All states › Texas › Friona › Prairie Acres
201 E 15th Friona, TX 79035 · Parmer County
CMS certification number 675443 · See this home on Medicare Care Compare
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.
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%).
About this nursing home
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.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure that residents are free from significant medication errors.
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.
DGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
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.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Prairie Acres
- 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?
- CMS cited the home under its abuse and neglect rules on May 30, 2024. How are staff trained, and how are concerns reported?
- Weekend staffing is 22% below the all-week average. Who is on duty on Saturday nights?
- The home averages about 49% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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.
| Date | Type | Amount or length |
|---|---|---|
| May 30, 2024 | Fine | $10,033 |
| May 30, 2024 | Payment Denial | 15 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| 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.
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0.1 mi
Parmer County Community Hospital FrionaEmergency roomMedian ER visit 2h 10m for patients treated and sent home
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21.9 mi
Hereford Regional Medical Center HerefordEmergency roomMedian ER visit 1h 33m for patients treated and sent home
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23.9 mi
Plains Memorial Hospital DimmittEmergency roomMedian ER visit 1h 56m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
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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.