Prairie Acres
201 E 15th, Friona, TX 79035 · Parmer County
Government · 83 certified beds · 56% occupancy · (806) 250-3922
Prairie Acres reviews: what the government record shows
The U.S. government (CMS) rates Prairie Acres 4 out of 5 stars overall, above average. Its nurse staffing is at or above the Texas median.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 4 of 5 stars
- Nurse staffing
- 3.32 hrs/resident/day (+1% vs TX median)
- Antipsychotic drug use
- 8% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 10.1% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $10,033
- Inspection findings
- 16 cited
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
A strong option on the record. Still worth a visit to confirm it fits your parent.
Strengths
- ✓Earns 4 of 5 stars overall from CMS.
- ✓Nurse staffing of 3.32 hrs/resident/day is at or above the Texas median of 3.27.
Concerns
- !Serious-fall rate of 10.1% is well above the Texas median of 3%.
Questions to ask on your visit
- ·What is your fall-prevention program, and how is it staffed overnight?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Prairie Acres
Is Prairie Acres a good nursing home?
Prairie Acres in Friona, Texas holds a 4 of 5 star CMS overall rating. A strong option on the record. Still worth a visit to confirm it fits your parent.
How is Prairie Acres staffed?
Prairie Acres reports 3.32 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.
Has Prairie Acres been fined or flagged for abuse?
Prairie Acres has paid approximately $10,033 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.32 nurse hours per resident per day. 1% above the Texas median of 3.27.
Nursing staff turnover: 52.5% · RN turnover: 20%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0550 · Jul 31, 2025Corrected Aug 5, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
- Potential for harmTag F0656 · Jul 31, 2025Corrected Aug 18, 2025
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
- Potential for harmTag F0812 · Jul 31, 2025Corrected Aug 12, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Actual harmTag F0689 · May 30, 2024Corrected Jul 13, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0812 · May 30, 2024Corrected Jul 13, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0880 · May 30, 2024Corrected Jul 13, 2024
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0607 · May 30, 2024Corrected Jul 13, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0656 · May 30, 2024Corrected Jul 13, 2024
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
- Potential for harmTag F0693 · May 30, 2024Corrected Jul 13, 2024
Ensure 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.
Quality of Life and Care Deficiencies
- Potential for harmTag F0695 · May 30, 2024Corrected Jul 13, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Showing the 10 most recent and serious of 16 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is at least double the Texas median. Ask the staff directly about their fall-prevention program: how they assess risk, how often they check on residents, and whether staffing at night is enough to respond quickly.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is government (government - hospital district). It is independently operated, not part of a multi-facility chain.