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Edinburg Nursing and Rehabilitation Center

5215 S Sugar Rd, Edinburg, TX 78539 · Government - Hospital district · 120 certified beds · (956) 782-9666 Medicare & Medicaid certified

Call the home — (956) 782-9666 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Dec 20252 immediate-jeopardy citations CMS recorded as corrected before the inspection ended (past non-compliance)$16,565 in federal fines
Insights

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

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • lower-than-typical staff turnover (36% vs 45% nationally) — better care continuity
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Dec 2025
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607, F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • inspectors recorded 2 serious findings 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 (32) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $16,565 in federal fines (most recent 2026-01-01)
  • its payroll-based staffing rating is low (1/5)

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 3 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
4705 S Sugar Rd Ste B · (210) 704-2000 · Call to confirm hours
Pharmacy
4847 S Jackson Rd · (956) 994-0520 · Call to confirm hours
Grocery
1601 W Trenton Rd · (956) 270-4723 · Call to confirm hours
Park
23212 N Ware Rd · (956) 270-1155 · 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 4 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 3 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 held steady at 3 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 rating3★
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 increased7.1%15.8%15.4%better
Long-stay residents who lose too much weight3.2%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 symptoms1.3%2.4%6.5%better 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 injury3.3%3.3%3.3%typical
Long-stay residents whose ability to walk worsened8.6%14.0%16.1%better
Long-stay residents on antianxiety or hypnotic medication9.4%18.0%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%98.0%95.3%typical
Long-stay residents with pressure ulcers1.3%3.8%4.7%better
Long-stay residents with worsening bladder/bowel control6.4%13.4%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table8.5%9.6%17.1%better
Short-stay residents who newly got an antipsychotic medication1.0%1.5%1.4%better
Short-stay residents given the seasonal flu vaccine96.2%88.0%79.4%better

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.

48.1% 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 36 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

48.1%U.S. median 51.5%
Got home and stayed home
11.3%U.S. median 10.7%
Went back to hospital
54.2%U.S. median 56.6%
Met the expected recovery
0.27U.S. median 0.31
Therapy hours / resident / day
0.10hours / resident / day
Physical therapy
0.10hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

Met the expected recovery: 54.2% 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 24 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 0.27 therapist hours per resident per day in 2026Q1 — more than 39% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% 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 SNF48.1%CMS range 33.2–61.751.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.3%CMS range 6.6–15.310.7%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 discharge54.2%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 discharge75.0%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 discharge62.5%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 identified91.2%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 settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 worsened0.0%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 hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.271.02Oct 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

0.16
RN hours/ resident / day
0.89
LPN hours/ resident / day
1.76
Aide hours/ resident / day
2.81
Total nurse hours/ resident / day
0.14
RN hoursweekends
35.8%
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 120 beds and averages 98.4 residents a day — about 82% occupied, or roughly 22 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 2.81 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.16 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.76 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 2.53 hrs/resident/day on weekends vs 2.93 on weekdays — 14% thinner on weekends. RN hours go from 0.17 to 0.14 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 36% is below 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

4
deficiencies at the latest standard inspection (2025-04-02)
4
at the previous standard inspection (2024-01-18)

Deficiencies are unchanged from the previous inspection. 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.

32 citations, most serious first. The 12 most serious are shown; the remaining 20 are one tap away and print in full.

  • Immediate jeopardy · Jcited before2026-01-01 · 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 adequate supervision and assistance devices to prevent accidents for 1 of 4 resident (Resident #1) reviewed for accidents and supervision who had a vehicle on the facility premises. The facility failed to evaluate R#1s safety awareness and risks for elopement after multiple incidents of R#1 leaving the facility without staff awareness or supervision. On 10/27/2025 R#1 left the facility and returned driving a vehicle he had purchased in another city. On 11/27/2025, R#1 left the facility and was returned by police due to driving around lost. On 12/06/2025, R#1 left the facility without being signed out on pass and was found at a nearby facility. The noncompliance was identified as PNC. The Immediate Jeopardy was identified on 12/06/2025 and ended on 12/06/2025. The facility had corrected the noncompliance before the survey began. This failure could place residents at risk of sustaining accidents, injuries, and/or death.Findings…

    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 before2023-11-21 · 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 Record review of Resident #11's admission record dated 10/25/23 documented a [AGE] year-old female admitted to the facility on [DATE] and discharged on 09/20/23. The form further documented Resident #11 with diagnoses including, unspecified dementia (a group of thinking and social symptoms that interfere with daily functioning), muscle wasting and atrophy (a decrease of muscle mass and strength), age-related physical debility (group of symptoms related to age that cause frailty), lack of coordination (group of symptoms that cause impaired direction) , and unspecified hearing loss (inability to hear). Resident #11 was not identified as her own responsible party. Record review of Resident #11's quarterly minimum data set (MDS) revealed a BIMS score of 99 indicating severe cognitive impairment. It further documented Resident #11 required a walker for mobility and required supervision when walking up to 10 feet. The MDS documented, Resident #11 did not use a wander/elopement alarm. Furthermore, the form documented 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.

    Quality of Life and Care Deficiencies · Past Non-Compliance
  • Potential for harm · D2026-05-14 · 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 interview and record review, the facility failed to have the interdisciplinary team review and revise the comprehensive care plan after the completion of the quarterly review assessments for 1 (Resident #1) of 5 residents reviewed for care plan revision.The facility failed to complete a quarterly care plan for Resident #1.This failure could place the residents at risk of care and needs not being met.Findings included:Record review of Resident #1's admission record, dated 5/13/2026, reflected a [AGE] year-old male admitted [DATE]. Resident #1's diagnoses included quadriplegia (a form of paralysis, resulting in the loss of movement and feeling to both arms and legs and torso), dysuria (pain when urinating), neuromuscular dysfunction of bladder (damage to the brain, spinal cord, or nerves disrupts the signals needed to store or empty urine properly), urinary catheterization (insertion of a hollow tube and into the bladder to drain urine), and hypertension (high blood pressure).Record review of Resident…

    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 before2026-05-14 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted 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 interview and record review, the facility failed to maintain medical records on each resident that were complete and accurately documented in accordance with accepted professional standards and practices for 2 of 5 residents (Resident #1 and Resident #2) reviewed for medical records. 1. The facility failed to ensure LVN A documented accurate medication administration records for Resident #1 after medications and treatments were administered. 2. The facility failed to ensure LVN B documented accurate physician orders for Resident #2 after receiving telephone orders. This failure could place residents at risk for errors in care and treatment.Findings included: 1. Record review of Resident #1's admission record, dated 5/13/2026, reflected a [AGE] year-old male admitted to the facility on [DATE]. Resident #1's diagnoses included quadriplegia (a form of paralysis, resulting in the loss of movement and feeling to both arms and legs and torso), dysuria (pain when urinating), neuromuscular dysfunction 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-03-13 · tag F0641 — isolated
    Ensure each resident receives an accurate 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 observation, interview, and record review the facility failed to conduct a comprehensive and accurate assessment of each resident using the resident assessment instrument (RAI) specified by CMS for 1 of 3 residents (Resident #1) whose records were reviewed for assessments. Resident #1's MDS erroneously indicated her ADLs of sit to stand or chair/bed-to-chair transfer were not attempted due to medical condition or safety concerns. This failure to ensure comprehensive and accurate assessments could affect residents by placing them at risk for not receiving correct care and services.Findings include:Record review of Resident #1's admission record, dated 03/11/26, reflected a [AGE] year-old female with an admit date of 04/19/24 with diagnoses that included cerebral infarction due to embolism (blood clot or debris forms elsewhere (often the heart or neck arteries), travel to the brain and locks blood flow), osteoarthritis-left shoulder (a chronic degenerative joint disease where cartilage breaks down,…

    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 before2026-03-13 · 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 interviews and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that included measurable objectives and time frames to meet a resident's medical, nursing, and mental and psychosocial needs, for 1 (Resident #5) of 6 residents reviewed for care plans.The facility failed to ensure Resident #5's care plan reflected his diet was no added salt, pureed texture, with nectar thickened liquids consistency.This failure could place the residents at risk of not receiving appropriate care to meet their needs.Findings included:Record review of Resident #5's face sheet, dated 03/11/26, reflected a [AGE] year-old male, admitted on [DATE] with diagnoses that included: cerebral infarction (stroke), chronic heart failure, type 2 diabetes (high levels of blood sugar levels), dementia (decline in cognitive function, affecting memory, thinking, and behavior), urinary tract infection, hypertension (high blood pressure),…

    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 before2026-02-04 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted 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 maintain clinical records on each resident that were complete and accurately documented in accordance with accepted professional standards and practices for 1 (Resident #1) of 3 residents reviewed for accuracy and completeness of clinical records. The facility failed to ensure Resident #1 had an order for EBP (refers to an infection control intervention designed to reduce transmission of multidrug-resistant organisms that employs targeted gown and gloved use during high contact resident care activities). This failure could place residents at risk of not receiving nursing services by adequately trained nurses and could result in a decline in health.The findings included:Record review of Resident #1's admission record dated 02/04/26 reflected a [AGE] year-old female with an admit date of 01/14/26 an original admission date of 01/14/2021. Her relevant diagnoses included Alzheimer's disease (a progressive neurodegenerative disorder, causing…

    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 before2026-01-01 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    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 that all alleged violations involving abuse, neglect or exploitation were reported no later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury to the State Survey Agency where state law provides for jurisdiction in long-term care facilities in accordance with State law through established procedures for 1 of 2 residents (Resident #1), reviewed for freedom from abuse, neglect, and exploitation.The facility failed to report to the State Survey Agency (HHSC) an incident that occurred on 11/27/25 in which Resident #1 was returned to the facility by a police officer. Resident #1 had been driving around town in his own vehicle and did not know his way back to the facility. This failure could place residents at risk for abuse/neglect and could lead to a diminished quality of life and physical harm. Record review of Resident #1's face sheet dated 12/29/2025, revealed a [AGE] year old…

    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
  • Potential for harm · E2025-12-08 · 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 observation, interview, and record review, the facility failed to protect the residents' rights to be free from abuse, neglect, and exploitation for four residents (Resident #2, Resident #6, Resident #9, and Resident #10) out of 5 residents reviewed for abuse. 1. The facility failed to protect Resident #6 and Resident #2 from both verbally and physically harming each other on [DATE]. Resident #6 and Resident #2 had a verbal altercation which turned physical on [DATE] in which Resident #6 ended up with a small skin tear to her hand. 2. The facility failed to protect Resident #2 and Resident #6 from both verbally and physically harming each other on [DATE]. Resident #2 and Resident #6 had a verbal altercation which turned physical on [DATE] in which Resident #2 ended up with a small scratch to her left arm. 3. The facility failed to protect Resident #9 when Resident #10 hit her with an electric wheelchair on [DATE], causing her to move backward, and creating a skin tear to her left calf. 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-12-08 · tag F0656 — failed to write and follow a full care plan — pattern
    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 that included measurable objectives and time frames to meet a resident's medical, nursing, mental, and psychosocial needs for 3 of 5 residents (Resident #6, Resident #2, and Resident #5) reviewed for care plans. The facility failed to develop care plans for Resident #6 and Resident #2 to include previous verbal altercations in the months leading up to when the physical altercations began between Resident #6 and Resident #2. The facility failed to include wound care for Resident #5's care plan for her surgical wound. These failures could place residents at risk of not receiving person-centered care and/or services to meet their physical and/or psychosocial needs. Findings included: 1. Record review of Resident #6's face sheet, dated 10/08/2025, revealed a [AGE] year-old-female with an admission date of 01/15/2023. Pertinent diagnoses included Cerebral Infarction (most…

    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 before2025-12-08 · tag F0641 — isolated
    Ensure each resident receives an accurate 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 reviews the facility failed to ensure the assessment accurately reflected the resident's status for 1 (Resident #5) of 5 residents reviewed for MDS assessment. Resident #5's MDS admission assessment dated [DATE] failed to indicate Resident #5 had a fall that resulted in major injury. This deficient practice could place residents at risk for inadequate care and services to meet their needs based on inaccurate MDS assessments. Findings included:Record review of Resident #5's admission assessment reflected an [AGE] year-old female initially admitted to the facility on [DATE] and readmitted on [DATE]. Her diagnoses included displaced intertrochanteric fracture of left femur (a break in the top of the thigh bone), history of falling, cognitive communication deficit (difficulty with communication), vascular dementia (problems with thought processes and memory caused by brain damage from impaired blood flow), hyperlipidemia (high cholesterol), atherosclerotic heart disease (buildup 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-12-08 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted 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 observation, record review, and interview, the facility failed to maintain clinical records in accordance with accepted professional standards and practices complete and accurately documented medical records for 1 (Resident #7) of 10 residents whose records were reviewed. Clinical medical staff failed to ensure that Resident #7 suprapubic catheter output log was accurately documented as order by her physician. This failure could place residents of having incomplete and inaccurate records which could impact their treatment and health when receiving suprapubic catheter care. The findings include: Record review of Resident #7's face sheet revealed a [AGE] year-old-female initially admitted on [DATE] with diagnoses of Neuromuscular dysfunction of bladder (the nerves that carry messages back and forth between the bladder and the spinal cord and brain don't work the way they should.), chronic combined systolic and diastolic congestive heart failure (Systolic heart failure, heart isn't contracting well during…

    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
Show the remaining 20 citations
  • Potential for harm · D2025-11-18 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    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 were free from significant medication errors for one of three residents (Resident #1) reviewed for medication errors. The facility failed to ensure Resident #1's blood pressure/pulse altering medications (Midodrine) was not given outside of the scheduled time parameters for the month of November 2025 per the physician's orders. This failure could place residents at an increased risk for complications such as decreased blood pressure, decreased pulse, exacerbation of symptoms and disease process, and potential hospitalization.The findings include:Record review of Resident #1's face sheet dated 11/18/25 reflected an [AGE] year-old-female with an original admission date of 12/06/23. Resident #1 had diagnoses which included Type 2 diabetes (insufficient insulin production in the body), Dementia (the loss of cognitive functioning that interferes with daily life and activities), high blood pressure, coronary artery disease (narrowing or…

    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 · Dcited before2025-11-18 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted 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 interviews and record review, the facility failed to, in accordance with accepted professional standards and practices, maintain clinical medical records on each resident that were complete and accurately documented for one of three residents (Resident #1) reviewed for medical records.The facility failed to ensure Resident #1's vital signs were documented in the MAR from 10/01/25 to 10/24/25.This failure could place residents at risk for errors in care and treatment.The findings include:Record review of Resident #1's face sheet dated 11/18/25 reflected an [AGE] year-old-female with an original admission date of 12/06/23. Resident #1 had diagnoses which included Type 2 diabetes (insufficient insulin production in the body), Dementia (the loss of cognitive functioning that interferes with daily life and activities), high blood pressure, coronary artery disease (narrowing or blockage of your coronary arteries) and acute kidney failure. Record review of Resident #1's care plan with an initial date 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-04-02 · 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 1 of 1 kitchen reviewed for sanitation in that: The facility failed to ensure the juice nozzle was clean. The facility failed to ensure food in the refrigerator was not expired. These failures could place residents at risk of foodborne illnesses. The findings included: During the initial observation of the kitchen on 03/30/25 at 10:30 a.m., revealed the juicer ' s nozzle dispenser had red and yellow slimy substance in the middle and a white slimy substance on the outer part. The vegetable refrigerator contained an uncovered clear plastic box with a label dated 02/25 that had 12 cucumbers that had brown, white, and black spots on them. Some of the cucumbers had soft spots that made it difficult to pick up. In an interview on 03/30/25 at 10:35 a.m., the DM said his staff had a hard time removing the juicer nozzle but ensured it was cleaned daily. He said he did not know what the slimy substances…

    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 · D2025-04-02 · tag F0636 — isolated
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    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 conduct an assessment of each resident's functional capacity for 1 (Resident # 1) of 8 residents reviewed for resident assessments. The facility failed to complete the MDS discharge assessment for Resident #1. This failure could place residents at risk of receiving care and services to meet their needs. The findings include: Record review of Resident #1's face sheet dated 04/02/25 reflected Resident #1 was a [AGE] year-old female admitted on [DATE]. Resident #1 had diagnoses of hypertension (high blood pressure), dementia (cognitive disorders characterized by progressive decline in memory, thinking, reasoning, and other mental abilities that interfere with daily life and activities), aphasia (neurological disorder that impairs the ability to comprehend or formulate language), epilepsy (neurological disorder characterized by recurrent, unprovoked seizures), myocardial infarction (commonly known as a heart attack where blood flow to the heart muscle 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-04-02 · 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 observation, 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 need that were identified in the comprehensive assessment for 1 of 7 residents (Resident #87) reviewed for comprehensive person-centered care plans. The facility failed to develop a comprehensive person-centered care plan for Resident #87 to address identifiable triggers to his active diagnosis of Post Traumatic Stress Disorder (a disorder in which a person had difficulty after experienceing or witnessing a terrifying event). This failure could place residents at risk of not being provided with the necessary care or services and not having personalized plans developed to address their specific needs. The Findings include: Record review of Resident #87 ' s admission record, dated 04/02/25 reflected a [AGE]…

    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 before2025-04-02 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when 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 observation, interview, and record review, the facility failed to ensure that a resident who needed respiratory was provided such care, consistent with professional standards of practice for 1 of 7 residents (Resident #47) reviewed for respiratory care. 1. The facility failed to ensure Resident #47's oxygen was administered at 3 lpm instead of 5 lpm as ordered. 2. The facility failed to ensure Resident #47 ' s oxygenator humidifier was not empty. These failures could place residents at risk of developing respiratory complications, having a decreased quality of care and expose residents to hazards such as explosions which could lead to physical harm. The findings included: Record review of Resident #47 ' s admission record, dated 03/30/25 reflected a [AGE] year-old female who was admitted to facility on 02/24/25 with an original admit date of 10/08/20. Her relevant diagnoses included chronic respiratory failure with hypoxia (improper gas exchange), dependence on supplemental oxygen (requiring 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-02-22 · 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 resident rights, that included measurable objectives and time frames to meet residents' physical, mental, and psychosocial needs, for 1 resident (Resident #1) of 5 residents reviewed for care plans. The facility did not care plan Resident #1's refusal of care to include shower refusals. These failures could place residents at risk for not receiving necessary care and services. The non-compliance was identified as past non-compliance. The deficient practice began on 11/25/2024 and ended on 12/18/2024. The facility had corrected the noncompliance before the survey began. The findings included: Record review of Resident #1's Face Sheet dated 02/22/2025 documented a [AGE] year-old male initially admitted on [DATE] and readmitted on [DATE] with the diagnoses of: heart failure, neuromuscular dysfunction of bladder (urinary bladder disfunction), delusional…

    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 · Past Non-Compliance
  • Potential for harm · D2024-01-18 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    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 develop and implement a baseline care plan for each resident that includes the instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality care for 2 (Resident #416 and Resident #414) out of 6 residents reviewed for care plans in that: The facility failed to ensure Resident #416 and #414 had a baseline care plan created within 48 hours after admission with goals and interventions. This deficient practice affects residents who are new admissions or readmissions and could result in decreased quality of care. The findings included: 1)Record review of Resident #416's electronic face sheet dated 01/15/2024, reflected she was an [AGE] year old female, initially admitted to the facility on [DATE] and readmitted from the hospital on [DATE]. Her diagnoses included: Chronic respiratory failure with hypoxia (decreased perfusion of oxygen to the tissues), chronic obstructive pulmonary disease (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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-01-18 · 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 F656 Care Plan Based on observation, interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that includes measurable objectives and time frames to meet resident's mental and psychosocial needs, for one (Resident #54) of six residents reviewed for care plans in that: The facility did not develop and implement a comprehensive person-centered care plan that addressed Resident #54's behavior of going out on pass without signing out. This failure could place residents in the facility at risk of not receiving the necessary care and services to maintain their health and safety. The findings included: Record review of Resident #54's admission record dated 01/17/24 documented a [AGE] year-old male admitted to the facility on [DATE] with diagnosis of Hydrocephalus (a buildup of fluid in the cavities deep within the brain), Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye (medical…

    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 before2024-01-18 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    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 fed by enteral means received the appropriate treatment and services to prevent complications of enteral feedings for 1 (Resident #87) of 3 residents reviewed for enteral nutrition, in that: The facility failed to appropriately label the formula bag with the time and the date the formula was started and initials of the nurse who hung the feeding for Resident #87. This deficient practice could affect residents receiving enteral nutrition and place them at risk of health complications and decline in health. Findings included: Record review of Resident #87 ' s electronic face sheet dated 01/15/2024 revealed the resident was [AGE] year-old female admitted to the facility on [DATE] and original admission date 02/20/2023. Her diagnosis included Dysphagia (difficulty swallowing), Type 2 Diabetes Mellitus without complications, Major Depressive Disorder, Essential Hypertension (high blood pressure), Hemiplegia and Hemiparesis…

    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 before2024-01-18 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when 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 observation, interview and record review the facility failed to ensure that a resident who needed respiratory care was provided with such care, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 1 of 2 residents (Resident #416) reviewed for respiratory care in that: The facility failed to ensure Resident #416 had an oxygen sign posted outside her bedroom. This deficient practice could place residents at risk for inadequate care. The findings included: Record review of Resident #416's electronic face sheet dated 01/15/2024, reflected she was an [AGE] year old female, initially admitted to the facility on [DATE] and readmitted from the hospital on [DATE]. Her diagnoses included: Chronic respiratory failure with hypoxia (decreased perfusion of oxygen to the tissues), chronic obstructive pulmonary disease (a group of lung diseases that block airflow and make it difficult to breathe), heart disease, and hypertension…

    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 · E2023-11-21 · 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 ensure the accurate administering of all drugs and biologicals, to meet the needs of 4 of 4 (Resident #1, Resident #2, Resident #3, Resident #4) residents reviewed for pharmacy services. Staff D and Staff E failed to accurately document on eMAR they administered Resident #1, Resident #2, Resident #3, and Resident #4's scheduled medications: Resident #1: Systane, Atorvastatin Calcium, Erythromycin ointment, GenTeal ointment, Trazodone, Doxycycline, Hydralazine, Meclizine, Mexitrol, Keppra, MiraLAX, and Thiamine. Resident #2: Carvedilol, Levetiracetam, Metformin, Artificial Tears, and Ticagrelor. Resident #3: Divalproex Sodium, Mirtazapine, Trazodone, and Zoloft. Resident #4: Pravastatin, Trazodone, Eliquis, Lactulose, and Keppra These failures placed residents at risk for not receiving the therapeutic benefits of the prescribed medications and side effects from missed doses. Findings…

    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 · D2023-11-21 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on Observations and interviews, the facility failed to provide a safe, sanitary, and comfortable environment for 1 of 1 (Resident #30 reviewed for the environment in that: The facility did not secure a bottle of liquid disinfectant; R #30 was found with liquid disinfectant in his possession and near his mouth. This failure could place residents at risk of living in an unsafe, unsanitary, and uncomfortable environment The findings included: Record review of R #30 's file reflected [AGE] year-old male with original admission date of 01/17/19 and last admission date of 03/28/23. His diagnosis included: Displaced fracture of fifth cervical vertebra, muscle wasting and atrophy, unsteadiness of feet, lack of coordination, Major depressive disorder, Parkinson's Disease, Dysphagia, and acute pain due to trauma. Record review of R #30's MDS assessment dated [DATE] reflected BIMS was not conducted as R #30 was rarely/never understood. Functional status indicated R #30's ADL of eating (how resident eats and drinks)…

    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 · D2023-11-21 · tag F0607 — failed to have anti-abuse policies — isolated
    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 implement written policies and procedures to prohibit and prevent abuse and neglect for 1 of 1 resident (R #30) reviewed for incident reporting. The facility failed implement their policy and did not report an allegation of neglect for R #30 for an incident on 06/19/23. This failure could place residents at risk of abuse, neglect, and not having incidents reported appropriately. The findings included: Record review of the Abuse, Neglect, and Exploitation Policy (implemented 08/15/22) Reporting/Response: The facility will have written procedures that include: 1. Reporting of all alleged violation to the Administrator, state agency, adult protective services and to all other required agencies (e.g. law enforcement when applicable) within specified timeframes: a. Immediately, but no later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or b. Not later than 24 hours if 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-11-21 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    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 that all alleged violations involving abuse, neglect, or mistreatment, were reported immediately to the State Survey Agency, within two hours if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, for 1 of 1 resident (R #30) reviewed for abuse/neglect. The facility failed to report allegations of resident neglect for R #30 for an incident on 06/19/23 to the State Survey Agency within the allotted time frame. This failure could place all residents at increased risk for potential abuse due to unreported allegations of abuse and neglect. The findings included: Record review of R #30 's file reflected [AGE] year-old male with original admission date of 01/17/19 and last admission date of 03/28/23. His diagnosis included: Displaced fracture of fifth cervical vertebra, muscle wasting 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-11-21 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    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 have evidence that all alleged violations involving abuse, neglect, or mistreatment, were thoroughly investigated for 1 of 1 resident (R #30) reviewed for abuse/neglect. The facility failed to thoroughly investigate an alleged violation of neglect when R #30 was found with a bottle of liquid disinfectant in his possession near his mouth. This failure could place all residents at increased risk for potential neglect due to uninvestigated allegations of abuse and neglect. The findings included: Record review of R #30 's file reflected [AGE] year-old male with original admission date of 01/17/19 and last admission date of 03/28/23. His diagnosis included: Displaced fracture of fifth cervical vertebra, muscle wasting and atrophy, unsteadiness of feet, lack of coordination, Major depressive disorder, Parkinson's Disease, Dysphagia, and acute pain due to trauma. Record review of R #30's MDS assessment dated [DATE] reflected BIMS was not conducted as R #30…

    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
  • Potential for harm · D2023-11-21 · tag F0926 — failed to keep the home smoke-free / fire-safe — isolated
    Have policies on smoking.
    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 follow their established smoking policy for 4 of 4 smoking area (Resident # 5, Resident #6, Resident #9 and Resident #10) residents reviewed for smoking. The facility did not follow their policy regarding residents that smoke must be always supervised. Residents R#5, R#6, R#9, R#10 were observed smoking outside without staff supervision. This failure could place residents at risk for smoking-related injuries and fires in the facility. Findings included: During an observation of the smoking area on 10/24/2023 at 2:50 p.m., four residents were observed smoking unsupervised. The door that leads outside to the smoking area had a pin pad and required a code to open. When residents wanted to come back in, they must ring the doorbell and staff will open the door. Interview on 10/24/2023 at 2:52 p.m., the DON identified those four residents as Resident #5, Resident #6, Resident #7, and Resident #8. The DON said they should have been supervised and was not sure why they were not. The DON said Staff E was scheduled 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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-10-06 · 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 that included measurable objectives and timeframes to meet a resident medical, nursing, mental, and psychosocial needs for two residents (Resident #13 and Resident #76) of six residents reviewed for care plans. 1) The facility failed to develop a care plan with measurable objectives and timeframes to address Resident #13's use of helmet as an intervention for history of falls. 2) The facility failed to develop a baseline care plan with measurable objectives and timeframes to address Resident #76's tracheostomy status (opening surgically created through the neck into the trachea to allow direct access to the breathing tube.) This failure could affect residents in the facility by placing in them at risk for not being provided necessary care and services, and not having plans developed to address their needs. The findings included: 1)Record review of the admission record…

    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 before2022-10-06 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    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 prevent a resident who is fed by enteral means receives the appropriate treatment and services to restore, if possible, oral eating skills and to prevent complications of enteral feeding including but not limited to aspiration pneumonia, diarrhea, vomiting, dehydration, or metabolic abnormalities for one (Resident #34) of one resident observed for feeding tube medication administration in that: LVN I did not check for residual (the amount of fluid/contents that are in the stomach) of Resident #34's PEG-tube (percutaneous endoscopic gastrostomy which a flexible feeding tube is placed through the abdominal wall and into the stomach) prior to administering medications. This deficient practice could affect residents with enteral tubes and could result in aspiration pneumonia or vomiting. The findings were: Review of Resident #34's electronic face sheet ,dated 10/04/22, revealed he was admitted to the facility on [DATE] with diagnoses…

    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 · B2022-10-06 · tag F0658 — failed to meet professional standards of care — pattern
    Ensure services provided by the nursing facility meet professional standards of quality.
    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 services were provided as outlined by the comprehensive care plan to meet professional standards of quality for two (Residents #13 and Resident #82) of 10 residents reviewed for standards of care in that: 1) The facility failed to consult with Resident #13's physician to retrieve an order for the monitoring, care, and maintenance of a soft padded helmet as an intervention to address Resident #13's falls. 2)The facility failed to ensure Resident #82 had physician's orders for the use of a helmet to protect his head from injury in the event of a fall. This deficient practice could place residents at risk for falls of not receiving the appropriate care and services to meet their needs. The findings were: 1) Record review of the admission record dated 10/05/22 for Resident #13 indicated Resident #13 was admitted on [DATE] and re-admitted on [DATE]. Resident #13 was a [AGE] year old male with diagnosis that included parkinson's 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.

    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

$16,565 in federal fines across 2 penalties.

  • $9,113 — penalty dated 2026-01-01
  • $7,452 — penalty dated 2023-11-21

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 3 of 52.9+0.1 vs chain
Staffing 1 of 51.6-0.6 vs chain
Quality measures 4 of 54.2-0.2 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 5Brenham Nursing and Rehabilitation CenterBrenham, TX 2 of 5Cityview Nursing and Rehabilitation CenterFort Worth, TX 2 of 5Corpus Christi Nursing And Rehabilitation CenterCorpus Christi, 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
VAL VERDE COUNTY HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF100%since 04/01/2022
REGENCY IHS OF EDINBURG LLCOrganizationDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/01/2022
CSV RHEA MANAGEMENT HOLDCO, LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 04/01/2022
DWD TX HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 04/01/2022
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCOrganizationINDIRECT OWNERSHIP INTERESTsince 04/01/2022
REG LEASED OPCO LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 04/01/2022
REG OPERATOR HOLDCO LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 04/01/2022
REGENCY INTEGRATED HEALTH SERVICES LLCOrganizationINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/01/2022
REGENCY TEXAS HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 04/01/2022
BAIRD, DANIELIndividualMANAGING CONTROL - GOVERNING BODYsince 04/13/2021
CARVAJAL, ANTONIOIndividualMANAGING CONTROL - GOVERNING BODYsince 05/16/2024
CLAPP, BARBARAIndividualMANAGING CONTROL - GOVERNING BODYsince 06/01/2021
CORTESE, DARENIndividualMANAGING CONTROL - GOVERNING BODYsince 08/10/2021
DIAZ, CRISIndividualMANAGING CONTROL - GOVERNING BODYsince 05/25/2022
GIBSON, PATRICIAIndividualMANAGING CONTROL - GOVERNING BODYsince 08/01/2021
GONZALES, VERONICAIndividualMANAGING CONTROL - GOVERNING BODYsince 05/16/2024
JURADO, JORGEIndividualMANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 10/13/2023
KAUFMAN, NICOLEIndividualMANAGING CONTROL - GOVERNING BODYsince 08/10/2021
OTAZO, JULIOIndividualMANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICERsince 05/25/2022
PALMER, ROBINIndividualMANAGING CONTROL - GOVERNING BODYsince 11/18/2020
CALDERON, JAVIERIndividualCORPORATE OFFICERsince 05/29/2024
CHARTRAND, DANIELIndividualCORPORATE OFFICERsince 05/19/2014
GOMEZ, SEFERINOIndividualCORPORATE OFFICERsince 05/29/2024
KEENEN, LEEIndividualCORPORATE OFFICERsince 05/25/2022
DEKOWSKI, DONOVANIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/01/2022
GARZA, CHRISTINAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/01/2022
5215 SOUTH SUGAR ROAD LLCOrganizationADP OF THE SNFsince 04/01/2022
REGENCY IHS CLINICAL CONSULTING, LLCOrganizationADP OF THE SNFsince 04/01/2022
REGENCY IHS REHAB LLCOrganizationADP OF THE SNFsince 04/01/2022
HERNANDEZ, SANDRAIndividualADP OF THE SNFsince 01/01/2025
MARTINEZ, ARTUROIndividualADP OF THE SNFsince 04/01/2022
RODRIGUEZ, KARINAIndividualADP OF THE SNFsince 01/01/2025

CMS files one row per role, so the 43 rows in the source record cover these 32 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.

$7.8M
Net patient revenuemost recent cost report
-18.6%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 76%Medicare 3%Other / private 20%

About 76% 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

$263per resident / day
operating cost
$7,986per month
≈ monthly operating cost
$222per 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 675785. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-04-02, 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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