Cherokee Trails Nursing Home
330 E. Bagley Rd., Rusk, TX 75785 · Government - Hospital district · 140 certified beds · (903) 683-5438 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- inspectors cited 1 immediate-jeopardy problem — the most serious level
- a high number of inspection citations overall (38) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $30,933 in federal fines (most recent 2024-09-25)
- its facility-reported quality-measure score sits well above its independent inspection score
- its independent health-inspection rating is low (2/5)
- its payroll-based staffing rating is low (2/5)
- nursing-staff turnover (65%) runs well above the national median (45%)
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.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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 | 4 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 2 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 11.8% | 15.8% | 15.4% | better |
| Long-stay residents who lose too much weight | 4.2% | 3.0% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.3% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.0% | 0.8% | 2.0% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 1.1% | 2.4% | 6.5% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 2.5% | 3.3% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 10.4% | 14.0% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 26.6% | 18.0% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 98.0% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 2.8% | 3.8% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 10.9% | 13.4% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 8.1% | 9.6% | 17.1% | better |
| Long-stay hospitalizations per 1,000 resident days | 2.31 | 2.17 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 4.42 | 2.06 | 1.80 | worse |
‡ 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.
Therapy staffing: this home’s payroll records show 0.46 therapist hours per resident per day in 2026Q1 — more than 77% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 7% 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
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | not 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 next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not 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 discharge | not 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 stay | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | not 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 SNFs | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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
How full it usually is: this home is certified for 140 beds and averages 50.1 residents a day — about 36% occupied, or roughly 90 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.22 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.36 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.86 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 2.81 hrs/resident/day on weekends vs 3.39 on weekdays — 17% thinner on weekends. RN hours go from 0.41 to 0.26 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 65% is well above 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
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
38 citations, most serious first. The 11 most serious are shown; the remaining 27 are one tap away and print in full.
- Immediate jeopardy · Jcited before2024-09-25 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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 each resident received adequate supervision and assistance devices to prevent accidents for 1 of 2 residents reviewed for accident (Resident #1). The facility failed to put interventions in place to prevent Resident #1 from sliding out of the wheelchair during transport on 2/19/24 and ensure that she was secured by the shoulder and lap belt harness, resulting in Resident #1 sliding out of her wheelchair during transport. The facility failed to ensure the transport staff were aware of how to properly position the shoulder and lap belt harness to ensure Resident #1 did not have forward bodily movement in the event of the driver had to quickly stop the van. An Immediate Jeopardy (IJ) situation was identified on 9/24/24 at 4:00p.m. The IJ template was provided to the facility on 9/24/24 at 4:00 p.m. While the IJ was removed on 9/25/24 at 4:30 p.m., the facility remained out of compliance at a scope of isolated and a severity level of no…
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.
- Potential for harm · Ecited before2026-05-20 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — patternEnsure 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 residents' environment remains as free of accident hazards as possible for 1 of 1 facility (2 of 7 mechanical lift slings) and 1 of 4 residents (Resident #55) reviewed for hazards:1. The facility failed to ensure items labeled keep out of reach of children and a razor were not kept in a basin in Resident #55's room on the secured unit.2. The facility failed to remove faded, worn and damaged mechanical lift slings from service. This failure could result in a loss of quality of life due to injuries.Findings included:1. Record review of a facility face sheet dated 5/19/26 for Resident #55 indicated she was a [AGE] year-old female admitted to the facility on [DATE] with diagnoses including: myocardial infarction (heart attack) and dementia.Record review of a Quarterly MDS assessment dated [DATE] for Resident #55 indicated she had severe cognitive impairment by Staff Assessment for Mental Status. She was dependent or required…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2026-05-20 · tag F0761 — failed to label and store drugs safely — patternEnsure 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
Based on observation, interview, and record review, the facility failed to ensure drugs and biologicals used in the facility were stored in accordance with currently accepted professional principles and included the appropriate accessory and cautionary instructions for 2 of 2 medication storage refrigerators reviewed for labeling and storage (medication storage refrigerator in the medication room on mid- hallway 100 and medication refrigerator for the front hallway 100). The facility failed to monitor and record temperatures of the refrigerator used for medication storage daily as required per facility policy for medication storage. This failure could place residents who receive medications at risk of not receiving the intended therapeutic benefit of the medications.Findings included: During an observation and interview on 05/20/2026 9:00 AM of the medication storage refrigerator in the medication room on front hallway 100, revealed 3 Insulin pens and three insulin vials requiring 36 to 46 degrees refrigeration. There was no temperature log for the refrigerator in the medication…
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.
- Potential for harm · Ecited before2026-05-20 · tag F0812 — failed to store, cook, and serve food safely — patternProcure 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 food in accordance with professional standards for food service safety for facility's only kitchen reviewed for food storage. 1. The facility did not ensure foods in the refrigerator, freezer and dry storage area were appropriately stored, labeled and dated when opened or removed from their original packaging or opened on 5/18/26. 2. The facility did not ensure food in the freezer was appropriately labeled and dated when removed from original packaging on 5/18/26. 3. The facility did not ensure food was not kept on the floor in kitchen and dry storage area on 5/18/26 and 5/19/26. 4. The facility did not ensure [NAME] C appropriately performed hand hygiene while preparing food for meal service on 5/19/26. This failure could place residents who received their meals from the kitchen at risk of food-borne illness.Findings include:During an observation on 5/18/26 at 9:45 am the following observations were made: In dry storage a zip top plastic bag was observed on shelving with what appeared to be vanilla…
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.
- Potential for harm · E2026-05-20 · tag F0921 — failed to keep a safe, functional, sanitary building — patternMake 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
Based on observation, interview, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents and staff, in 1 of two medications rooms (the front one hundred hallway medication room) reviewed for environmental concerns.The facility failed to ensure the medication room floor and under sink area, were free of roach droppings, and there was no open hole underneath the sink.These failures could place residents, staff and visitors at risk of a diminished quality of life due to exposure to an environment that is unpleasant, unsanitary, unsafe and creating a contamination risk (Additionally, cockroach droppings and skin proteins (tropomyosin) can trigger allergic reactions and worsen asthma or other respiratory conditions). Findings included:During an observation and interview on 05/20/2026 9:00 AM, roach droppings were scattered on the floor from entrance into the room for about three feet next to the sink in the medication room. An open hole 24 inches across and 12 inches long was observed with pipes exposed to the wall in 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.
- Potential for harm · D2026-05-20 · tag F0640 — isolatedEncode each resident’s assessment data and transmit these data to the State within 7 days of 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 interview and record review, the facility failed to ensure an encoded, accurate, and complete MDS admission assessment was transmitted to the CMS System within 14 days after completion for 1 of 6 residents (Resident #27) reviewed for admission MDS assessments.The facility failed to ensure Resident #27's Quarterly MDS assessments dated 1/5/2026 were transmitted within 14 days of completion.This failure could place residents at risk of not having records completed and submitted in a timely manner as required.Findings included:Record review of an admission Record for Resident #27 dated 5/19/2026 indicated she admitted to the facility on [DATE] and was [AGE] years old with diagnoses of type 2 diabetes, dementia (decline in memory, thinking, reasoning and problem solving), bipolar (extreme mood swings) and anemia (decreased production of red blood cells in the body).Record review of a Quarterly MDS Assessment for Resident #27 dated 1/5/2026 was completed on 1/19/2026 indicated she had a BIMS score of 99 due…
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.
- Potential for harm · D2026-05-20 · tag F0641 — isolatedEnsure 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 interview and record review, the facility failed to ensure an accurate MDS was completed for 1 of 4 residents reviewed for accuracy of assessments. (Resident #33). The facility failed to ensure the comprehensive MDS assessment dated [DATE] for Resident #33 wasn't miscoded for Parenteral/IV feeding (a method of delivering nutrients directly into the bloodstream for patients who cannot use their digestive system). This failure could place residents at risk of receiving inappropriate care and services.Findings included:Record review of a facility face sheet dated 5/19/26 for Resident #33 indicated he was a [AGE] year-old male admitted to the facility on [DATE] with diagnosis of type 2 diabetes (uncontrolled blood sugar).Record review of a Comprehensive MDS assessment dated [DATE] for Resident #33 indicated section K (swallowing/nutrition) was incorrectly coded for Resident #33, indicating that he had received parenteral/IV feeding while a resident in the last 7 days (4/1/26 - 4/7/26).Record review of 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.
- Potential for harm · Dcited before2026-05-20 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record 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 1 of 4 residents (Resident #5) reviewed for infection control.The facility failed to ensure LVN F and CNA E wore the appropriate PPE when wound care was provided to Resident #5 who was on EBP on 5/20/2026.This failure could place residents at risk of exposure to infectious diseases due to improper infection control practices.Findings included:Record review of an admission Record for Resident #5 dated 5/20/2026 indicated he admitted to the facility on [DATE] and was [AGE] years old with diagnoses of hemiplegia following cerebral infarction (paralyzed on one side of his body following a stroke), hypertension, major depression (persistent sadness or loss of interest in doing things) and bipolar (extreme mood…
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.
- Potential for harm · D2026-02-11 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor 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 interview and record review the facility failed to ensure each resident was treated with respect and dignity for 2 of 7 residents (Residents #1 and #2) reviewed for Resident Rights. The facility failed to ensure 09/10/2025, at 7:15 p.m., Resident #1 and Resident #2 were treated with dignity and respect when CNA A spoke rudely about taking them outside.This failure could place residents who smoke at risk of emotional distress and diminished quality of life.Findings included: 1.Record review of an admission Record dated 2/11/26 for Resident #1 indicated she was a [AGE] year-old female admitted to the facility on [DATE] with diagnoses of Hepatic Encephalopathy (brain dysfunction caused by liver failure), Acute Respiratory Failure (lungs cannot adequately exchange gases), and morbid obesity. Record review of a quarterly MDS dated [DATE] indicated Resident #1 had intact cognition with a BIMS of 14. She required setup/cleanup assistance with eating, oral hygiene, and personal hygiene; she required supervision…
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.
- Potential for harm · Ecited before2025-03-19 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor 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 a safe, clean, and sanitary environment 3 of 12 residents (Residents #6, #9, and #19) reviewed for resident rights. The facility failed to provide Resident #6 a safe, clean, and sanitary environment on 3/17/2025 when the mattress on his bed was torn and his toilet seat was broken. The facility failed to provide Resident #9 a safe, clean, and sanitary environment on 3/17/25 when a foul sour odor was observed in her room. The facility failed to provide Resident #19 a safe, clean, and sanitary environment on 3/17/25 when his toilet had no toilet seat. These failures could place residents and visitors at risk for exposure to an unclean, unsanitary environment, risk of falls and other injuries due to an unsafe environment. Findings include: 1. Record review of a facility face sheet dated 3/19/25 revealed Resident #6 was a [AGE] year-old male that admitted to the facility in 9/10/2012 with a diagnosis of atherosclerotic heart 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.
- Potential for harm · Ecited before2025-03-19 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — patternEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to ensure the residents' environment remained as free of accident hazards as possible for 3 of 12 residents (Residents #18, #28, and #45) reviewed for accidents/hazards. The facility failed to remove worn and damaged mechanical lift slings from service from 03/17/2025 through 03/19/2025. This failure could place residents at risk of a loss of quality of life due to injuries. Findings included: 1. Record review of a facility face sheet dated 3/18/25 for Resident #18 indicated that she was a [AGE] year-old female admitted to the facility 8/7/23 with diagnoses including essential hypertension (uncontrolled blood pressure) and chronic peripheral venous insufficiency (poor circulation to the extremities). Record review of a Quarterly MDS assessment dated [DATE] for Resident #18 indicated that she had a BIMS score of 13, which indicated she was cognitively intact. She was dependent for all transfers and most ADLs. Record review of 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.
Show the remaining 27 citations
- Potential for harm · Ecited before2025-03-19 · tag F0941 — patternDevelop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
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 effective communications mandatory training for 4 of 14 employees (ADON, AD, CNA A and CNA F) reviewed for training, in that: The facility failed to ensure effective communication training was provided to the ADON, AD, CNA A and CNA F annually. This failure could place residents at risk of miscommunication and social isolation due to lack of staff training. Findings include: Record review of the personnel file for the ADON indicated she was hired at the facility on 4/16/2020 and did not have annual training on effective communication. Training was last completed on 2/19/2024. Record review of the personnel file for the AD indicated she was hired at the facility on 9/29/2023 and did not have annual training on effective communication. Training was last completed on 2/19/2024. Record review of the personnel file for CNA A indicated she was hired at the facility on 9/3/2020 and did not have annual training on effective communication. Training 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.
- Potential for harm · Ecited before2025-03-19 · tag F0946 — patternProvide training in compliance and ethics.
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 the required compliance and ethics training for 3 of 14 employees (CNA A, CNA B and CNA F) reviewed for training in that: The facility failed to ensure annual compliance and ethics training was provided to CNA A, CNA B, and CNA F. This failure could affect residents and place them at risk of poor care or victimization due to lack of staff training. Findings included: Record review of the personnel file for CNA A indicated she was hired on 9/3/2020 and had not completed annual training on compliance and ethics. Training was last completed on 2/23/2024. Record review of the personnel file for CNA B indicated she was hired on 5/23/2023 and had not completed annual training on compliance and ethics. Training was last completed on 5/23/2023. Record review of the personnel file for CNA F indicated she was hired on 2/8/2024 and had not completed annual training on compliance and ethics. Training was last completed on 2/9/2024. During an interview on…
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.
- Potential for harm · Ecited before2025-03-19 · tag F0949 — failed to train staff on dementia and abuse — patternProvide behavior health training consistent with the requirements and as determined by a facility 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 interview and record review, the facility failed to provide mandatory effective behavioral health training for 3 of 14 employees (CNA A, CNA B and CNA F) reviewed for training, in that: The facility failed to ensure annual effective behavioral health training was provided to CNA A, CNA B and CNA F. This failure could place residents with behaviors at risk of not receiving care to attain or maintain their highest practicable physical, mental, and psychosocial well-being due to lack of staff training. Findings included: Record review of the personnel file for CNA A indicated she was hired on 9/3/2020 and had not completed annual training on behavioral health. Training was last completed on 2/23/2024. Record review of the personnel file for CNA B indicated she was hired on 5/23/2023 and had not completed annual training on behavioral health. Training was last completed on 5/23/2023. Record review of the personnel file for CNA F indicated she was hired on 2/8/2024 and had not completed annual training on…
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.
- Potential for harm · Dcited before2025-03-19 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record 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 1 of 4 residents (Resident #153) and 1 of 5 staff (MDS Coordinator) reviewed for infection control. The MDS Coordinator failed to wear appropriate PPE for enhanced barrier precautions when providing care to Resident #153 on 3/18/2025. This failure could place residents at risk of exposure to infectious diseases due to improper infection control practices. Findings included: Record review of an admission Record dated 3/18/2025 for Resident #153 indicated he admitted to the facility on [DATE] and was [AGE] years old with diagnoses of osteomyelitis of left ankle and foot (bone infection), dementia, hypertension, acquired absence of left foot and right leg below knee (surgical removal). Record review of active…
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.
- Potential for harm · Dcited before2025-03-19 · tag F0940 — failed to train staff — isolatedDevelop, implement, and/or maintain an effective training program for all new and existing staff members.
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, implement, and maintain an effective training program for 3 of 14 employees (AD, DOR, and CNA B) reviewed for training. The facility failed to ensure the AD, DOR, and CNA B were trained on HIV annually. This failure could place residents at risk of not receiving care to attain or maintain their highest practicable physical, mental, and psychosocial well-being due to lack of staff training. Findings include: Record review of the personnel file for the AD indicated she was hired at the facility on 9/29/2023 and did not have annual training on HIV. Training was last completed on 2/19/2024. Record review of the personnel file for the DOR indicated she was hired at the facility on 6/1/2023 and did not have annual training on HIV. Training was last completed on 2/19/2024. Record review of the personnel file for CNA B indicated she was hired at the facility on 5/23/2023 and did not have annual training on HIV. Training was last completed on…
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.
- Potential for harm · Dcited before2025-03-19 · tag F0943 — isolatedGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
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, implement, and maintain an effective training program for 1 of 14 employees (DM) reviewed for training. The facility failed to ensure the DM was trained on dementia training annually. This failure could place residents at risk of not receiving care to attain or maintain their highest practicable physical, mental, and psychosocial well-being due to lack of staff training. Findings include: Record review of the personnel file for the DM indicated she was hired at the facility on 2/15/2024 and did not have annual training on dementia. Training was last completed on 2/16/2024. During an interview on 3/19/2025 at 9:22 AM, HR said she had been employed at the facility for a year. She said she was responsible for ensuring staff received the required trainings on hire. She said she was not sure who was responsible for ensuring staff received annual trainings. She said she used a guide that staff were given during orientation that included all 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.
- Potential for harm · E2024-09-25 · tag F0839 — patternEmploy staff that are licensed, certified, or registered in accordance with state laws.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interviews and record review the facility failed to ensure professional staff were licensed, certified, or registered in accordance with applicable State laws for 2 of 5 staff (CNA I and CNA J) reviewed for staff qualifications. The facility failed to ensure CNA I was appropriately certified to practice and provide CNA care in the State of Texas. The facility failed to ensure CNA J was appropriately certified to practice and provide CNA care in the State of Texas. This failure could place residents at risk of not receiving care and services from staff who were properly trained. The findings included: Record review of the computer program CNA certification verification portal TULIP (Texas unified licensure information portal) revealed CNA I's certification was initially issued on 1/7/1999 and expired on 12/18/2022. Record review of the computer program CNA certification verification portal TULIP revealed CNA J's certification in initially issued on 1/2/1996 and expired on 11/16/2023. During an interview on 9/25/2024 at 12:39 PM with CNA I, he said he had last worked at 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.
- Potential for harm · Fcited before2024-02-07 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure food was stored, prepared, and distributed under sanitary conditions in 1 of 1 kitchen reviewed for kitchen sanitation in that: The facility failed to label and date items in the dry storage and freezer. The facility failed to ensure the dish machine reached recommended minimal water temperature of 120 degrees Fahrenheit, (F) during the final rinse cycle. This failure could place the residents at risk of foodborne illnesses. Findings included: During an observation and interview 02/05/24 beginning at 9:20 a.m., initial kitchen tour with the Dietary Manager the following was observed: Dry storage: -Unlabeled dry cereal in bins x 3 no opened dates (Frosted Flakes, Cheerios, and Raisin Bran). 2- plastic packages of open, unsealed, unlabeled cereal in plastic packages. Unlabeled sugar and flour stored in bins with no use by date. Freezer: - - pancakes, burritos and chicken breasts with no labels, no dates when opened or expired dates. The Dietary Manager said she had worked at the facility for 10 years.…
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.
- Potential for harm · F2024-02-07 · tag F0851 — widespreadElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to electronically submit to CMS (Centers for Medicare & Medicaid Services) complete and accurate direct care staffing information, including information for agency and contract staff, based on payroll and other verifiable and auditable data in a uniform format according to specifications established by CMS for 1 of 4 quarters (Fiscal year 2023 for the fourth quarter July 1, 2023 to September 30, 2023) reviewed for administration. The facility failed to submit data for the fourth quarter of the fiscal year from July 1, 2023, to September 30, 2023, to CMS This failure could place residents at risk for personal needs not being identified and met. Findings include: Record review of the facility's Civil Rights form (3761) dated 2/5/2024 provided by the Administrator indicated a total of 49 residents and 70 staff that included: 3-Registered Nurses 8-Licensed Vocational Nurses 19-Direct Care Staff 10-Dietary Staff 11-Housekeeping and Laundry 19-All others Record review of the CMS PBJ (payroll-based journal) Staffing Data Report…
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.
- Potential for harm · F2024-02-07 · tag F0925 — failed to control pests — widespreadMake 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 observation, interview and record review the facility failed to maintain an effective pest control program so that the facility was free of pests for 1 of 12 (room [ROOM NUMBER]) rooms reviewed for pest control. The facility failed to ensure room [ROOM NUMBER] did not contain live roaches. This failure could place residents at risk of a diminished quality of life due to an unsafe environment. Findings include: During an observation on 02/05/24 at 9:34 AM, room [ROOM NUMBER] had a small refrigerator in the room. Inside the refrigerator was two dead roaches and one live roach. The refrigerator was unplugged and empty. During an interview on 02/05/24 at 9:35 AM, HSK D stated housekeeping staff cleaned the refrigerators weekly. He stated the refrigerator in 411 had not been working, had been unplugged and they had not been checking it. He stated the facility maintenance director was over the pest control program. He stated there had been roaches in the facility but had not seen any recently. He stated he…
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.
- Potential for harm · Ecited before2024-02-07 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 2 of 5 residents (Resident #5 and #14) and 3 of 6 staff (MA H, wound care doctor, and Treatment nurse) reviewed for infection control. MA H failed to properly clean reusable equipment in between each resident during medication administration on 02/06/2024. The wound care doctor failed to properly bag soiled wound bandages removed from Resident #5 on 02/05/2024. The Treatment nurse failed to perform proper hand hygiene while providing wound care to Resident #14 on 2/6/2024. These failures could place residents at risk of exposure to communicable diseases and infections. Findings include: 1. During medication pass observation on 2/6/24 between 7:47 a.m. and 8:02 a.m., MA H was observed to not sanitize 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.
- Potential for harm · E2024-02-07 · tag F0926 — failed to keep the home smoke-free / fire-safe — patternHave 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 established policy regarding smoking areas, and smoking safety for 2 of 3 smoking areas reviewed. The facility failed to keep trash out of the red metal trash cans designated for cigarette butts in the smoking area and failed to implement their smoking safety policy. This failure could place residents who smoke at risk of physical harm and lead to an unsafe smoking environment. The Findings Included: During an observation on 2/5/2024 at 11:07 AM, 5 residents were outside of the dining room smoking with staff present and a red smoking can had cigarette butts and multiple empty cigarette boxes that was about ¾ full. There was a fire blanket and fire extinguisher present. During an observation and interview on 2/6/2024 at 9:20 AM, the HSK Supervisor said housekeeping was responsible for emptying the red smoking cans and should be checking them daily. The red smoking cans outside of the secured unit and outside of the dining room had trash inside that included plastic wrapping from cigarette boxes 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.
- Potential for harm · Ecited before2024-02-07 · tag F0940 — failed to train staff — patternDevelop, implement, and/or maintain an effective training program for all new and existing staff members.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to develop, implement, and maintain an effective training program for 10 of 15 employees (ADON, Treatment Nurse, LVN J, SW, Dietary Manager, CNA A, CNA B, CNA K, MA L, and CNA M) new and existing staff reviewed for training. The facility failed to ensure ADON, SW, DM was trained on HIV, dementia, restraint reduction and completed 2-hour quarterly trainings annually. The facility failed to ensure the Treatment nurse was trained on HIV, restraint reduction and completed 2-hour quarterly trainings annually. The facility failed to ensure LVN J was trained on HIV, restraint reduction, fall prevention, and completed 2-hour quarterly trainings annually. The facility failed to ensure CNA A and CNA B was trained on HIV on hire. The facility failed to ensure CNA K was trained on HIV, and restraint reduction annually. The facility failed to ensure MA L was trained on HIV, restraint reduction, and dementia annually. The facility failed to ensure CNA M was trained on HIV, dementia, and restraint reduction on hire. This failure 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.
- Potential for harm · Ecited before2024-02-07 · tag F0941 — patternDevelop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to provide effective communications mandatory training for 5 of 15 employees (ADON, Treatment Nurse, SW, CNA K and MA L) reviewed for training, in that: The facility failed to ensure effective communication training was provided to the ADON, Treatment Nurse, SW, CNA K and MA L annually. This failure could place residents at risk of miscommunication and social isolation due to lack of staff training. Findings include: Record review of the personnel file for the ADON indicated she hired at the facility on 4/16/2020 and did not have annual training on effective communication. Record review of the personnel file for the Treatment Nurse indicated she hired at the facility on 4/22/2022 and did not have annual training on effective communication. Record review of the personnel file for the SW indicated she was hired at the facility on 11/2/2021 and did not have annual training on effective communication. Record review of the personnel file for the Dietary Manager indicated she was hired at the facility on 12/16/2015 and did not have…
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.
- Potential for harm · E2024-02-07 · tag F0942 — patternEnsure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to provide the required education on the rights of the resident and the responsibilities of a facility to properly care for its residents for 4 of 15 employees (ADON, LVN J, SW, and Dietary Manager) reviewed for training in that: The facility failed to ensure required training was provided on the rights of the resident and responsibilities of a facility to properly care for its residents was conducted annually to the ADON, LVN J, SW, and Dietary Manager. This failure could affect residents and place them at risk of being uninformed due to lack of staff training. Findings include: Record review of the personnel file for the ADON indicated she hired on 4/16/2020 and had not completed training on infection control within the previous 12 months. Record review of the personnel file for LVN J indicated she hired on 7/1/2021 and had not completed training on infection control within the previous 12 months. Record review of the personnel file for the SW indicated she hired on 11/1/2021 and had not completed training on infection…
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.
- Potential for harm · Ecited before2024-02-07 · tag F0943 — patternGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to provide the required annual or new hire Abuse training including all activities that constitute abuse, neglect, exploitation, and misappropriation of resident property, procedures for reporting incidents of abuse, neglect, exploitation, or the misappropriation of resident property, and resident abuse prevention for 4 of 15 employees (LVN J, LVN N, SW, and MA L) reviewed for training. The facility failed to ensure abuse training was provided to LVN J, LVN N, SW, and MA L. This failure could affect residents and place them at risk abuse due to lack of staff training. Findings include: Record review of the personnel file for LVN J indicated she was hired at the facility on 7/1/2021 and did not have annual training on abuse. Record review of the personnel file for LVN N indicated she was hired at the facility on 7/18/2023 and did not have training on abuse on hire. Record review of the personnel file for the SW indicated she was hired at the facility on 11/2/2021 and did not have annual training on abuse. Record review of 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.
- Potential for harm · E2024-02-07 · tag F0944 — patternConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interviews and record reviews, the facility failed to ensure Quality Assurance and Performance Improvement (QAPI) training that outlines and informs staff of the elements and goals of the facility's QAPI program for 8 of 15 employees (DON, ADON, Treatment Nurse, LVN J, SW, Dietary Manager, CNA K, and MA L) reviewed for training, in that: The facility failed to ensure that quality assurance and performance improvement training was provided to the DON, ADON, Treatment Nurse, LVN J, SW, Dietary Manager, CNA K, and MA L This failure could place staff and residents at risk for not being aware of facility programs, implementation, and monitoring. Findings: Record review of the personnel file for the DON indicated she hired on 5/11/2015 and did not have training on QAPI. Record review of the personnel file for the ADON indicated she hired at the facility on 4/16/2020 and did not have training on effective QAPI. Record review of the personnel file for the Treatment Nurse indicated she hired at the facility on 4/22/2022 and did not have training on QAPI. Record review of 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.
- Potential for harm · E2024-02-07 · tag F0945 — failed to train staff on abuse prevention — patternInclude as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to provide the mandatory training on standards, policies, and procedures for an infection prevention and control program for 8 of 16 staff (DON, ADON, Treatment Nurse, LVN J, SW, Dietary Manager, CNA K, and MA L) reviewed for training, in that: The facility failed to ensure infection prevention and control training was provided to the DON, ADON, Treatment Nurse, LVN J, SW, Dietary Manager, CNA K, and MA L. This failure could place residents at risk of illness due to lack of staff training. The findings were: Record review of the personnel file for the DON indicated she hired on 5/11/2015 and had not completed training on infection control within the previous 12 months. Record review of the personnel file for the ADON indicated she hired on 4/16/2020 and had not completed training on infection control within the previous 12 months. Record review of the personnel file for the Treatment Nurse indicated she hired on 4/22/2022 and had not completed training on infection control within the previous 12 months. Record review of 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.
- Potential for harm · Ecited before2024-02-07 · tag F0946 — patternProvide training in compliance and ethics.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to provide the required compliance and ethics training for 8 of 15 employees (DON, ADON, Treatment Nurse, LVN J, SW, Dietary Manager, CNA K, and MA L) reviewed for training in that: The facility failed to ensure compliance and ethics training was provided to the DON, ADON, Treatment Nurse, LVN J, SW, Dietary Manager, CNA K, and MA L. This failure could affect residents and place them at risk of poor care or victimization due to lack of staff training. Findings included: Record review of the personnel file for the DON indicated she hired on 5/11/2015 and had not completed training on compliance and ethics. Record review of the personnel file for the ADON indicated she hired on 4/16/2020 and had not completed training on compliance and ethics. Record review of the personnel file for the Treatment Nurse indicated she hired on 4/22/2022 and had not completed training on compliance and ethics. Record review of the personnel file for LVN J indicated she hired on 7/1/2021 and had not completed training on compliance and ethics.…
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.
- Potential for harm · E2024-02-07 · tag F0947 — failed to train nurse aides adequately — patternEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
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 record of the required annual in-service records and required in-service trainings for nurse aides were sufficient for the continuing competencies of nurse aides but must be no less than 12 hours per year and included abuse, neglect training for 2 of 5 staff, (CNA K and MA L) records reviewed for staff training. The facility failed to provide CNA K and MA L 12 hours of training per year. This failure could place residents at risk of being cared for by untrained staff. The findings included: Record review of the personnel file for CNA K indicated she hired at the facility on 10/20/2021 and it did not include evidence for 12 hours of training each year since date of hire. Record review of the personnel file for MA L indicated she hired at the facility on 7/1/2013 and it did not include evidence for 12 hours of training each year since date of hire. During an interview on 2/7/2024 at 9:24 AM, HR said she was responsible for completing 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.
- Potential for harm · Ecited before2024-02-07 · tag F0949 — failed to train staff on dementia and abuse — patternProvide behavior health training consistent with the requirements and as determined by a facility assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to provide mandatory effective behavioral health training for 8 of 15 employees (DON, ADON, Treatment Nurse, LVN J, SW, Dietary Manager, CNA K, and MA L) reviewed for training, in that: The facility failed to ensure effective behavioral health training was provided to the DON, ADON, Treatment Nurse, LVN J, SW, Dietary Manager, CNA K and MA L. This failure could place residents with behaviors at risk of not receiving care to attain or maintain their highest practicable physical, mental, and psychosocial well-being due to lack of staff training. Findings included: Record review of the personnel file for the DON indicated she hired on 5/11/2015 and had not completed training on behavioral health. Record review of the personnel file for the ADON indicated she hired on 4/16/2020 and had not completed training on behavioral health. Record review of the personnel file for the Treatment Nurse indicated she hired on 4/22/2022 and had not completed training on behavioral health. Record review of the personnel file for LVN J indicated…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-02-07 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor 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, interviews, and record reviews the facility failed to provide a safe, clean, comfortable, and homelike environment, which included clean bed and bath linens that are in good condition for 1 of 6 residents (Resident #33) reviewed for homelike environment. The facility failed to provide clean linens for Resident #33's shower. This failure could place residents at risk of poor hygiene and decreased sense of self-worth. Findings include: Record review of a face sheet dated 2/6/24 for Resident #33 indicated that he was a [AGE] year-old male who admitted to the facility on [DATE] with diagnosis of type 2 diabetes mellitus (uncontrolled blood sugar). Record review of a Quarterly MDS assessment dated [DATE] for Resident #33 indicated that he had a BIMS score of 9 indicating that he had moderately impaired cognition. During an interview on 2/6/24 at 8:02 a.m., Resident #33 stated that he was upset that he could not get a shower yesterday 2/5/24 because they did not have any towels. He said that…
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.
- Potential for harm · D2024-02-07 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide 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 residents who need respiratory care are provided such care, consistent with professional standards of practice for 2 of 9 residents (Residents #9 and #15) reviewed for oxygen usage. The facility failed to ensure Resident #9's oxygen tubing was changed weekly. The facility failed to ensure Resident #15's oxygen concentrator filter was clean and free of dust, oxygen tubing was changed weekly, and humidifier bottle was connected to the oxygen concentrator. These deficient practices could place residents at risk of breathing in dust and allergens, decreased effectiveness of oxygen concentrators and respiratory infections. Findings include: 1. Record review of a facility face sheet dated 2/6/24 for Resident #9 indicated that she was a [AGE] year-old female who admitted to the facility on [DATE] with diagnosis of acute and chronic respiratory failure with hypoxia (a condition where you don't have enough oxygen in the tissues in your…
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.
- Potential for harm · D2024-02-07 · tag F0805 — failed to prepare food in a form residents can eat — isolatedEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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 prepared in a form designed to meet individual needs for 2 of 3 (Residents #50 and #28) residents reviewed for puree diets. The facility failed to prepare the pureed diet to the consistency required for Resident #50 and Resident #28. This failure could place residents who received pureed meat and vegetables at risk of not having nutritional needs met by consuming foods that could cause choking and decreased meal intakes. Findings included: Observations of the noon meal on 2/5/24 and 2/6/24 at 00:00, the pureed meats and vegetables were not pureed to a smooth pudding like consistency and were too thick. Record review of face sheet dated 2/07/24 for Resident #50 indicated she admitted to the facility on [DATE] and was a [AGE] year-old female with Dx. of dementia unspecified (decline in cognitive abilities), protein calorie malnutrition and nausea with vomiting. 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.
- Potential for harm · D2024-02-07 · tag F0808 — failed to follow doctor-ordered diets — isolatedEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
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 food was prepared in a form designed to meet individual needs and as prescribed by the physician for 1 of 6 residents (Resident #24) reviewed for therapeutic diets. The facility failed to serve 4oz of yogurt with lunch meal as prescribed by physician to Resident #24. This failure could place residents who received food from the kitchen at risk for decreased meal satisfaction, potential weight loss due to poor meal intake, not having their nutritional needs met, and a decline in health status. Findings include: Record review of a face sheet dated 2/6/24 for Resident #24 indicated that she was a [AGE] year-old female admitted to the facility on [DATE] with diagnoses of chronic peripheral venous insufficiency (when your leg veins don't allow blood to flow back up to your heart) and chronic kidney disease (occurs when a disease or condition impairs kidney function, causing kidney damage to worsen over several months or years). 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.
- Potential for harm · D2024-02-07 · tag F0813 — isolatedHave a policy regarding use and storage of foods brought to residents by family and other visitors.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to maintain and ensure safe and sanitary storage of residents' food items, per facility policy, for 1 of 4 resident's (Resident #2) personal refrigerators reviewed for food and nutrition services. The facility failed to ensure the refrigerator for Resident #2 did not contain a cup of peach yogurt dated 1/18/24. This failure could place residents at risk for food borne illnesses. Findings include: Record review of a facility policy with a revised date of 8/28/2023 titled Resident Refrigerators indicated, .This facility does not provide a refrigerator in a resident's room. However, it is the policy of this facility to ensure safe and sanitary use of any resident-owned refrigerators. 3. Staff shall inspect the refrigerator weekly, clean as needed, and discard any foods that are out of compliance . Record review of an admission Record dated 2/6/2024 for Resident # 2 indicated she admitted to the facility on [DATE] and was 69 years 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.
- No harm found · C2025-03-19 · tag F0732 — widespreadPost nurse staffing information every day.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and interview, the facility failed to ensure nurse staffing data was posted daily and readily accessible to residents and visitors with all required information for 2 of 2 days reviewed (3/17/2025 and 3/18/2025) for nurse staffing posting. The facility failed to post the daily staffing information in a prominent place on 3/17/2025 and 3/18/2025. This failure could place residents, families, and visitors at risk of not being informed of the census and number of staff working each day to provide care on all shifts. Findings included: During an observation on 3/17/2025 at 10:58 AM, the daily staff posting was not in or around the front entrance. The daily staff posting was dated 3/17/2025 and on a wall by the SW office that was not clearly visible to see. During an observation 3/18/25 at 2:35 PM, the daily staff posting was dated 3/18/2025 and on a wall by the SW office that was clearly visible to see. During an interview on 3/19/2025 at 10:33 AM, HR said she was responsible for putting up the daily staff posting. She said the staff posting was put up so people…
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.
“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.
- 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.
Fines & penalties
$30,933 in federal fines across 1 penalty.
- $30,933 — penalty dated 2024-09-25
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.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| BAYLOR COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 06/01/2023 |
| LYONS, PAULA | Individual | W-2 MANAGING EMPLOYEE | — | since 06/01/2023 |
| HARDIN, LESLIE | Individual | CORPORATE OFFICER | — | since 06/01/2023 |
| CHEROKEE TRAILS HC LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | since 06/01/2023 |
| SILBERSTEIN, ARI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 06/01/2023 |
2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
About 88% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in TX
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.
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 675835. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-05-20, 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.