Five Points of Pflugerville

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

34.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 26 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.24 therapist hours per resident per day in 2026Q1 — more than 32% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 111 beds and averages 94.7 residents a day — about 85% occupied, or roughly 16 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.08 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.30 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.93 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 2.71 hrs/resident/day on weekends vs 3.23 on weekdays — 16% thinner on weekends. RN hours go from 0.33 to 0.23 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 72% is well above the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

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

Inspection deficiencies

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

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.

41 citations, most serious first. The 17 most serious are shown; the remaining 24 are one tap away and print in full.

• Immediate jeopardy · Kcited before2024-12-31 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (Resident #1) of three residents reviewed for quality of care. The facility failed to: - Ensure Resident #1 was transferred per her transfer status (hoyer lift with two-person assistance) on two occasions on [DATE]. On the first occasion, LVN A and CNA B lost their grip and Resident #1 slid to the ground. LVN A, CNA B, and CNA C transferred her from the ground to the bed without a hoyer lift. Approximately 24 hours later her legs were swollen, red, and warm to touch. She was transferred to the ER where she was diagnosed with two femur fractures. During surgery to repair the fractures, she had an embolism and subsequently passed away. - Ensure LVN A completed a fall assessment or documented the incident after Resident #1 slid to the ground during 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 · Past Non-Compliance
• Immediate jeopardy · Kcited before2024-12-31 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  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 the resident environment remained as free of accident hazards as was possible and each resident received adequate supervision and assistance devices to prevent accidents for one (Resident #1) of three residents reviewed for accidents and hazards. The facility failed to: - Ensure Resident #1 was transferred per her transfer status (hoyer lift with two-person assistance) on two occasions on [DATE]. On the first occasion, LVN A and CNA B lost their grip and Resident #1 slid to the ground. LVN A, CNA B, and CNA C transferred her from the ground to the bed without a hoyer lift. Approximately 24 hours later her legs were swollen, red, and warm to touch. She was transferred to the ER where she was diagnosed with two femur fractures. During surgery to repair the fractures, she had an embolism and subsequently passed away. - Ensure LVN A completed a fall assessment or documented the incident after Resident #1 slid to the ground during 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 · Past Non-Compliance
• Immediate jeopardy · Kcited before2023-08-21 · 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 observations, interviews, and record reviews, the facility failed to ensure that each resident had a right to be free from neglect for 1 of 65 residents (Resident #2) reviewed for neglect. The facility failed to check the AED device to ensure it had an active status, was cleaned, without visible defects, did not have a low battery, and in operating condition before using it on Resident #2 prior to EMS arrival on 08/18/2023. Resident #2 passed away at the facility on 08/18/2023. An IJ was identified on 08/18/2023. The IJ template was provided to the facility on [DATE] at 9:08 P.M. While the IJ was removed on 08/21/2023, the facility remained out of compliance at a scope of pattern and a severity level of actual harm that is not immediate jeopardy because of the facility's need to evaluate the effectiveness of the corrective systems. These failures could place residents at risk of pain, mental anguish, emotional distress, physical harm, diminished quality of life, and death. Findings include: Review 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · K2023-08-21 · tag F0678 — failed to provide CPR when needed — pattern
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to provide basic emergency life support immediately when needed, including cardiopulmonary resuscitation (CPR), for 1 of 65 residents (Resident #2) reviewed for advance directives. The facility failed to check the AED device to ensure it had an active status, was cleaned, without visible defects, did not have a low battery, and in operating condition before using it on Resident #2 prior to EMS arrival on 08/18/2023. Resident #2 passed away at the facility on 08/18/2023. An IJ was identified on 08/18/2023. The IJ template was provided to the facility on [DATE] at 9:08 PM. While the IJ was removed on 08/21/2023, the facility remained out of compliance at a scope of pattern and a severity level of actual harm that is not immediate jeopardy because of the facility's need to evaluate the effectiveness of the corrective systems. These failures could place residents who are full code status at risk of death. Findings include: 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-05-29 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (Resident #1) of five residents reviewed for quality of care, in that: The facility failed to ensure Resident #1's Eliquis (blood thinner) was held two days before a tooth extraction procedure, subsequently causing him to go without the procedure, leaving him in pain, and feeling frustrated and neglected. This failure placed residents at risk of frustration, uncontrolled pain, and a decreased quality of life. Findings included: Review of Resident #1's undated face sheet reflected a [AGE] year-old male who was admitted to the facility with diagnoses including spastic quadriplegic cerebral palsy (a form of cerebral palsy that affects both arms and legs), epilepsy (seizures), bipolar disorder, major depressive disorder, and muscle wasting and atrophy (wasting…

  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
• Actual harm · Gcited before2024-04-18 · 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 receives adequate supervision to prevent accidents for 2 of 8 residents (Residents #1 and 2) reviewed for falls. The facility failed to ensure Residents #1 and #2's care plan interventions related to falls and a fall risk assessment tool were implemented. Resident #1 fell on [DATE] and sustained a hip fracture requiring surgical intervention. This failure placed residents at risk of falls. Findings include: Review of Resident #1's undated face sheet reflected an [AGE] year-old female who was admitted to the facility on [DATE]. Resident #1 had diagnoses including vascular dementia, muscle weakness, unsteadiness on feet, lack of coordination, abnormalities of gait and mobility, muscle wasting and atrophy (complete wasting away of part of the body), and need for assistance with personal care. Review of Resident #1's quarterly MDS assessment, dated 03/08/24, reflected a BIMS score of 05, indicating a severe cognitive impairment. It reflected…

  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
• Actual harm · G2023-11-18 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Citation Text for Tag 0600, Regulation FF14 Based on interview and record review, the facility failed to ensure that pain management was provided to a resident who required such services, consistent with professional standards of practice for one (Resident #1) of six residents reviewed for pain, in that: Facility nursing staff failed to apply a fentanyl patch for pain on Resident #1 on 11/15/23 as ordered and he experienced pain. This failure could place residents at risk of experiencing pain and/or not getting therapeutic benefits of prescribed medications. The findings included: Review of Resident #1's face sheet, dated 09/8/23, indicated a [AGE] year-old male who was admitted to the facility on [DATE]. Resident #1 was admitted on hospice services. Resident #1 had diagnoses which included neoplasm (tumor) of cheek mucosa (soft tissue) and chronic respiratory failure with hypoxia (lack of adequate oxygen at tissue level). Review of Resident #1's admission MDS assessment, dated 08/21/23, indicated Resident #1…

  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 · E2026-05-15 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide the maintenance for comfortable sound levels for 4 of 8 residents (Resident #40, Resident #52, Resident #62, Resident #67) reviewed for homelike environment.The facility failed to ensure that Resident #40, Resident #52, Resident #62, and Resident #67 resided in an environment free from excessive noise levels. This failure placed residents at risk for becoming agitated and disturbed. Findings included: A record review of Resident #40's face sheet dated 3/23/2025 reflected a [AGE] year-old male readmitted on [DATE] with diagnoses of Alzheimer's disease (neurological condition), hyperlipidemia (high cholesterol), hypertension (high blood pressure), type 2 diabetes (uncontrolled blood sugar), dementia (neurological condition), heart disease and peripheral vascular disease (decreased circulation).A record review of Resident #40's MDS assessment dated [DATE] reflected a BIMS score of 7, which indicated severely impaired cognition.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 Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-05-15 · 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 interview and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administration of all drugs and biologicals) for 3 of 14 residents (Resident #8, Resident #35 and Resident #61) to meet the needs of the resident, in that:The facility failed to administer Resident # 8's pain medication on time for 34 administrations. The facility failed to administer Resident #35's Parkinson's medication on time as schedule for 34 administrations. The facility failed to ensure LVN E did not document Resident #61's medications in the MAR as being administered before resident took his medications.These failures placed Residents at risk for uncontrolled pain, tremors, decrease quality of life and hospitalization.3. Record review of Resident# 61's undated admission face sheet reflected a 68-year male was who was admitted to the facility on [DATE]. His diagnoses included epilepsy unspecified not intractable without status…

  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 · Ecited before2026-05-15 · 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, record review, the facility failed to ensure storage of medications used in the facility were in accordance with currently accepted professional principles and included the appropriate expiration dates to preserve their integrity for the stored medications, and to store medications properly to prevent deterioration for one medications (400-hall Nurse and Medication aide cart) carts out of four reviewed for medications storage for three (Resident #s 57, #62 and # 100) of 8 residents review in that:1. The facility failed to ensure an expired OTC medication belonging to Resident #57 was removed from the 400-hall nurse's cart after it was opened and used.2. The facility failed to label Resident #62's insulin pen with the opened date after it was opened and being used on the 400-hall nurse's cart.3. The facility failed to discard Resident # 100 's insulin pen after it had been opened for 14 days passed the recommended discard day on the 400-hall nurse's cart.These failures could place…

  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 · E2026-05-15 · tag F0803 — failed to meet residents' dietary needs — pattern
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to follow the menu for three of three days reviewed for menu adherence. The facility failed to serve the lunch menu as planned on 5/12/2026 and on 5/13/2026.CK M failed to use a large enough scoop for oatmeal during breakfast on 5/14/2026 and failed to serve orange juice to Resident #95.These failures placed residents at risk for decreased intake, weight loss, and nutritional inadequacy.Findings included:A record review of the facility's menu for 5/12/2026 reflected the following items were to be served for lunch: pork shank with teriyaki glaze, steamed rice, pacific blend vegetables, egg roll, watermelon wedge, and iced tea. During an interview on 5/12/2026 at 10:53 AM, DS K stated that what was on the menu that day was not ordered, so she had to substitute everything. DS K stated, everything was missing. DS K stated that CK L was a cook in the facility and CK L had been placing the orders. DS K stated that they used to have a substitution…

  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 · E2026-05-15 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure each resident received and the facility provided food and drink that was palatable, attractive and at a safe and appetizing temperature for residents who consumed foods orally from the only kitchen in the facility in that: The facility failed to provide palatable food that was attractive or appetizing to residents' who complained the food did not look or taste good and that it was frequently cold from 1 of 1 kitchen.The test tray of the lunch meal on 05/13/2026 was lukewarm, unappetizing in appearance (no condiments provided, and no beans observed in charro beans) the chicken fajita tasted heavily salted, and the tray lacked meal items described on the menu without a substitution (guacamole 5/13/26). These failures could place residents at risk of decreased food intake, hunger, unwanted weight loss, and diminished quality of life.The findings include: Resident #52Review of Resident #52's face sheet dated 05/14/26 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-05-15 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for one of one kitchens reviewed for sanitation.The facility failed to ensure all food items were dated with an open date on 5/14/2026.The facility failed to ensure all food items were properly covered, labeled and dated on 5/12/2026 and on 5/14/2026.CK N failed to ensure that the temperature of fried chicken was checked before serving lunch on 5/12/2026. CK N failed to ensure that the pureed enchiladas were at least 135 when serving lunch on 5/12/2026.The facility failed to ensure that the thermometer was sanitized between testing each food item. These failures placed resides at risk for foodborne illness.Findings included: An observation of the kitchen's dry storage room on 5/12/2026 at 10:03 AM revealed a container filled with a white granular substance that was open to air. The container was not labeled or dated. An observation of the kitchen on 5/12/2026 at 11:07 AM revealed there was an undated…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-05-15 · 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 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 3 residents (Resident #2, Resident #3, Resident #74) reviewed for infection prevention.1. The facility failed to ensure Treatment Nurse labeled Resident #74's wound dressing on 05/12/2026.2. The facility failed to ensure CNA J properly performed perineal care for Resident #2 with foley catheter on 05/12/2026.3. The facility failed to ensure Resident #2's catheter drainage bag was positioned correctly and not laying on the floor on 05/13/2026.4. The facility failed to ensure RN A disinfected the blood pressure cuff before and after obtaining Resident # 3's BP reading during medication administration on 05/13/2026. These failures could place residents at risk for cross contamination and the spread of infection.The 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-05-15 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, and record review the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promoted maintenance or enhancement of his or her quality of life, recognizing each resident's individuality and failed to protect and promote the rights of the residents for 1 of 8 (Resident #24) residents observed for dignity. The facility failed to ensure Resident #24 had her chin and neck hair trimmed. These failures could place residents at risk of experiencing humiliation, degradation, and a decreased quality of life.The findings included: Review of Resident #24's face sheet dated 05/14/26 reflected a [AGE] year old female admitted to the facility on [DATE] with diagnoses that included down syndrome (genetic condition caused by the presence of an extra copy of chromosome 21 leading to developmental delays and distinct physical features), muscle weakness, and need for assistance with personal care. Review of Resident #24's quarterly MDS…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-05-15 · 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 ensure the comprehensive assessment accurately reflected the resident's status for 1 (Resident #24) of 8 residents reviewed for accuracy of assessments. The facility failed to ensure the MDS dated [DATE] was updated to reflect all of Resident #24's current functional abilities. This failure could place residents at risk of inaccurate assessments and not receiving appropriate care according to their status.Findings include: Review of Resident #24's face sheet dated 05/14/26 reflected a [AGE] year old female admitted to the facility on [DATE] with diagnoses that included cerebral atherosclerosis (buildup of plaque in the arteries suppling blood to the brain leading to narrowed, hardened vessels and reduced blood flow), down syndrome (genetic condition caused by the presence of an extra copy of chromosome 21 leading to developmental delays and distinct physical features), muscle weakness, and need for assistance with personal care. Review 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 · D2026-05-15 · 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 observation, interview, and record review, the facility failed to ensure it was free of a significant medication error for 1 of 1 (Resident # 74) resident reviewed for pharmacy services.The facility failed to ensure Resident # 74 received scheduled medication within the ordered liberalized time range: 07:00am-09:00am, 11:30am-2:00pm, 6:30pm-10:30pmThis deficient practice could place residents at risk of not receiving the intended therapeutic benefit of the medications and supplements, worsening or exacerbation of chronic medical conditions, and hospitalization.Findings Included:Record review of Resident #74's undated face sheet reflected a 65-year female was admitted to the facility on [DATE]. Her diagnoses included Parkinson's disease without dyskinesia, without mention of fluctuations (refers to the early or stable phases of the disease where patients maintain predictable symptom control without involuntary movements or off/on medication swings), unspecified dementia, unspecified severity, without…

  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

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

Fines & penalties

$59,449 in federal fines across 5 penalties.

• $17,091 — penalty dated 2024-12-31
• $17,091 — penalty dated 2024-12-31
• $418 — penalty dated 2024-05-29
• $12,222 — penalty dated 2024-04-18
• $12,627 — penalty dated 2023-08-21

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 CREATIVE SOLUTIONS IN HEALTHCARE — 149 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 20 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

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

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