Mallard Creek Therapy And Living Center

Location & what’s nearby

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

Quality measures — how residents actually fare

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

Staffing

CMS has not published payroll-based (PBJ) staffing hours for this facility yet — this can happen for newer, hospital-based, or recently-certified homes. It can also mean the home simply did not file, which CMS does not distinguish in this data, so treat the gap as unexplained rather than benign. Staffing is one of the three parts of the CMS star rating; where it’s missing, weigh the independent health-inspection score most, and ask the facility directly about its nurse-to-resident ratios and weekend RN coverage.

Inspection deficiencies

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

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

• Potential for harm · E2026-07-02 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to store, label drugs and biologicals used in the facility in accordance with currently accepted professional principles, and include the appropriate accessory and cautionary instructions, and the expiration date when applicable, on 1 medication carts (hall 400 Nurses cart) and 1 medication room of 4 medication carts and 1 medication room reviewed for pharmacy services. The facility failed to ensure proper storage of acidophilus 1 billion (supplements used to support gut health and maintain a healthy balance of bacteria in the digestive tract) which required refrigeration per manufacturer's guidelines. The facility failed to ensure proper storage and disposal of Resident #100's Tylenol suppository 650mg when it was stored in the refrigerator in the medication room (Resident discharged date unknown) The facility failed to ensure proper storage and disposal of Resident #102s Tylenol suppository 650mg when it was stored in the refrigerator in…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-07-02 · 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 in the facility's only kitchen reviewed for food and nutrition services. The facility failed to ensure an opened bottle of barbecue sauce was properly refrigerated after use in accordance with manufacturer instructions. The facility failed to ensure food items stored in the freezer were properly labeled with the contents after being removed from the original packages and dated to reflect when the food items were opened. The facility failed to ensure food packages stored in the freezer were properly sealed and secured. The facility failed to ensure frozen food items were protected from contamination, as evidenced by multiple individual-serving ice cream cups that had leaked, resulting in chocolate ice cream residue covering other individual-serving ice cream containers within the box. The facility failed to ensure frozen food items stored in the freezer were properly stored and protected, as evidenced…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-07-02 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 3 of 6 residents (Resident#18, Resident#50, Resident#55), reviewed for infection control. 1.The facility failed to ensure MA C sanitized the blood pressure cuffs between (Resident#18, Resident#50, Resident#55), to prevent the spread of infections. 2.The facility failed to ensure a hospice aide transported clean linen by methods that ensure cleanliness. These failures could place residents at risk for healthcare associated cross contamination and infections. Findings include:Resident #18's1. Record review of Resident #18's Quarterly MDS Assessment, dated 05/05/26, reflected a [AGE] year-old female. Resident #18 had a BIMS score of 04, which indicated she had severe cognitive impairment. The resident had 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-07-02 · 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

  Based on observation, interview and record review, the facility failed to ensure the resident environment remained as free of accident hazards as possible for 1 (Day Room) out of 1 Day Room reviewed for accidents and hazards. The facility failed to ensure that 1 of 1 mechanical lift in the Day Room was locked, secured, and stored in a secure designated area when not in use. This failure could place residents, visitors and staff at risk of falls and/or injuries.Findings included: Observation of the facility's Day Room (a common area for residents to gather) on 07/01/26 at 8:43AM revealed a mechanical lift stored toward the entrance of the room, with the breaks unlocked. One resident was observed attempting to go into the Day Room at that time. During an interview with the ADON on 07/01/26 at 8:43AM, she verified the breaks of the mechanical lift were unlocked. The ADON stated mechanical lifts should be locked and stored away from residents in their designated location, which she identified as the charging station which was in the corner of the Day Room. The ADON stated the risk of…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-07-02 · 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 observations, interviews, and record review the facility failed to ensure that a resident who needs respiratory care, including tracheostomy care and tracheal suctioning, is provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, the residents' goals and preferences for two (Resident #16 and Resident #47) of five residents reviewed for respiratory care. 1.) The facility failed to ensure that Resident #16's nebulizer mouthpiece was bagged in a plastic bag and stored in a drawer, which was consistent with professional standards. 2.) The facility failed to ensure that Resident #47's nebulizer mouthpiece was bagged in a plastic bag and stored in a drawer, which was consistent with professional standards. These failures had the potential to affect residents receiving respiratory therapy by increasing their risk of health-associated infections.Findings included: 1.) Record review of Resident #16's Face Sheet, dated 07/02/26, reflected she was an…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-07-02 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to establish a system of records of receipt and disposition of all controlled drugs in sufficient detail to enable an accurate reconciliation for 1 Resident (Resident# 52) of 10 Residents reviewed for pharmacy services. The facility failed to ensure proper disposal of Resident #52's Lorazepam Oral (prescribed for the short-term relief of anxiety, trouble sleeping, or acute stress) Tablet 0.5mg (controlled medication) by taping narcotic medication and storing it in the 400-hall medication cart. These failures could place residents at risk of drug diversion, medication error, and risk of pills contamination due to broken seals.Findings included:Resident#52 Review of Resident #52's Quarterly MDS Assessment, dated 06/18/2026, reflected an [AGE] year-old male admitted on [DATE]. He had a BIMS score of 4, indicating he had severe cognitive impairment. The resident had diagnoses which included non-Alzheimer's disease. Review of Resident #52's…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 15 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

5 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.

What families pay in TX