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Permian Residential Care Center

⌖ Andrews, TX · Andrews County
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Medicare overall rating 5 of 5 stars
Certified beds112
Medicare / MedicaidMedicare & Medicaid
OwnershipGovernment (county)

About Permian Residential Care Center

Permian Residential Care Center is a 112-bed government-run nursing home in Andrews, TX. Medicare rates it 5 out of 5 stars overall (much above average); the average in Texas is 2.7. At its last full inspection (Dec 2025), inspectors found 4 problems, fewer than the Texas average of 9.4. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 5 hr 38 min a day with each resident, more than the Texas average of 3 hr 23 min. About 35% of its nursing staff left in the past year. Medicare fined it $20,865 in the last three years. Its quality ratings are stronger for short-term rehab than for long-term care.

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

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Key details

Facility namePermian Residential Care Center
LocationAndrews County, Texas
Address1601 Ne Mustang, Andrews, TX 79714 · Andrews County
CMS provider number676175
Ownership typeGovernment (county)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceMay 23, 2008 (18 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating5 of 5Much above average
Health inspections5 of 5Much above average
Quality measures3 of 5Average
Staffing5 of 5Much above average

Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

5 strengths and 1 thing to ask about in Medicare's inspection, fine and staffing records for this home. 2 care-quality measures are worse than the state average in the rehab and long-term care section below.

Strengths

  • Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Dec 2025.
    Strength
  • Health citations at last inspection4 (Dec 2025)Texas average: 9.4. Most citations are minor and corrected within weeks.
    Strength
  • Nurse staffing per resident5 hr 38 min a dayTexas average: 3 hr 23 min
    Strength
  • Registered nurse time per resident52 min a dayTexas average: 26 min
    Strength
  • Nursing staff turnover35% a yearTexas average: 55%
    Strength

Things to ask about

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  • Fines and penalties1 fine totaling $20,865Federal penalties from the last three years, most recently in Mar 2024 (about 2 years ago). The national average is $30,972 per home.
    Worth asking about

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Texas average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare quality rating: 4 of 5 (above average)

  • Sent back to the hospital15.4%State average: 25.7%
    Better than average
  • Needed an emergency room visit18.1%State average: 12.3%
    Worse than average
  • Newly given antipsychotic drugs0.0%State average: 1.5%
    Better than average

Physical therapist time: about 0 minutes per resident a day. That is less than the state average of 4 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 2 of 5 (below average)

  • Falls with a major injury3.9%State average: 3.3%
    About average
  • Pressure sores (bedsores)3.7%State average: 3.8%
    About average
  • Given antipsychotic drugs6.9%State average: 9.6%
    Better than average
  • Hospital stays per 1,000 resident days2.8State average: 2.2
    Worse than average

Source: Medicare (CMS) quality measures, compared with the Texas average. Lower is better for every rate shown.

Who pays, and how full it is

Most residents here have their care paid by Medicaid. In Texas, Medicaid pays for 66% of resident days at a typical home.

  • 70% Medicaid
  • 9% Medicare
  • 21% Private pay, insurance and other
Beds in use, on average54%Texas typical: 67%
Cost of care per resident day$238Texas typical: $270

Shares of resident days, from the home’s Medicare cost report for the year ending September 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 5 stars now, up from 3 stars in January 2019. It has ranged from 3 to 5 stars and changed 6 times.

Overall rating5★
Health inspections5★
Staffing5★
Quality of care3★
Nurse hours per resident per day5.6
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 20193315–
Jan 202044344.3
Jan 202144334.6
Jan 202244334.2
Jan 202354454.8
Jan 202455525.4
Feb 202554524.8
Feb 202655525.3
Sep 202655535.6

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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Explore the area

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.