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Brenham Nursing and Rehabilitation Center

400 E Sayles St, Brenham, TX 77833 · Non profit - Corporation · 128 certified beds · (979) 836-9770 Medicare & Medicaid certified

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Flagged for abuseResident-funds citation (F0565)1 immediate-jeopardy citation1 immediate-jeopardy citation CMS recorded as corrected before the inspection ended (past non-compliance)$29,353 in federal fines
Insights

This home has serious findings on its record. Read them closely before you consider it.

Worth asking about
  • CMS has flagged it for abuse
  • it has an abuse, neglect, or exploitation citation (F0603), cited Feb 2026
  • it has a citation for mishandling residents’ money or property (F0565)
  • inspectors cited 1 immediate-jeopardy problem — the most serious level
  • inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
  • a high number of inspection citations overall (30) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $29,353 in federal fines (most recent 2026-02-19)
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its independent health-inspection rating is low (1/5)
  • its payroll-based staffing rating is low (2/5)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 1 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's quality-measure rating runs 4 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
213 W. Commerce St. · (979) 428-8900 · Call to confirm hours
Pharmacy
207 E Academy St · (979) 836-3687 · Call to confirm hours
Grocery
303 N Austin Pkwy · (979) 836-2567 · Call to confirm hours
Park
910 N Park St · (979) 337-7244 · Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 4 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 5 to 1 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating1★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased13.7%15.8%15.4%better
Long-stay residents who lose too much weight3.6%3.0%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.3%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.0%0.8%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms4.9%2.4%6.5%worse than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury2.5%3.3%3.3%better
Long-stay residents whose ability to walk worsened7.0%14.0%16.1%better
Long-stay residents on antianxiety or hypnotic medication9.8%18.0%18.9%better
Long-stay residents given the seasonal flu vaccine97.3%98.0%95.3%typical
Long-stay residents with pressure ulcers5.7%3.8%4.7%worse
Long-stay residents with worsening bladder/bowel control11.4%13.4%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table3.6%9.6%17.1%better
Short-stay residents who newly got an antipsychotic medication1.5%1.5%1.4%typical
Short-stay residents given the seasonal flu vaccine84.7%88.0%79.4%typical
Short-stay residents rehospitalized after admission16.2%25.7%22.6%better
Short-stay residents with an outpatient ER visit22.9%12.3%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.382.171.67better
Long-stay outpatient ER visits per 1,000 resident days4.192.061.80worse

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

59.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 107 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

59.3%U.S. median 51.5%
Got home and stayed home
10.4%U.S. median 10.7%
Went back to hospital
62.7%U.S. median 56.6%
Met the expected recovery
0.29U.S. median 0.31
Therapy hours / resident / day
0.13hours / resident / day
Physical therapy
0.13hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 62.7% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 75 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.29 therapist hours per resident per day in 2026Q1 — more than 45% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF59.3%CMS range 50.5–69.051.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.4%CMS range 7.2–15.710.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge62.7%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge54.7%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge53.3%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened3.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization8.0%CMS range 5.2–14.27.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.011.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.30
RN hours/ resident / day
0.78
LPN hours/ resident / day
1.63
Aide hours/ resident / day
2.71
Total nurse hours/ resident / day
0.24
RN hoursweekends
44.3%
Total nursing turnover
25.0%
RN turnover

How full it usually is: this home is certified for 128 beds and averages 114.5 residents a day — about 89% occupied, or roughly 14 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 2.71 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.30 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.63 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.43 hrs/resident/day on weekends vs 2.83 on weekdays — 14% thinner on weekends. RN hours go from 0.33 to 0.24 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 44% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

11
deficiencies at the latest standard inspection (2026-02-19)
9
at the previous standard inspection (2024-11-21)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

30 citations, most serious first. The 12 most serious are shown; the remaining 18 are one tap away and print in full.

  • Immediate jeopardy · K2026-02-21 · tag F0603 — failed to not confine residents against their will — pattern
    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to protect the resident's right to be free from involuntary seclusion for 1 of 5 residents (Resident #1) reviewed for involuntary seclusion.The facility failed to ensure Resident #1 was not secluded when Resident #1 was placed in a vacant bathroom that was 60 degree Fahrenheit for approximately 5 hours. CNA A and LVN B knew Resident #1 was in the bathroom when the Surveyor found Resident #1 alone and cold. These failures resulted in an Immediate Jeopardy (IJ) situation on 02/21/2026. The IJ template was provided to the facility on [DATE] at 5:20 AM. While the IJ was removed on 02/21/2026, the facility remained out of compliance at a severity level of no actual harm at a scope of isolated due to staff needing more time to monitor the plan of removal for effectiveness.This failure could place residents at risk of injury and isolation, leading to a decreased quality of life, severe emotional distress and trauma leading to distrust of staff.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Immediate jeopardy · K2024-06-06 · tag F0755 — failed to provide safe pharmacy services — pattern
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to provide pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals to meet the needs of each resident for 1 of 4 residents (Resident #1) reviewed for pharmaceutical services. The facility failed to provide antibiotic medication to Resident #1 from 05/17/24 through 05/21/24. On 05/21/24, the facility sent Resident #1 to the ER by EMS. On 05/22/24, Resident #1 was admitted to the hospital for higher level of care. The noncompliance was identified as PNC. The IJ began on 05/21/24 and ended 05/24/24. The facility had corrected the noncompliance before the survey began. This failure could place residents at risk of not receiving their medications, hospitalization, infection or death. Findings include: Record review of Resident #1's admission Record, dated 05/17/24, reflected a [AGE] year-old female who was admitted to the facility on [DATE] and…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Past Non-Compliance
  • Potential for harm · Ecited before2026-06-20 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for kitchen sanitation.1. The facility failed to ensure foods in the reach in refrigerator located in the kitchen were labeled and dated to include the use by date or prepared/pulled date.2. The facility failed to ensure food was stored in a manner as to prevent contamination (sealed) in the walk-in refrigerator.3. The facility failed to ensure foods in the walk-in refrigerator were labeled and dated to include the use by date or prepared/pulled date.Findings included:During a tour of the kitchen on 06/20/2026 at 09:48 AM revealed the following:In the reach-in refrigerator in the kitchen revealed a salad in a Styrofoam container with two small, sealed cups of a white thick liquid substance sitting on top of it. Two plates with salads on them wrapped in plastic wrap. There was no labeling to include what the food was, the prepared date, or a use by date on the items listed.In…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-06-20 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, and record review, the facility failed to ensure the resident's right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility for 1 of 11 residents (Resident #1) reviewed for resident rights. The facility failed to ensure Resident #1's door and privacy curtain were closed during personal care to provide respect and dignity. This failure could place residents at risk of feeling uncomfortable, embarrassed, and a decreased quality of life.Findings included: Review of Resident #1's admission record, dated 06/19/2026, reflected a [AGE] year-old female admitted to the facility on [DATE] and most recently readmitted on [DATE] with diagnoses that included: unspecified dementia (a disease that causes a general decline in cognitive abilities that can affect the ability to perform everyday activities, memory loss, and poor judgement), heart failure (the heart does not pump blood as well as it should making it harder to…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-05-27 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 1 of 6 residents (Residents #1) reviewed for care plans. The facility failed to have a comprehensive person-centered care plan for Resident #1 to address his discharge. This failure could place residents at risk of not receiving care and services to meet individualized, behavioral, medical and nursing needs. Findings included:Record review of Resident #1's face sheet, dated 05/27/2026, revealed an eighty-two-year-old female who was admitted to the facility on [DATE] with a diagnosis that included hemiplegia (severe or complete paralysis of one entire side of the body), nontraumatic intracerebral hemorrhage in hemisphere, cortical (bleeding within the cerebral…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-05-27 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed the facility failed to ensure the resident environment remained as free of accidents and hazards as is possible for one resident (Resident #2) of six reviewed for mechanical lift transfers.The facility failed to ensure Resident #2 received adequate supervision and assistive devices to prevent accidents as CNA B failed to transfer Resident #2 with a mechanical lift (assistive device) with another staff to assist as required. This failure puts residents at risk for harm, injury and decreased quality of life.Findings included:Review of Resident #2 face sheet dated 05/19/2026 revealed Resident #2 was a [AGE] year old female admitted to the facility on [DATE] with a diagnoses of previous history of a stroke, dementia (decline in mental ability affecting memory, thinking and communication), heart failure (serious chronic condition where the heart cannot pump enough oxygen rich blood to meet the body's demands), high blood pressure and chronic kidney disease…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2026-02-19 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to properly store, prepare, and distribute food in accordance with professional standards for food service safety for 1 of 1 kitchen.The facility failed to properly store, label, and date all food items located in the facility's walk-in refrigerator, freezer and in the dry food pantry area on 02/17/2026, 02/18/2026 and 02/19/2026 . The facility failed to properly seal food product bags in the walk-in refrigerator to prevent exposure to air on 02/17/2026. The facility failed to properly seal food product containers in the dry food area on 02/18/2026.The facility failed to discard outdated food items located in the dry food pantry area on 02/18/2026 and 02/19/2026 . These failures could place residents who received meals from the kitchen at risk of foodborne illnesses.Observation during the initial tour of the kitchen on 02/17/2026 beginning at 9:00 AM revealed the following:Refrigerator:1 storage bag that appeared to be leftover ham, no…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-02-19 · tag F0561 — failed to honor residents' choices — pattern
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, and record review, the facility failed to ensure that each resident had the right to self-determination and the right to make choices about aspects of life in the facility that were significant to the residents for 3 of 5 residents (Resident #39, Resident #40, and Resident #104) whose care was reviewed.The facility failed to honor Resident #39 and Resident #40's request to eat at an earlier time because they preferred to dine in their room.The facility failed to provide Resident #104 who prefers to dine in her room, with a method of choosing her meal selections from the available daily menu.The facility failed to provide 6 confidential residents menus for their rooms per their request.This failure could place residents at risk of diminished feelings of self-worth and/or diminished quality of life. Record review of Resident #39's MDS Assessment, dated 11/10/2025, reflected he was a [AGE] year-old male, admitted [DATE] with a BIMS score of 10, which indicated moderate cognitive impairment. The…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-02-19 · tag F0565 — failed to support the resident council — pattern
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews, and record review the facility failed to provide a private space for residents' confidential resident group meeting during the survey for seven of seven residents reviewed for resident council. The facility did not provide a private space for resident council meeting. This failure could place residents, who attended confidential resident group meeting, at risk of not being able to exercise their rights of being able to voice their grievances in private without uninvited staff being present.Findings included:During an observation on 02/18/2026 at 10:15 am the Regional Dietary Consultant opened the door from the kitchen and leading into the dining room during the residents' confidential group meeting with the surveyor. She walked 2 or 3 steps into the dining room while the residents were voicing concerns about dietary. The residents would not voice any of their concerns after the Regional Dietary Consultant entered the dining room. During an interview on 02/18/2026 at 10:20 a.m., all the residents in the residents' confidential resident group meeting stated they…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-02-19 · tag F0761 — failed to label and store drugs safely — pattern
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to ensure storage of drugs and biologicals used in the facility for 2 of 8 medication carts and 1 of 2 medications rooms observed for medication storage and labeling. The facility failed to ensure expired medications were removed from the medication carts and rooms. The facility failed to ensure loose medications were removed from the medication carts. This failure could place residents who received medications at risk of not receiving the intended therapeutic effect of the medication. This failure could place residents who received medications at risk of receiving the wrong dose of medication.Findings included: During an observation on 02/18/2026 at 11:43 a.m., the 100 hall medication cart revealed two bottles of Losartan 50 mg with the expiration date of 01/03/2026 and one white, round medication tablet which was loose in the cart. During an observation on 02/18/2026 at 12:29 p.m., the 100/200 hall medication room revealed one bottle of B-50 Vitamin Supplement with the expiration date of 11/2025 and one loose pink, round…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-02-19 · tag F0803 — failed to meet residents' dietary needs — pattern
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to make sure that its menus documented any substitutions made to the menus on 4 of 4 halls reviewed for food and nutrition services.The facility failed to place the correct weekly menu in the dining hall on 2/18/2026 for lunch and dinner meals. This failure could place residents who eat food from the kitchen at risk of not knowing what was on the menu so they could request an alternate meal timely. Observation on 02/17/26 at 1:07 PM revealed the menu board for halls 300/400 did not display the breakfast, lunch, or dinner menu.Observation on 02/17/26 at 1:15 PM revealed the menu board for halls 100/200 did not display the breakfast, lunch, or dinner menu.Observation on 02/18/26 at 8:00 AM revealed the menu board for halls 100/200 did not display the breakfast, lunch, or dinner menu.Observation on 02/18/26 at 11:11 AM revealed incorrect facility's weekly menu on the wall in the dining room, as it displayed week 5.Observation/Interview on…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-02-19 · tag F0809 — failed to serve meals on a reasonable schedule — pattern
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to provide each resident at least three meals daily, at regular times comparable to normal mealtimes in the community or in accordance with resident needs, preferences, requests, and plan of care for 7 (Resident #11, Resident #30, Resident #39, Resident #40, Resident #79, Resident #82, and Resident # 104) of 7 residents reviewed for timely meals on hall 200. The facility failed to provide lunch according to the lunch meal service schedule on 02/17/26 to Residents #39, #40, and #82.The facility failed to provide breakfast according to the breakfast meal service schedule on 02/18/26 to Residents #30 #39, #40, #79 and #82.The facility failed to provide lunch according to the lunch meal service schedule on 02/18/26 to Residents #30 #39, # 40, #79, #82 and #104.The facility failed to provide dinner according to the dinner meal service schedule on 02/18/26 to Residents #11 #30, #39, # 40, #79, #82, and #104.The facility failed to provide…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
Show the remaining 18 citations
  • Potential for harm · Dcited before2026-02-19 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure the residents received services in the facility with reasonable accommodation of each resident's needs and preferences for 1 resident (Resident #114) of 8 residents reviewed for call lights. The facility failed to ensure Resident #114's soft pad call light device was within reach. This failure could place residents at risk for their needs not being met. Findings included: Record review of Resident #114's face sheet, dated 02/19/2026, revealed Resident #114 was an [AGE] year-old male, admitted [DATE], readmitted [DATE], diagnoses included hemiplegia (paralysis on one side of the body caused by brain or spinal cord injury, often resulting from stroke) and hemiparesis (a common, often stroke-related condition characterized by partial weakness or reduced motor control on one side of the body) following cerebral infarction (the death of brain tissue resulting from a prolonged lack of blood supply) affecting left non-dominant side,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-19 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure the Pre-admission Screening and Resident Review(PASARR) Level I assessment accurately reflected the resident's status for 2 of 5 residents ( Resident #4 and Resident #129). The facility failed to ensure the accuracy of the PASARR Level 1 (PL1) screening for Resident # 4. The PASARR Level 1 screening did not indicate a diagnosis of mental illness, although the diagnosis ( major depressive disorder, single episode, unspecified ( experience major depressive episode with no history of previous depressive episodes - sadness, loss of interest in daily activities) was present upon Resident #4's admission date on 01/19/2026.The facility failed to ensure the accuracy of the PASARR Level 1 screening for Resident #129. The PASARR Level 1 screening did not indicate a diagnosis of mental illness, although the diagnosis major depressive disorder, recurrent, unspecified (person has experienced multiple, separate episodes of major depression, but there is…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-02-19 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure a resident who was unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for two of eight residents (Resident# 92, and Resident #127) reviewed for ADL care.The facility failed to ensure Resident #92's and Resident # 127's nails were cleaned and did not have any rough edges.This failure could place residents at risk of not receiving services or care, diminished quality of life, and decreased self-esteem.Findings included: Record review of Resident #92's face sheet, dated 02/18/2026, reflected an [AGE] year-old male, admitted [DATE], with diagnoses: hemiplegia and hemiparesis following cerebral infarction following nontraumatic intracerebral hemorrhage affecting left non-dominant side (complete or partial loss of motor function on one side of the body, caused by damage to the right hemisphere of the brain- controls the left side of the body),…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-19 · tag F0687 — failed to care for feet properly — isolated
    Provide appropriate foot care.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure residents received proper treatment and care to maintain good food health for one of nine residents (Resident #6) reviewed for foot care. The facility failed to schedule a podiatrist consultation for Resident #6 who was admitted to the facility on [DATE] with long, jagged toenails. This failure could place residents at risk of diminished quality of life by not receiving care and services to meet their needs. Findings included: Review of Resident #6's face sheet dated 02/19/2026 reflected a [AGE] year old male admitted to the facility on [DATE] with the following diagnoses: Atrial Fibrillation (A disease of the heart characterized by irregular and often faster heartbeat.), Hypertension (High pressure in the arteries and vessels that carry blood from the heart to the rest of the body), and Cachexia (complex metabolic syndrome characterized by involuntary weight loss, muscle wasting, and often fat loss, typically associated with chronic…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-02-19 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record reviews the facility failed to ensure the facility remained free of accidents and hazards a for one of three housekeepers (Housekeeping Cart #1) reviewed for hazards.The facility failed to ensure Housekeeping Cart #1, with chemicals inside the compartments, was locked when unsupervised. The housekeeping cart was located on 300 hall in front of biohazard room. This failure could place residents at risk for injuries, illness, and hospitalization.Findings included:Observation on 02/17/2026 at 8:55 am Housekeeping Cart #1 was located in front of biohazard room on 300 hall. The compartment where chemicals were stored was not locked. There was not a label on two bottles of the chemicals. The compartment had micro-kill bleach, disinfectant cleaner, Clorox, and two bottles filled with chemicals without a label on the bottles. Housekeeper G was not standing near the housekeeping cart. She exited the biohazard room [ROOM NUMBER]:00 a.m. and walked around the housekeeping cart…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-12-18 · tag F0558 — failed to accommodate residents' needs and preferences — pattern
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure the resident had the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences except when to do so would endanger the health or safety of the resident or other residents for 1 of 3 residents (Resident #1) reviewed for resident rights. The facility failed to ensure Resident #1 had her call light within reach on 12/18/2025. This failure could put residents at risk of being unable to contact staff in the event of an emergency or when assistance was needed with daily care.Findings include: Review of Resident #1's face sheet dated 12/18/2025 reflected a [AGE] year-old female admitted on [DATE] with diagnoses of unspecified dementia (significant memory and thinking problems), unspecified macular degeneration (the area of the eye responsible for sharp vision breakdown which causes vision loss), weakness, and generalized anxiety disorder (mental health condition marked by…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-01-23 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review the facility failed to ensure the residents received services in the facility with reasonable accommodation of each resident's needs for 1 (Resident # 2) out of 5 residents reviewed for call lights. The facility failed to ensure Resident # 2's call light was within reach. This failure could affect all residents who needed assistance and could result in needs not being met. Findings included: Record review of Resident #2's face sheet, dated, 01/23/2025, reflected a [AGE] year-old male who was admitted to the facility on [DATE] and readmitted on [DATE]. Resident #2 had diagnoses which included muscle wasting and atrophy (loss of muscle a not elsewhere classified, in multiple sites (wasting or thinning of your muscle mass), need for assistance with personal care (required help with basic daily living activities such as: bathing, dressing, eating and personal hygiene), unsteadiness on feet, lack of coordination ( the inability to control the movement of one's…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-23 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews , the facility failed to ensure that the comprehensive care plan was reviewed and revised by the interdisciplinary team after each assessment for 1 (Resident #1) of 5 residents reviewed for care plans. The facility failed to ensure Resident #1's care plan was revised to reflect recent falls on 11/10/2024, 12/31/2024 and, 01/04/2025. This failure could place residents at risk of not receiving appropriate care to meet their current needs. Findings included: Record review of Resident #1's face sheet, dated, 01/23/2025, reflected an [AGE] year-old female who was admitted to the facility on [DATE] and readmitted on [DATE]. Resident #1 had diagnoses which included repeated falls, unspecified dementia, unspecified moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety (a decline in mental ability that affects memory, thinking, and behavior), adult failure to thrive (a syndrome in older adults characterized by unexplained weight loss,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-11-21 · tag F0550 — failed to protect resident dignity and rights — pattern
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promoted maintenance or enhancement of his or her quality of life, recognizing each resident's individuality for 5 of 7 residents (Resident #9, Resident #49, Resident #61, Resident #98 and Resident #106) reviewed for resident rights . 1. The facility failed to ensure Resident #49, Resident #61, Resident #98 and Resident #106's were served their lunch tray at the same time as other residents at the same table for lunch on 11/19/2024 and 11/20/2024 . 2. The facility failed ensure CNA P spoke respectfully to Resident #9 when the resident attempted a self-transfer. These failures could place residents at risk of poor self-esteem and unmet needs and risk of skin breakdown. Findings include: 1. Record review of Resident #9's face sheet, dated 11/20/2024 , reflected an [AGE] year-old female who was admitted to the facility on [DATE].…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-11-21 · tag F0583 — failed to protect personal privacy — pattern
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure residents had a right to personal privacy and confidentiality of his or her personal and medical records for 3 of 15 residents (Resident #26, Resident #58, and Resident # 69) residents reviewed for personal privacy. The facility failed to knock (CNA I) on Resident #26, #58, and #69's room when going into the residents' rooms. The deficient practice could place residents at risk of feeling like their privacy was being invaded or the facility was not their home. Findings include: 1. Record review of Resident #26 face sheet, dated 11/21/2024, revealed a [AGE] year-old female who was admitted to the facility on [DATE]. Resident #26 had diagnoses which included type 2 diabetes mellitus with hyperglycemia (high blood sugar), depressive disorder, morbid obesity, vitamin deficiency, major depressive disorder, muscle wasting, muscle weakness, overactive bladder, difficulty walking, lack of coordination, abnormal posture, cognitive…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-11-21 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review the facility failed to provide a safe, clean, comfortable, and homelike environment which allowed the resident to use his or her personal belonging to the extent possible for 3 of 10 reviewed on the 100 hall for resident rights. 1. The facility failed to ensure Resident #27, Resident #83, Resident #52 did not have visible dirt behind the beds, in the main walking area and on the furniture. 2. The facility failed to ensure Resident #83 and Resident #52's floors were not sticky while walking . These deficient practices place residents at risk of reduced functional use of the room, decreased resident's satisfaction with their environment and a lack of a homelike environment. Findings Include: An observation on 11/21/24 at 9:30 AM revealed Resident #83's RP spoke to the housekeeping aid. The RP was visibly upset the resident's room had not been swept . An observation on 11/19/24 at 10:17 AM revealed Resident #83 had a large and small broom and dust pans in the room. There were visible crumbs and dirt on the floor, on the chair, and…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-11-21 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming and personal and oral hygiene for five of ten residents (Resident #74, Resident #79, Resident #83, Resident #103 and Resident #279) reviewed for quality of life. 1. The facility failed to ensure Resident #74 , Resident #79 and Resident #83's nails were cleaned, trimmed, and did not have any rough edges on 11/19/2024. 2. The facility failed to ensure Resident #103 and Resident #279 received their showers. These failures could place residents at risk for not receiving adequate care and services to prevent infection, injury, and diminished quality of life. Findings included: 1. Record review of Resident # 79's face sheet, dated, 12/21/2024, reflected a [AGE] year-old female who was admitted to the facility on [DATE] and readmitted on [DATE]. Resident #79 had diagnoses which included lack of…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-11-21 · tag F0802 — failed to prepare enough nourishing food — pattern
    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation , interview and record review the facility failed to employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service taking into consideration resident assessments, individual plans of care and the number, acuity, and diagnoses of the facility's resident population in accordance with the facility assessment for 1 of 1 main kitchen reviewed for sufficient staff and competencies . 1. The facility failed to provide proper training upon hire and regular in services to maintain standards of practice in the kitchen. This deficient practice could place residents at-risk of foodborne illness. The findings were : Observation on 11/19/2024 at 10:45 AM revealed Dietary [NAME] O failed to wash her hands before beginning to make purees. She did not reference her recipes. She did not sanitize her workspace before beginning. She then proceeded to touch the inside of the food processor with her bare hand while attaching it to the base. She did not wash her hands or the machine before grabbing the beef and…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-11-21 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for one of one kitchen and one of one nourishment room reviewed for food and nutrition services . 1. The facility failed to ensure Dietary [NAME] S wore an effective hair restraint while in the kitchen. 2. The facility failed to ensure the Nourishment Room was maintained, ice was stored properly, and items were correctly labeled and dated. 3. The facility failed to ensure Dietary [NAME] O properly sanitized her hands between tasks . 4. The facility failed to ensure hot water was available for handwashing sinks. 5. The facility failed to ensure personal drinks and cleaning chemicals were separated from the cooking area. These failures could place residents at risk for health complications, foodborne illnesses and decreased a quality of life. Findings include: Observation on 11/19/2024 at 9:10 AM the Maintenance Director was fixing the hand washing sink next to the dining room door. At that time there was…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-11-21 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for ----- of ----- reviewed for infection control. 1. ADON and LVN did not don a gown before providing care to Resident #112, who was on Enhanced Barrier Precautions. 2. The facility failed to ensure a resident room did not have a urine saturated brief on the floor. These failures could place residents at risk of transmission of disease and infection. Findings include: Record review of Resident #112's face sheet reflected a [AGE] year-old female who was initially admitted to the facility on [DATE]. Her diagnoses included malignant neoplasm of rectum (rectal cancer), history of malignant neoplasm of ovary (ovarian cancer), hypertension, muscle wasting and atrophy of multiple sites (muscles shrinking), chronic kidney disease, age-related osteoporosis (bones…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-11-21 · tag F0917 — isolated
    Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure each resident was provided with functional furniture appropriate to the resident's needs, and individual closet space in the resident's bedroom with clothes racks and shelves accessible to the resident for 1 of 10 residents (Resident #19) reviewed for physical environment. The facility failed to ensure the top drawer of Resident #19's bed side table was unlocked allowing her access to her possessions. This deficient practice could place residents at risk of a lack of access to their personal belongings. The findings were: Record review of Resident #19's face sheet reflected a [AGE] year-old female admitted on [DATE]. Resident #19 had diagnoses which included spinal stenosis lumbar region (a condition that occurs when the spinal canal narrows, putting pressure on the spinal cord and nerve roots), obesity, chronic respiratory failure with hypoxia (occurs when the body has a low level of oxygen in the blood), and vascular dementia (a…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-12 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure a resident is given the appropriate treatment and services to maintain or improve his or her ability to carry out the activities of daily living for 1 of 27 residents (Resident #86) reviewed for positioning and meal assistance. The facility failed to ensure Resident #86 was monitored for assistance needs and failed to ensure she was positioned in a manner that would allow her to feed herself while in bed. This failure placed residents at risk for weight loss, ADL decline and poor self-esteem. Findings included: Review of Resident #86's Face Sheet dated 10/12/2023 reflected an [AGE] year-old female admitted to the facility on [DATE] and readmitted on [DATE] with the following diagnoses Alzheimer's Disease (A type of brain disorder that causes problems with memory, thinking and behavior. This is a gradually progressive condition.), Diabetes Mellitus Type 2 (A condition results from insufficient production of insulin, causing high blood…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2024-11-21 · tag F0640 — pattern
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to ensure data was encoded within 7 days after a facility completed a resident assessment for subject items upon a resident's transfer, reentry, discharge and death for 1 of 4 discharged residents (Resident #109) reviewed for data encoding and transmission. The facility failed to ensure Resident #109's Discharge MDS was encoded or transmitted as of 07/26/2024. This failure could place residents at risk of not having their assessments transmitted timely. The findings include: Record review of Resident #109's face sheet revealed an [AGE] year old female admitted to the facility 06/13/24 and discharged on 06/18/24 home. Resident #109 had diagnoses which included acute embolism and thrombosis (blood clot conditions that affect the veins and arteries), Takotsubo syndrome (a condition that causes the heart muscle to suddenly weaken and change shape), and other forms of acute ischemic heart disease (a type of heart disease that occurs when the heart's arteries…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$29,353 in federal fines across 2 penalties.

  • $21,332 — penalty dated 2026-02-19
  • $8,021 — penalty dated 2024-06-06

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to WELLSENTIAL HEALTH — 67 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 2 of 52.7-0.7 vs chain
Health inspection 1 of 52.9-1.9 vs chain
Staffing 2 of 51.6+0.4 vs chain
Quality measures 5 of 54.2+0.8 vs chain
The other 66 homes this chain runs (chain average 2.7★, per CMS)
1 of 5Bastrop Lost Pines Nursing and Rehabilitation CentBastrop, TX 1 of 5Briarcliff Nursing and Rehabilitation CenterMcAllen, TX 1 of 5Brownsville Nursing and Rehabilitation CenterBrownsville, TX 1 of 5Fort Worth Transitional Care CenterFort Worth, TX 1 of 5Hidalgo Nursing and Rehabilitation CenterEdinburg, TX 1 of 5Houston Heights Nursing and Rehabilitation CenterHouston, TX 1 of 5Jefferson Nursing And Rehabilitation CenterBeaumont, TX 1 of 5Laredo West Nursing and Rehabilitation CenterLaredo, TX 1 of 5Lavaca Bay Nursing And Rehabilitation CenterPort Lavaca, TX 1 of 5Longview Hill Nursing and Rehabilitation CenterLongview, TX 1 of 5Spindletop Hill Nursing And Rehabilitation CenterBeaumont, TX 1 of 5Town and Country Nursing and Rehabilitation CenterBoerne, TX 1 of 5Wharton Nursing and Rehabilitation CenterWharton, TX 1 of 5Windsor Nursing And Rehabilitation Center Of RaymoRaymondville, TX 2 of 5Cityview Nursing and Rehabilitation CenterFort Worth, TX 2 of 5Corpus Christi Nursing And Rehabilitation CenterCorpus Christi, TX 2 of 5Edinburg Nursing and Rehabilitation CenterEdinburg, TX 2 of 5Elgin Nursing And Rehabilitation CenterElgin, TX 2 of 5Guadalupe Valley Nursing And Rehabilitation CenterSeguin, TX 2 of 5Hallettsville Nursing And Rehabilitation CenterHallettsville, TX 2 of 5Heritage Park Rehabilitation And Skilled Nursing CAustin, TX 2 of 5Live Oak Nursing and Rehabilitation CenterGeorge West, TX 2 of 5Maverick Nursing and Rehabilitation CenterEagle Pass, TX 2 of 5Memorial City Nursing and Rehabilitation CenterHouston, TX 2 of 5Robstown Nursing And Rehabilitation CenterRobstown, TX 2 of 5Southpark Meadows Nursing and Rehabilitation CenteAustin, TX 2 of 5Windsor AtriumHarlingen, TX 2 of 5Windsor Nursing And Rehabilitation Center Of SeguiSeguin, TX 2 of 5Windsor Nursing And Rehabilitation Center Of WeslaWeslaco, TX 2 of 5Windsor Nursing and Rehabilitation Center of AliceAlice, TX 2 of 5Windsor Nursing and Rehabilitation Center of BastrBastrop, TX 2 of 5Windsor Nursing and Rehabilitation Center of MorgaCorpus Christi, TX 2 of 5Yoakum Nursing And Rehabilitation CenterYoakum, TX 3 of 5Harlingen Nursing and Rehabilitation CenterHarlingen, TX 3 of 5Magnolia Crossing Nursing and Rehabilitation CenteHouston, TX 3 of 5Port Lavaca Nursing And Rehabilitation CenterPort Lavaca, TX 3 of 5The Woodlands Nursing And Rehabilitation CenterThe Woodlands, TX 3 of 5Val Verde Nursing And Rehabilitation CenterDel Rio, TX 3 of 5Windsor Mission OaksSan Antonio, TX 3 of 5Windsor Nursing and Rehabilitation Center of DuvalAustin, TX

Showing 40 of 66; lowest-rated first.

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
OAKBEND MEDICAL CENTEROrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF100%since 02/28/2015
BAIRD, DANIELIndividualMANAGING CONTROL - GOVERNING BODYsince 04/13/2021
CLAPP, BARBARAIndividualMANAGING CONTROL - GOVERNING BODYsince 06/01/2021
CORTESE, DARENIndividualMANAGING CONTROL - GOVERNING BODYsince 08/10/2021
CRAYTON, TOMIndividualMANAGING CONTROL - GOVERNING BODYsince 01/15/2013
DORMAN, JOHNIndividualMANAGING CONTROL - GOVERNING BODYsince 01/18/2022
FREUDENBERGER, JOSEPHIndividualMANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICERsince 06/19/2007
GIBSON, PATRICIAIndividualMANAGING CONTROL - GOVERNING BODYsince 08/01/2021
HALEY, JEFFIndividualMANAGING CONTROL - GOVERNING BODYsince 07/15/2016
HUGHES, RUSTONIndividualMANAGING CONTROL - GOVERNING BODYsince 01/01/2024
KING, ABBYIndividualMANAGING CONTROL - GOVERNING BODYsince 01/23/2018
KING, ELIZABETHIndividualMANAGING CONTROL - GOVERNING BODYsince 01/17/2023
MANDELBAUM, ELLIOTIndividualMANAGING CONTROL - GOVERNING BODYsince 01/01/2025
PISANI, ADAMIndividualMANAGING CONTROL - GOVERNING BODYsince 01/15/2019
POPATIA, AMIRALIIndividualMANAGING CONTROL - GOVERNING BODYsince 03/17/2020
STUART, JULIUSIndividualMANAGING CONTROL - GOVERNING BODYsince 01/16/2023
UTHMAN, EDWARDIndividualMANAGING CONTROL - GOVERNING BODYsince 01/15/2008
REGENCY IHS OF BRENHAM, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/28/2015
REGENCY INTEGRATED HEALTH SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/28/2015
DEKOWSKI, DONOVANIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/28/2015
HOLDER, NICHOLASIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/25/2017
400 EAST SAYLES STREET LLCOrganizationADP OF THE SNFsince 02/28/2015
CSV RHEA MANAGEMENT HOLDCO, LLCOrganizationADP OF THE SNFsince 02/28/2015
DWD TX HOLDINGS LLCOrganizationADP OF THE SNFsince 02/28/2015
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCOrganizationADP OF THE SNFsince 02/28/2015
REG LEASED OPCO LLCOrganizationADP OF THE SNFsince 02/28/2015
REG OPERATOR HOLDCO LLCOrganizationADP OF THE SNFsince 02/28/2015
REGENCY IHS CLINICAL CONSULTING, LLCOrganizationADP OF THE SNFsince 02/28/2015
REGENCY IHS REHAB LLCOrganizationADP OF THE SNFsince 02/28/2015
REGENCY TEXAS HOLDINGS LLCOrganizationADP OF THE SNFsince 02/28/2015
OBAKPOLOR, OSAHONIndividualADP OF THE SNFsince 01/01/2025
RIELS, LAURENIndividualADP OF THE SNFsince 01/01/2025
WOODBERRY, ALENCIAIndividualADP OF THE SNFsince 01/01/2025

CMS files one row per role, so the 40 rows in the source record cover these 33 parties — each is shown once here with every role it holds. Nothing is omitted.

12 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$9.5M
Net patient revenuemost recent cost report
-14.7%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 73%Medicare 8%Other / private 20%

About 73% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$277per resident / day
operating cost
$8,423per month
≈ monthly operating cost
$242per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in TX

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Texas Medicaid page.

Typical monthly cost in Texas
$5,627/mo
Nursing home (semi-private)
$7,604/mo
Nursing home (private)
$5,666/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 675799. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-02-19, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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