
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Location

Hospitals near Prairie Acres

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Hereford Nursing & Rehabilitation Hereford · 21.2 mi away ★★★★★ Inspection 4/5 · Staffing 2/5 120 beds · Medicaid
Castro County Nursing & Rehabilitation Dimmitt · 22.8 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 114 beds · Medicaid
Country View Living Dimmitt · 23.9 mi away ★★★★★ Inspection 5/5 · Staffing 5/5 54 beds · Medicaid
Farwell Care and Rehabilitation Center Farwell · 25.6 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 75 beds · Medicaid
Park View Nursing Care Center Muleshoe · 29.1 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 74 beds · Medicaid

More nursing homes near Prairie Acres ›   All nursing homes in Friona ›

Compare Prairie Acres with the 3 closest homes side by side ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/friona/prairie-acres/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.