All states › Texas › Littlefield › Sunset Valley Rehabilitation and Healthcare Center
1241 W. Marshall Howard Blvd. Littlefield, TX 79339 · Lamb County
CMS certification number 675978 · See this home on Medicare Care Compare
Is Sunset Valley Rehabilitation and Healthcare Center 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 Sunset Valley Rehabilitation and Healthcare Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below 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 3.37 hours per resident per day at Sunset Valley Rehabilitation and Healthcare Center, about the same as the Texas median of 3.30 (US median: 3.72). About 0.41 of those hours are from registered nurses. On weekends it falls to 2.93 hours, 13% below its all-week average. 63% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Sunset Valley Rehabilitation and Healthcare Center: Medicare and Medicaid
Sunset Valley Rehabilitation and Healthcare Center 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 February 26, 2026 and found 9 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 36 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 36 citations at Sunset Valley Rehabilitation and Healthcare Center across 9 inspection dates, 11 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on August 26, 2024 (complaint inspection). The most common areas cited were quality of life and care (9) and resident rights (6). The most serious was cited under the CMS rule to "immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident" (tag F0580, level J, August 26, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.
February 26, 2026 · 9 citations
EEnsure residents have reasonable access to and privacy in their use of communication methods.
EHonor 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.
EProvide enough food/fluids to maintain a resident's health.
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
DProvide and implement an infection prevention and control program.
DHave policies on smoking.
CAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
December 22, 2025 · 1 citation · includes complaint inspection
DEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
January 15, 2025 · 1 citation · includes complaint inspection
EProvide and implement an infection prevention and control program.
November 22, 2024 · 5 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DHave 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.
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.
August 26, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection
JImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
JProvide appropriate pressure ulcer care and prevent new ulcers from developing.
June 5, 2024 · 4 citations · includes complaint inspection
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DHave 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.
February 28, 2024 · 2 citations · includes complaint inspection
EHave 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.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
November 1, 2023 · 1 citation · includes complaint inspection
EProvide and implement an infection prevention and control program.
October 10, 2023 · 11 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DEnsure each resident receives an accurate assessment.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide or obtain dental services for each resident.
CPost nurse staffing information every day.
Questions to ask on a tour of Sunset Valley Rehabilitation and Healthcare Center
- Inspectors cited the home at the immediate-jeopardy level on August 26, 2024 under the rule on resident rights. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on February 28, 2024. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 63% a year. How many of the staff come from agencies?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- The home averages about 59% 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
1 penalty in the last three years, including $15,944 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Aug 26, 2024 | Fine | $15,944 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 2/5 |
| August 2026 | 1/5 | 2/5 | 2/5 | 1/5 |
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Location
Hospitals near Sunset Valley Rehabilitation and Healthcare Center
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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0.4 mi
Lamb Healthcare Center LittlefieldEmergency roomMedian ER visit 1h 39m for patients treated and sent home
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23.2 mi
Covenant Hospital Levelland LevellandEmergency roomMedian ER visit 1h 33m 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.