01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-02-26 | 10 | 2026-02-26 | 5 |
| Cycle 2 | 2024-11-22 | 8 | 2024-11-22 | 2 |
| Cycle 3 | 2023-10-10 | 20 | 2023-10-10 | 0 |
CMS CCN 6759782026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Sunset Valley Rehabilitation And Healthcare Center
1241 W. Marshall Howard Blvd. · Littlefield, TX 79339 · Lamb County
Certified beds80CMS provider file
Recent citation rows45current CMS citation release
Penalty rows3current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
45 rows in the current release
4 rows carry G–L scope/severity codes; 2 carry J–L. 9 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-02-26 · FIREE0030Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Correction field: Deficient, Provider has date of correction · 2026-03-022026-02-26 · HEALTHF0576Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Correction field: Deficient, Provider has date of correction · 2026-03-022026-02-26 · HEALTHF0577Severity C · widespread; potential for minimal harm
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Correction field: Deficient, Provider has date of correction · 2026-03-022026-02-26 · HEALTHF0585Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-03-022026-02-26 · HEALTHF0692Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2026-03-022026-02-26 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-03-022026-02-26 · HEALTHF0803Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-03-022026-02-26 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-03-022026-02-26 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-03-022026-02-26 · HEALTHF0926Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Have policies on smoking.
Correction field: Deficient, Provider has date of correction · 2026-03-022026-02-26 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2026-03-272026-02-26 · FIREK0351Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2026-03-022026-02-26 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-03-042026-02-26 · FIREK0923Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2026-03-022025-12-22 · HEALTHF0740Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Correction field: Deficient, Provider has date of correction · 2026-01-21 · complaint2025-01-15 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-01-30 · complaint2024-11-22 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2024-12-102024-11-22 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-12-102024-11-22 · HEALTHF0727Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-12-202024-11-22 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-12-102024-11-22 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-12-102024-11-22 · FIREK0222Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2024-12-202024-11-22 · FIREK0355Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2024-12-202024-08-26 · HEALTHF0580Severity J · isolated immediate jeopardy
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2024-08-27 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-08-26 | Fine | $15,944 | 0 |
| 2023-08-29 | Fine | $28,490 | 0 |
| 2023-08-29 | Payment Denial | $0 | 1 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- SMITH, DAWNEIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 03/01/2017
- LITTLEFIELD SMITH, LLCOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 01/01/2008
- SHEPPEL LITTLEFIELD, LLCOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 01/01/2008
- SMITH FAMILY 2001 TRUSTOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 01/01/2008
- THE RUSSELL M. SHEPPEL 2010 SEPARATE PROPERTY TRUSTOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 01/01/2008
- RIOJAS, DIANAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/26/2023
- SHEPPEL, RUSSELLIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 05/13/2025
- SMITH, BRADLEYIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 05/13/2025
- LITTLEFIELD SMITH, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2008
- PARAMOUNT HEALTHCARE CONSULTANTS, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/01/2017
- SHEPPEL LITTLEFIELD, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2008
- SMITH FAMILY 2001 TRUSTOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2008
- THE RUSSELL M. SHEPPEL 2010 SEPARATE PROPERTY TRUSTOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2008
- GEORGE, CINDYIndividual · ADP OF THE SNFNOT APPLICABLE · since 03/01/2017
- RIOJAS, DIANAIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/26/2023
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.08per resident day
RN hours0.30per resident day
Weekend nurse hours2.90per resident day
Staff turnover58.6%CMS reported field
06 / LOCAL RECORDS
Open the Texas ledger →Other published facilities nearby
No second facility in the same city met the directory rule.