Tanglewood Estate
State licensed4505 20th St, Lubbock, TX 79407
Assisted Living
Assisted livingState-licensed (Texas HHSC)24-hour personal care
Call for pricing
Prices not published
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Medicare-certifiedSkilled Nursing
Southern Specialty Rehab & Nursing
Lubbock, TexasMedicare inspection record
About Southern Specialty Rehab & Nursing
Southern Specialty Rehab & Nursing is a for profit - corporation nursing home in Lubbock, TX with 144 certified beds.
Community at a glance
Capacity
144 residents
Location
Lubbock, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
4320 W 19th Street, Lubbock, Texas 79407
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on June 11, 2026, state inspectors cited 10 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 4 hours with each resident a day, above the Texas average of 3 hours 23 minutes.
Medicare fined Southern Specialty Rehab & Nursing 2 times in the last three years, $36,652 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 4 hoursAbove the Texas average |
| Registered nurse time per resident, per day | 34 minutesAbove the Texas average |
| Nursing staff who left in the past year | 99%Above the Texas average |
2 administrators have left the home in the past year.
Inspections
27 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
June 11, 2026 · Standard inspection · 8 citations
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jul 15, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jul 15, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jul 15, 2026Provide enough food/fluids to maintain a resident's health.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 15, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jul 15, 2026Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jul 15, 2026Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 15, 2026Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jul 15, 2026
February 18, 2026 · Complaint investigation · 1 citation
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Feb 25, 2026
November 4, 2025 · Complaint investigation · 1 citation+
Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Nov 5, 2025
August 24, 2025 · Complaint investigation · 2 citations+
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Immediate danger to residents, a pattern (level K)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 25, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintCorrected Aug 25, 2025
April 15, 2025 · Standard inspection · 3 citations+
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected May 7, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected May 7, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 7, 2025
October 7, 2024 · Complaint investigation · 1 citation+
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Risk of harm, no one hurt, a pattern (level E)AdministrationFrom a complaintCorrected Oct 22, 2024
September 26, 2024 · Complaint investigation · 1 citation+
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Oct 29, 2024
June 27, 2024 · Complaint investigation · 1 citation+
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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jun 28, 2024
June 13, 2024 · Complaint investigation · 1 citation+
Provide and implement an infection prevention and control program.
Immediate danger to residents, a pattern (level K)Infection ControlFrom a complaintCorrected Jul 11, 2024
March 7, 2024 · Standard inspection · 7 citations+
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Apr 7, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Apr 7, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Apr 7, 2024PASARR screening for Mental disorders or Intellectual Disabilities
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Apr 7, 2024Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Apr 7, 2024Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 7, 2024Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 7, 2024
February 8, 2024 · Complaint investigation · 1 citation+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Feb 9, 2024
Fines and payment denials
2 fines totaling $36,652 in the last three years.
- August 24, 2025Fine: $15,537
- June 13, 2024Fine: $21,115
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- West Wharton County Hospital District
- Medicare-certified beds
- 144
- Average residents per day
- 59
- Accepts
- Medicare and Medicaid
- First certified
- August 30, 2004
- Part of a chain
- Creative Solutions in Healthcare, 149 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 676028
Location
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4320 W 19th StreetLubbock, TX 79407
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Questions about Southern Specialty Rehab & Nursing
How did Southern Specialty Rehab & Nursing do on its last inspection?+
State inspectors visited on June 11, 2026 and cited 10 health deficiencies, 2 of them from complaint investigations. The Texas average is 9.4.
How much nursing care does each resident get at Southern Specialty Rehab & Nursing?+
Nurses and aides spend 4 hours with each resident per day, including 34 minutes from registered nurses. 99% of nursing staff left over the past year.
Has Southern Specialty Rehab & Nursing been fined by Medicare?+
Yes. Medicare fined Southern Specialty Rehab & Nursing 2 times in the last three years, totaling $36,652.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.