William R Courtney Texas State Veterans Home
1424 Martin Luther King Jr Ln · Temple, TX · 76504 · 2547918280
160 certified beds For profit - Limited Liability company Chain: Texvet
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
3 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 3 · $53,476 |
Inspection citations (31 in the current record)
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Potential for harm · D February 23, 2026 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 17, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 4, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 3, 2026 · Pharmacy Service
-
Immediate jeopardy · J July 23, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 24, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J July 23, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected July 24, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J July 23, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 24, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D June 25, 2025 · found via complaint
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.
Corrected June 26, 2025 · Pharmacy Service
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Immediate jeopardy · J March 22, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 23, 2025 · Quality of Life and Care
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Potential for harm · D March 22, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 23, 2025 · Quality of Life and Care
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Potential for harm · E March 22, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 7, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 7, 2025
Provide and implement an infection prevention and control program.
Corrected March 10, 2025 · Infection Control
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Potential for harm · D March 7, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 10, 2025 · Quality of Life and Care
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Potential for harm · D December 16, 2024 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected December 17, 2024 · Resident Rights
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Potential for harm · D December 16, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 17, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K January 12, 2024
Provide and implement an infection prevention and control program.
Corrected February 7, 2024 · Infection Control
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Potential for harm · D January 12, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected February 7, 2024 · Resident Rights
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Potential for harm · D January 12, 2024
Ensure each resident receives an accurate assessment.
Corrected February 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · E January 12, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 7, 2024 · Quality of Life and Care
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Potential for harm · E January 12, 2024
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.
Corrected February 7, 2024 · Pharmacy Service
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Potential for harm · E January 12, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected February 7, 2024 · Infection Control
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Potential for harm · D January 12, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 7, 2024 · Quality of Life and Care
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No harm found · C January 12, 2024
Post nurse staffing information every day.
Corrected February 7, 2024 · Nursing and Physician Services
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Potential for harm · D July 31, 2023 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 15, 2023 · Pharmacy Service
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Immediate jeopardy · J October 22, 2022
Provide safe, appropriate pain management for a resident who requires such services.
Corrected October 23, 2022 · Quality of Life and Care
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Actual harm · G October 22, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 23, 2022 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 25, 2025 | Fine | $15,755 |
| March 7, 2025 | Fine | $10,538 |
| January 12, 2024 | Fine | $27,183 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675857 · certified since December 21, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.