Oak Bend Medical 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.

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.

66.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 233 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 60.9% 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 110 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.

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

No payroll-based (PBJ) staffing hours are on file for this home — and the record suggests that is because it did not report them. Inspectors cited this home for failing to submit its staffing data to CMS (F0851) — see the citation below; CMS rates its staffing 1 of 5, which is the rating CMS assigns when a home does not report. Every Medicare-certified nursing home is required to submit its actual payroll data quarterly, and that submission is what makes staffing numbers auditable rather than a claim. A home that does not file is not the same as a home with no data yet: ask this home directly what its nurse-to-resident ratios and weekend RN coverage are, why its payroll data is not filed, and weigh the independent health-inspection score heavily in the meantime.

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.

• Potential for harm · E2026-06-17 · tag F0578 — failed to honor advance directives / code status — pattern
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  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 all residents had the right to formulate an advance directive for 2 of 15 residents (Residents #161 and #163) reviewed for advance directives.The facility failed to ensure Resident #161's advance directive status met her directive to healthcare providers to not perform CPR if her breathing or heartbeat stopped. The facility failed to ensure Resident #163 had an out-of-hospital do-not-resuscitate form in his medical record that was consistent with his wishes. This failure could place residents at risk of not having their end-of-life wishes honored and having incomplete records. Findings included:Record review of Resident #161's admission record dated [DATE] revealed she was admitted to the facility on [DATE] with a diagnosis of acute cystitis (sudden inflammation of the bladder, almost always caused by a bacterial infection). She was [AGE] years old. Record review of Resident #161's order inquiry (undated) revealed a physician order…

  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 no plan of correction
• Potential for harm · E2026-06-17 · tag F0725 — failed to have enough nursing staff — pattern
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  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 have sufficient and competent staffing to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care for 4 residents (Residents #1, #3, #4 and # 5) out of 7 residents.The facility failed to ensure a nursing staff responded to the call light in a timely manner on June 14,15,and 16th 2026.This failure could place residents at risk of inadequate supervision, an unsafe environment, falls, serious harm and injury, exacerbations of disease processes, abuse, and death. Findings included:Record review of Resident #1's admission record dated 06/04/2026 revealed she was a [AGE] year-old female admitted with the following diagnoses: CHF (when the heart muscle is unable to pump enough blood to meet the body's needs for blood oxygen which can lead to shortness of breath). CAD (when 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has no plan of correction
• Potential for harm · Ecited before2026-06-17 · 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 infection for 2 of 5 residents (Resident #2 and Resident #4) and 2 of 2 staffs (CNA A, CNA B ) reviewed for infection control. -The facility failed to ensure CNA A proceed soiled linen accord to infection control policies and procedures. On 06/17/2026 CNA A placed Resident #2 soiled linen on the floor with ungloved hands. -The facility failed to ensure CNA B transported clean linen into Resident #4's room following infection prevention guidelines. CNA B held clean linen on her scrub. These failures could place residents at risk for spread of infection and cross contamination to residents causing resident illness and/or distress. Based on observation, interview, and record review the facility failed to establish and maintain 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.

  Infection Control Deficiencies · Deficient, Provider has no plan of correction
• Potential for harm · E2026-06-17 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  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 a safe, functional, sanitary, and comfortable environment for residents, staff, and the public on 1 of 2 hallways (Hall B) reviewed for environmental concerns.-The facility failed to ensure the ceiling in Hall B was free from water buildup, water pooling and a smoke damper leaking water on to the floor on 6/17/26. These failures could place residents at risk of a diminished quality of life due to exposure to an environment that is unpleasant, unsanitary, and unsafe.The findings included:In an observation on Hall B on 6/17/26 at 10:04am, the following was observed: -Between rooms [ROOM NUMBERS], there was a ceiling tile that was stained with a brown and yellow stain that was about 7 inches wide and in the shape of one-fourth of a circle. -The lighting panel on the ceiling between rooms [ROOM NUMBERS] had water pooling on the right and left side of the panel.-The smoke damper panel between rooms [ROOM NUMBERS] was leaking water 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.

  Environmental Deficiencies · Deficient, Provider has no plan of correction
• Potential for harm · E2026-06-17 · tag F0925 — failed to control pests — pattern
  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  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 an effective pest control program for 2 of 5 residents' rooms (room [ROOM NUMBER] and 19) and surrounding areas reviewed for pests.The facility failed to ensure Resident #4 and Resident #5's rooms were free of pests on 06/14/ 2026 and 06/16/2026.The facility failed to ensure the common shower area was free of pests.This failure could place residents at risk of increased exposure to pests and vector-borne diseases and infections as well as negative reputation of the physical environment of the facility.Findings included: Record review of Resident #4's admission records dated 06/02/2026 revealed she was 64 years-old female admitted with the following diagnoses: Syncope fall (sudden temporary loss of consciousness that could lead to falls often caused by a brief drop in blood pressure, fracture and other trauma, cancer, hypertension (low blood pressure), hip fracture and seizure disorder(abnormal electrical brain disorder). Record 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.

  Environmental Deficiencies · Deficient, Provider has no plan of correction
• Potential for harm · Dcited before2025-05-07 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to maintain an infection control program designed to prevent the development and transmission of infection for 1 of 4 residents (Resident #117) observed for infection control. The facility failed to ensure CNA B followed appropriate infection control and hand hygiene procedure during incontinent care for Resident #117 on 05/05/2025. These failures could place the residents at risk for infection. Findings included: Record review of Resident #117's face sheet dated 04/24/25 revealed a [AGE] year-old male admitted to the facility on [DATE] with diagnosis of Septic Arthritis to the left knee (bacterial infection in the knee joint) Record review of Resident #117's MDS admission Assessment, dated 04/16/25, revealed that the resident had a BIMS summary score of 15, which indicated that the resident was cognitively intact. Further review revealed that Resident #117 required supervision and touch assistance with toileting. 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• No harm found · C2026-06-17 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review, the facility failed to electronically submit to CMS complete and accurate director care staffing information no less frequently than quarterly for one of four quarters reviewed for payroll based journal data. This failure placed residents at risk of not being aware of the facility's staffing information which may result in adverse health outcomes due to low staffing levels. Findings include: Record review of the PBJ Staffing Data Report for Quarter 2 of 2026 (January 1-March 31) generated on 6/17/26 revealed the facility failed to submit data for the quarter. In an interview on 6/17/26 at 5:30pm, the Quality Director stated the coordinator was responsible for submitting staffing data to CMS. She said the previous coordinator told the facility she was submitting the data to CMS. She said they found out that she had not submitted the data and she no longer worked at the facility.

  Administration Deficiencies · Deficient, Provider has no plan 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

$12,267 in federal fines across 2 penalties.

• $3,798 — penalty dated 2024-01-08
• $8,469 — penalty dated 2023-12-18

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 OAKBEND MEDICAL CENTER — 5 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 3 rows in the source record cover these 2 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.

What families pay in TX