Winfield Rehab & Nursing

Location & what’s nearby

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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

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.

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.

48.0% 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 34 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 52.2% 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 23 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 0.39 therapist hours per resident per day in 2026Q1 — more than 67% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% 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.

Staffing

How full it usually is: this home is certified for 83 beds and averages 61.6 residents a day — about 74% occupied, or roughly 21 beds typically open. It usually has some room. 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 3.20 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.24 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.99 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 2.85 hrs/resident/day on weekends vs 3.35 on weekdays — 15% thinner on weekends. RN hours go from 0.26 to 0.19 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 62% is well above the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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

Deficiencies are fewer than at the previous inspection — improving. 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.

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.

48 citations, most serious first. The 19 most serious are shown; the remaining 29 are one tap away and print in full.

• Immediate jeopardy · J2025-05-01 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  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 that residents were free from physical and chemical restraints imposed for purposes of discipline or convenience and were not required to treat the resident's medical symptoms for 1 of 11 residents (Resident #8) reviewed for restraints. The facility failed to ensure Resident #8 was free from physical restraint when CNA A physically restrained him during incontinence care on 4/27/25. An Immediate Jeopardy (IJ) situation was determined to have existed between 4/27/2025 to 4/28/25. It was determined to be past non-compliance due to the facility having implemented actions that corrected the non-compliance prior to the beginning of the survey. This failure could place residents at risk for physical restraint. Findings include: Record review of Resident #8's admission record, dated 5/1/25, indicated Resident #8 was a [AGE] year-old male who was admitted to the facility on [DATE]. Resident #8 had a primary diagnosis which included…

  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 · Past Non-Compliance
• Immediate jeopardy · Jcited before2025-05-01 · 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, interview and record review the facility failed to ensure residents received adequate supervision and assistance devices to prevent accidents for 1 of 11 residents (Resident #1) reviewed for accidents. The facility failed to keep Resident #1 in a safe environment to prevent an elopement on 4/24/2025 when she followed a visitor out of the facility. An Immediate Jeopardy (IJ) situation was determined to have begun on 4/24/2025 and ended on 4/28/25. It was determined to be past non-compliance due to the facility having implemented actions that corrected the non-compliance prior to the beginning of the survey. This failure could place residents at risk for serious injury and accidents. Findings include: Record review of Resident #1's admission record, dated 5/1/2025, indicated a [AGE] year-old female who was readmitted to the facility on [DATE]. Resident #1 had diagnoses which included unspecified dementia (decline in cognitive function), anxiety disorder , and senile degeneration of brain…

  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 · Past Non-Compliance
• Immediate jeopardy · Jcited before2024-09-11 · 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 observations, interviews, and record review, the facility failed to ensure residents received adequate supervision and assistance devices to prevent accidents for 1 of 24 residents reviewed for accidents. (Resident #20) The facility failed to properly secure Resident #20 during a mechanical lift transfer on 8/30/2024 when she fell out of the mechanical lift and hit her head and left shoulder on the door in her room resulting in a subdural hematoma and a left shoulder separation. On 9/10/2024 at 10:00 AM an Immediate Jeopardy (IJ) situation was identified. While the IJ was removed on 9/10/2024 at 3:53 PM, the facility remained out of compliance at a potential for harm with a scope identified as isolated due to the facility continuing to monitor the implementation and effectiveness of their Plan of Removal. These failures could place residents at risk for serious injury and accidents. Findings included: 1.Record review of an admission Record dated 9/9/2024 for Resident #20 indicated she admitted to 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · K2024-07-01 · tag F0600 — failed to protect residents from abuse and neglect — pattern
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 residents had the right to be free from abuse, neglect, misappropriation of resident property, and exploitation for 11 of 18 residents (Residents #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, and #11) reviewed for abuse and neglect. The facility failed to protect Resident #1 from verbal abuse from Housekeeper A on 10/25/23 when Housekeeper A called Resident #1 a Nasty MF. The facility failed to protect Resident #1 from abuse from Resident #3 on 12/19/23 when Resident #3 hit Resident #1 on the arm. The facility failed to protect Resident #1 from abuse from Resident #6 on 8/6/23 when Resident #6 hit Resident #1 on her back. The facility failed to protect Resident #2 from abuse from Resident #3 on 2/4/24 when Resident #3 hit Resident #2 on her left shoulder. The facility failed to protect Resident #4 from abuse from Resident #5 on 10/6/23 when Resident #4 slapped Resident #5 because he grabbed her breast. The facility failed to protect Resident #7 from…

  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 · Kcited before2024-07-01 · tag F0607 — failed to have anti-abuse policies — pattern
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  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 written policies and procedures that prohibited and prevented abuse, neglect, and exploitation of residents and misappropriation of resident property for 11 of 18 residents (Resident #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, and #11) reviewed for abuse policies. The facility failed to protect Resident #1 from verbal abuse from Housekeeper A on 10/25/23 when Housekeeper A called Resident #1 a Nasty MF. The facility failed to protect Resident #1 from abuse from Resident #6 on 8/6/23 when Resident #6 hit Resident #1 on her back. The facility failed to protect Resident #1 from abuse from Resident #3 on 12/19/23 when Resident #3 hit Resident #1 on the arm. The facility failed to protect Resident #2 from abuse from Resident #3 on 2/4/24 when Resident #3 hit Resident #2 on her left shoulder. The facility failed to protect Resident #4 from abuse from Resident #5 on 10/6/23 when Resident #4 slapped Resident #5 because he grabbed her breast.…

  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 · K2024-07-01 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — pattern
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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 review, the facility failed to ensure the necessary treatment and services, in accordance with comprehensive assessment and professional standards of practice, to prevent development of pressure injuries was provided for 3 of 4 Residents (Resident #13, Resident #14 and Resident #15) reviewed for pressure injuries. The facility failed to implement interventions to prevent pressure ulcer or injury development for Resident #13 and Resident #14. The facility failed to provide ongoing skin assessments causing undiscovered wounds for Resident #13 and Resident #14 to go untreated. The facility failed to implement the wound care physicians' recommendations for Resident #13. The facility failed to identify and treat wound to Resident #13's right outer ankle. The facility failed to identify and treat wound to Resident #14's left heel. The facility failed to ensure preventative equipment was in working order for Resident #15 on 6/27/24 when Resident #15 was lying on a deflated…

  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
• Immediate jeopardy · Jcited before2024-07-01 · 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, interview, and record review, the facility failed to ensure residents received adequate supervision and assistance devices to prevent accidents for 1 of 14 residents (Resident #12) reviewed for accidents. The facility failed to properly secure Resident #12 during transport in the facility van on 3/2/2024 when he fell out of his wheelchair into the facility van. On 4/4/2024 his wheelchair lifted off the floor from defective floor straps. An Immediate Jeopardy (IJ) situation was identified on 6/26/2024 at 2:40 PM. While the IJ was removed on 6/27/2024 at 1:35 PM, the facility remained out of compliance at a scope of isolated and a severity level of no actual harm with potential for more than minimal harm that is not immediate jeopardy due to the facility's need to evaluate the effectiveness of their corrective systems. This failure could place residents at risk for serious injury and accidents. Findings included: Record review of an admission Record for Resident #12 dated 6/26/2024 indicated…

  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
• Immediate jeopardy · J2024-06-12 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect 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 interview and record review, the facility failed to notify and consult with the resident's physician when there was a need to alter treatment for 1 of 8 residents (Resident #1) reviewed for notification of changes. The facility failed to ensure the physician was notified of a change in condition when Resident #1 did not have a bowel movement for 14 days. Resident #1 had contained fecal perforation in her rectum and expired at the hospital on 6/8/2024. The noncompliance was identified as PNC. The IJ began on 06/04/2024 and ended on 06/06/2024. The facility had corrected the noncompliance before the survey began. This failure could place residents at risk of not receiving appropriate medical treatments, deterioration of health, hospitalization, and death. Findings included: Review of face sheet dated 06/07/2024 indicated Resident #1 was [AGE] years old, admitted on [DATE] with diagnoses of hemiplegia and hemiparesis (paralysis and weakness to one side of the body) following cerebral infarction (stroke)…

  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 · Past Non-Compliance
• Immediate jeopardy · J2024-06-12 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  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 provide residents treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan for 1 of 8 residents reviewed for quality of care. (Resident #1) The facility failed to monitor Resident #1's significant change of no bowel movements for 14 days between 05/19/2024 through 06/02/2024. Resident #1 was sent to the emergency room on [DATE] and x-ray showed she had a contained fecal perforation in her rectum and expired at the hospital on 6/8/2024. The noncompliance was identified as PNC. The IJ began on 06/04/2024 and ended on 06/06/2024. The facility had corrected the noncompliance before the survey began. This failure could place residents at risk for deterioration of health, hospitalization, or death. Findings included: Review of face sheet dated 06/07/2024 indicated Resident #1 was [AGE] years old, admitted on [DATE] with diagnoses of hemiplegia and hemiparesis (paralysis and weakness to one 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.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · F2025-12-10 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to use the services of a registered nurse for at least eight consecutive hours a day, 7 days a week for 2 of 3 months reviewed. (July 2025 and August 2025)The facility did not have RN coverage for 2 days in July 2025 (7/26/2025 and 7/27/2025).The facility did not have RN coverage for 2 days in August 2025 (8/02/2025 and 8/03/2025).This failure could place residents at risk by leaving staff without supervisory coverage for RN specific nursing activities and for coordination of events such as emergency care and disasters. Findings included:Record review PBJ Staffing Data Report fiscal year Quarter 4 2025 (July 1 - September 30) indicated No RN Hours 07/01 (TU); 07/02 (WE); 07/03 (TH); 07/04 (FR); 07/05 (SA); 07/06 (SU); 07/07 (MO); 07/08 (TU); 07/09 (WE); 07/10 (TH); 07/11 (FR); 07/12 (SA); 07/13 (SU); 07/14 (MO); 07/15 (TU); 07/16 (WE); 07/17 (TH);07/18 (FR); 07/19 (SA); 07/20 (SU); 07/21 (MO); 07/22 (TU); 07/23 (WE); 07/24 (TH); 07/25 (FR); 07/26 (SA); 07/27 (SU); 07/30 (WE); 07/31 (TH) 08/02 (SA); 08/03 (SU); 08/04 (MO);…

  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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-12-10 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to electronically submit to CMS complete and accurate direct care staffing information, including information for agency and contract staff, based on payroll and other verifiable and auditable data in a uniform format according to specifications established by CMS reviewed for administration (Fiscal year 2025 for the fourth quarter July 2025 to September 2025).The facility failed to submit accurate RN hours for:07/01 (TU); 07/02 (WE); 07/03 (TH); 07/04 (FR); 07/05 (SA); 07/06 (SU); 07/07 (MO); 07/08 (TU); 07/09 (WE); 07/10 (TH); 07/11 (FR); 07/12 (SA); 07/13 (SU); 07/14 (MO); 07/15 (TU); 07/16 (WE); 07/17 (TH);07/18 (FR); 07/19 (SA); 07/20 (SU); 07/21 (MO); 07/22 (TU); 07/23 (WE); 07/24 (TH); 07/25 (FR); 07/26 (SA); 07/27 (SU); 07/30 (WE); 07/31 (TH) 08/02 (SA); 08/03 (SU); 08/04 (MO); 08/05 (TU); 08/07 (TH); 08/08 (FR); 08/11 (MO); 08/13 (WE); 08/14 (TH); 08/15 (FR); 08/16 (SA); 08/17 (SU); 08/23 (SA); 08/24 (SU); 08/30 (SA); 08/31 (SU) 09/01 (MO); 09/02 (TU); 09/13 (SA); 09/14 (SU); 09/20 (SA); 09/21 (SU).These failures…

  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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-12-10 · 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 ensure food was stored, prepared, and distributed under sanitary conditions in 1 of 1 kitchen reviewed for kitchen sanitation in that:The facility failed to ensure the dish machine reached recommended minimal 50-100 parts-per-million, (PPM), of hypochlorite (chlorine) during the final rinse cycle of the facility dish machine on 12/8/2025.This failure could place the residents at risk of foodborne illnesses. Findings included:During an observation and interview on 12/8/2025 at 9:41 AM the dish machine was checked by the DM. She tested the hypochlorite (chlorine) after the final rinse cycle, and it registered at 10 ppm. She said it should be at least 50-100 ppm of hypochlorite. She said she would contact the technician contracted for the dish machine for service. She said she would shut the dish machine down and use disposable plates and utensils until it was repaired. She said if the dish machine did not have the proper amount of sanitization chemicals the dishes might not be clean enough and could make…

  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 · E2025-12-10 · tag F0908 — failed to keep essential equipment working — pattern
  Keep all essential equipment working 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 maintain all essential equipment in safe operating condition, for 1 of 1 stove reviewed for food service in that:The facility did not ensure the gas stove was in working order. Two of six gas stove burners (left front and left back) did not light properly when the knob was turned. This failure could place residents who eat out of the kitchen at risk of injury and undercooked food. Findings include:During an observation and interview on 12/8/2025 at 9:36 AM, the gas stove had six burners total, two burners on the left front and left back did not light completely when the knob was turned and only half of the burner was lit. The DM said the stove had been that way for 2 years since she started at the facility and the kitchen staff does not use those two burners. She could not answer what could happen if they did not light properly. She said she would let the Administrator know about the stove.During an interview on 12/10/2025 at 2:30 PM, the Administrator said the burners on the stove were reported to 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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-10 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  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 incorporate recommendations from a PASARR (Preadmission Screening and Resident Review) evaluation report into a resident assessment, care planning, and transition of care for 2 of 9 (Resident # 7 and Resident #9) residents reviewed for PASARR services.The facility failed to submit a complete and accurate request for NF specialized services in the LTC online portal within 20 business days after the date of the Interdisciplinary Team (IDT) meeting on [DATE]. This failure could place residents at risk of not receiving specialized PASARR services which would enhance their highest level of functioning and could contribute to residents' decline in physical, mental, and psychosocial well-being.Findings included:1.Record review of an admission Record for Resident #7 dated [DATE] indicated she admitted to the facility [DATE] and expired on [DATE]. She was [AGE] years old with diagnoses of adult failure to thrive (a decline in health with weight…

  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 · D2025-12-10 · 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 grooming, and personal and oral hygiene were provided for 2 of 12 residents (Resident #16 and #29) reviewed for ADL care.1.The facility failed to ensure Resident #16 did not have a thick, black substance under his nails on 12/8/2025 and 12/9/2025. 2. The facility failed to ensure Resident #29 had clean clothing on 12/08/2025.These failures could place residents at risk of not receiving care/services, decreased quality of life, and loss of dignity.Findings included:1.Record review of an admission Record for Resident #16 dated 12/9/2025 indicated he admitted to the facility on [DATE] and was [AGE] years old with diagnoses of dementia (loss of mental ability that can interfere with normal activities of daily living), schizophrenia (mental condition that affects how people think, feel, and behave), blindness in right eye 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-10 · tag F0755 — failed to provide safe pharmacy services — isolated
  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 3 medication carts (nurse cart for 300 hallway) reviewed for pharmacy services. The facility failed to dispose of expired insulin pens from the nurse medication cart for the 300 hall. These failures could place residents who receive medications at risk of not receiving the intended therapeutic benefit of the medications, decreased quality of life, and hospitalization. Findings included:Record review of the Physician Summary of orders dated 12/09/2025 indicated Resident #48 was a [AGE] year-old male admitted on [DATE]. His diagnosis included type 2 diabetes. An order dated 05/03/2025 indicated Resident #48 was to have Insulin Aspart Flex pen 100 unit/millimeter (Insulin) solution Inject as per sliding scale (amount of insulin given per…

  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 · D2025-12-10 · tag F0761 — failed to label and store drugs safely — isolated
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure drugs and biologicals used in the facility were stored in accordance with currently accepted professional principles, and included the appropriate accessory and cautionary instructions, and the expiration date when applicable for 1 of 3 medication carts (nurse cart for 300 hallway) reviewed for labeling and storage. The facility did not document when insulin was opened from the nurse medication cart for the 300 hallway. These failures could place residents who receive medications at risk of not receiving the intended therapeutic benefit of the medications, decreased quality of life, and hospitalization. Findings included:Record review of the Physician Summary of orders dated 12/09/2025 indicated Resident #48 was a [AGE] year-old male admitted on [DATE]. His diagnosis included type 2 diabetes. An order dated 05/03/2025 indicated Resident #48 was to have Insulin Aspart Flex pen 100 unit/millimeter (Insulin) solution Inject as per…

  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 · D2025-12-10 · tag F0813 — isolated
  Have a policy regarding use and storage of foods brought to residents by family and other visitors.
  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 maintain and ensure safe and sanitary storage of residents' food items for 1 of 4 resident's personal refrigerators reviewed for food safety (Resident #59).The facility failed to ensure the refrigerator for Resident #59 did not contain a bottle of Miracle Whip that expired on 9/23/2025. This failure could place residents at risk for food borne illnesses. Findings included:Record review of an admission Record for Resident #59 dated 12/9/2025 indicated she admitted to the facility on [DATE] and was [AGE] years old with diagnoses of congestive heart failure (heart's inability to pump effectively), COPD (a group of lung disease that affect breathing), type 2 diabetes, and fusion of spine (a surgical procedure that permanently connects to or more bones in the spine).Record review of a Quarterly MDS Assessment for Resident #59 dated 11/28/2025 indicated she had moderate impairment in thinking with a BIMS score of 12. She required…

  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 before2025-12-10 · 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 Based on observations, interviews, and record reviews, 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 1 of 6 residents (Resident #59) reviewed for infection control.The facility failed to ensure staff did not place dirty towels on the floor of Resident #59's bathroom from 12/8/2025 to 12/9/2025.This failure could place residents at risk for cross contamination and infection. Findings included:Record review of an admission Record for Resident #59 dated 12/9/2025 indicated she admitted to the facility on [DATE] and was [AGE] years old with diagnoses of congestive heart failure (heart's inability to pump effectively), COPD (a group of lung disease that affect breathing), type 2 diabetes, and fusion of spine (a surgical procedure that permanently connects to or more bones in the spine).Record review of a Quarterly…

  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

“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.

Fines & penalties

$355,773 in federal fines across 5 penalties.

• $16,891 — penalty dated 2025-05-01
• $104,562 — penalty dated 2024-09-11
• $201,416 — penalty dated 2024-07-01
• $16,452 — penalty dated 2024-06-12
• $16,452 — penalty dated 2024-06-12

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 ADVANCED HEALTHCARE SOLUTIONS — 28 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 →

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

CMS files one row per role, so the 9 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted.

2 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.

About 74% 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 2024. 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

Straight from this home’s Medicare cost report (CMS, FY2024). 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