F
LYTLE NURSING HOME
31/100 score
0.35 hrs RN staffing
8 deficiencies
Devine Health & Rehabilitation
104 Enterprise Ave, Devine, TX 78016
Operator
WEST WHARTON COUNTY HOSPITAL DISTRICT · 20 facilities
- Provider number (CCN)
- 675489
- Certification
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified beds
- 96
- Phone
- (830) 663-4451
- CMS data as of
- July 1, 2026
B
What the records show
CMS rates Devine Health & Rehabilitation 5 out of 5 stars overall, with 5 of 5 for health inspections, 2 of 5 for staffing, 5 of 5 for quality measures. Federal inspectors cited 11 health deficiencies across the last three survey cycles, most recently surveyed in 2026. CMS lists no fines or payment denials for this facility in the covered period.
Facility Assessment
This facility is operated by WEST WHARTON COUNTY HOSPITAL DISTRICT, which scores 21 points below the national average.
Reviews, Ratings and Official Records
This page reviews Devine Health & Rehabilitation using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.
At or above the 2024 benchmark — above average inspection record.
Ratings and Grade Breakdown
|
RN Staffing
Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.
|
0.64 — At or above the repealed 0.55 hr benchmark |
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why |
|
|
Health Deficiencies (last 3 survey cycles)
Violations found during federal inspections, with how many remain open and how many involved actual harm.
|
Total
11
Outstanding
0
Actual harm or worse (G–L)
0
|
|
CMS Ratings
Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.
|
Overall: ★★★★★ (5/5)
Health inspection: ★★★★★ (5/5)
Quality: ★★★★★ (5/5)
Staffing: ★★☆☆☆ (2/5)
|
|
NursingHomeGrade Score
|
79/100 |
Loaded into NursingHomeGrade on August 7, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.
CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.
Staffing Compared With State and National Levels
| This facility | 0.64 hrs |
|---|---|
| TX median | 0.38 hrs |
| National average | 0.69 hrs |
Registered nurse turnover: 62.5% · Total nursing staff turnover: 86.2%
Staffing figures are the values CMS published in its file processed July 1, 2026, drawn from payroll-based journal reporting.
Inspection Records Covered
- Most recent standard health survey: February 27, 2026.
- Citations shown below span 3 recorded inspection cycles.
- Survey dates on file range from September 28, 2023 to February 27, 2026.
Source records: CMS Care Compare profile for provider 675489 ↗ · the federal files we load and when.
Inspection Deficiencies
Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).
11 deficiencies found. 11 corrected. None involved actual harm.
Most recent inspection (February 27, 2026)
D
Potential harm — isolated
F0695
Status: Corrected
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected February 28, 2026
Inspection cycle 2 (October 24, 2024)
D
Potential harm — isolated
F0812
Status: Corrected
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies — Deficient, Provider has date of correction, corrected October 25, 2024
D
Potential harm — isolated
F0756
Status: Corrected
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected November 9, 2024
D
Potential harm — isolated
F0755
Status: Corrected
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected October 25, 2024
D
Potential harm — isolated
F0684
Status: Corrected
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected November 9, 2024
D
Potential harm — isolated
F0695
Status: Corrected
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected November 9, 2024
D
Potential harm — isolated
F0656
Status: Corrected
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 — Deficient, Provider has date of correction, corrected October 25, 2024
D
Potential harm — isolated
F0842
Status: Corrected
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected October 25, 2024
Inspection cycle 3 (September 28, 2023)
F
Potential harm — widespread
F0812
Status: Corrected
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies — Deficient, Provider has date of correction, corrected September 29, 2023
D
Potential harm — isolated
F0657
Status: Corrected
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected September 29, 2023
D
Potential harm — isolated
F0550
Status: Corrected
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies — Deficient, Provider has date of correction, corrected September 29, 2023
Fines and Enforcement Actions
CMS lists no fines and no payment denials for Devine Health & Rehabilitation in the enforcement records covering the last three years, as published in the file processed July 1, 2026.
Ownership and Contact Information
- Facility name
- Devine Health & Rehabilitation
- Legal business name
- WEST WHARTON COUNTY HOSPITAL DISTRICT
- Address
- 104 Enterprise Ave, Devine, TX 78016
- Phone
- (830) 663-4451
- Provider number (CCN)
- 675489
- Ownership type
- For profit - Corporation
- Operator
- WEST WHARTON COUNTY HOSPITAL DISTRICT · 20 facilities
- Medicare/Medicaid certified since
- April 1, 1995
- Official record
- CMS Care Compare profile ↗
- Details verified against CMS data dated
- July 1, 2026
The federal nursing-home files publish no email address for certified facilities, so none is listed here. We do not guess or construct contact addresses. Contact details above are reproduced from CMS Provider Information; call the facility to confirm before relying on them.
How We Stay Independent
NursingHomeGrade is strictly independent. We do not accept payments from facilities. Our grades are calculated solely from federal CMS datasets.
Learn about our data methodology →Nearby facilities in Devine
Compare local nursing homes using the same CMS-backed grading method.
D
Medina Valley Health & Rehabilitation Center
46/100 score
0.28 hrs RN staffing
7 deficiencies
F
Community Care Center of Hondo
22/100 score
Not reported RN staffing
9 deficiencies
F
Harbor Valley Health and Rehabilitation
11/100 score
0.10 hrs RN staffing
17 deficiencies
B
THE MISSION AT BLUE SKIES OF TEXAS EAST
79/100 score
0.80 hrs RN staffing
7 deficiencies
Sources and Methodology
- CMS Provider Information (file processed July 1, 2026) — ratings, staffing, ownership, certification and contact details. Dataset 4pq5-n9py ↗
- CMS Health Deficiencies — inspection citations, scope and severity, correction status. Dataset r5ix-sfxw ↗
- CMS Ownership — owning and managing organisations. Dataset y2hd-n93e ↗
The NursingHomeGrade score is our own calculation from these federal files — it is not a CMS rating and not a consumer review score. See exactly how the score is calculated · full methodology · source files and load dates.
Need help choosing a facility?
Get free guidance from senior living advisors. We may earn a referral fee from comparison services, but never from nursing facilities and never in ways that affect grades.
Compare nearby options ↗ Get free help ↗↗ Links open independent third-party sites in a new tab.
Get score alerts for this facility
We'll email you when Devine Health & Rehabilitation's staffing score changes.