Greenview Nursing and Rehabilitation

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

Met the expected recovery: 33.3% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 21 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.55 therapist hours per resident per day in 2026Q1 — more than 85% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 10% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 128 beds and averages 93.1 residents a day — about 73% occupied, or roughly 35 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 2.86 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.34 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.67 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 2.60 hrs/resident/day on weekends vs 2.96 on weekdays — 12% thinner on weekends. RN hours go from 0.37 to 0.29 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 70% is well above the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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

Inspection trend

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

Inspection deficiencies

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

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

45 citations, most serious first. The 19 most serious are shown; the remaining 26 are one tap away and print in full.

• Immediate jeopardy · Kcited before2025-07-03 · tag F0600 — failed to protect residents from abuse and neglect — pattern
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, observation, and record review, the facility failed to ensure the residents had the right to be free from physical abuse and neglect for 3 (Resident #1, Resident #2, and Resident #3) of 9 residents reviewed for abuse and neglect. 1. The facility failed to provide continuous one to one monitoring for Resident #1 after repeated targeted aggressive behavior against Resident #2. An Immediate Jeopardy (IJ) situation was identified on 07/01/25 at 6:55 pm for failure #1. While the IJ was removed on 07/02/25 a 6:42 pm the facility remained out of compliance at a scope of isolated that with a potential for more than minimal harm, due to the facility's need to evaluate the effectiveness of the corrective systems. 2. The facility failed to ensure Resident #3 was not physically abused by MA F on 06/25/2025 when MA F grabbed Resident #3's wrist. These failures could affect the residents by placing them in mental anguish or emotional distress, pain, and physical harm. Findings included: 1.Resident #1…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2025-06-12 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 (Resident #1) of 3 residents reviewed for accidents and hazards. The facility failed to ensure there was appropriate supervision on [DATE] when Resident #1, who resided on the secure unit, exited the secure unit, after RN A left the unit (to respond to a code after not being familiar with the CPR policy), and then one of the facility's side exits and got into the passenger seat of a parked fire truck in the parking lot. An Immediate Jeopardy (IJ) was identified on [DATE]. The IJ template was provided to the facility on [DATE] at 4:28pm. While the IJ was removed on [DATE], the facility remained out of compliance at a scope of isolated and a severity level of no actual harm with potential for more than minimal harm that was not immediate jeopardy due to the facility's need to evaluate the effectiveness of the corrective systems. These…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2024-01-12 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, observations, and record review the facility failed to ensure each resident receives adequate supervision and assistive devices for one of twenty residents (Resident #1) reviewed for accidents. The facility failed to ensure Resident #1's coffee cup was positioned properly at the upper right of his plate which led to him knocking it over. Resident #1 sustained 2nd degree burns to his bilateral inner thighs from the hot coffee. An IJ was identified on 01/11/2024 at 4:10 PM. While the IJ was removed on 01/12/2024, the facility remained out of compliance at a severity level of actual harm and a scope of isolated harm due to the facility continuing to monitor the implementation and effectiveness of their Plan of Removal. These failures placed all residents at risk for injuries, pain, and mental anguish. Findings include: Record review of Resident #1's face sheet dated 01/11/2024, reflected Resident #1 was a [AGE] year-old man admitted on [DATE] with diagnoses of unspecified glaucoma (build-up of…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2026-04-23 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review the facility failed to provide adequate supervision and assistance devices to prevent accidents for 1 of 6 (Resident #1) reviewed for accident hazards and supervision.The facility failed to ensure Resident #1 was properly secured in her wheelchair on 4/20/2026, which resulted in the resident slipping out of her wheelchair onto the floor of the vehicle and suffering a fractured toe and shoulder pain.This failure placed the residents at risk of serious harm and a diminished quality of life.Findings included:Record review on 4/23/2026 of Resident #1's admission record reflected a [AGE] year-old female, originally admitted to the facility on [DATE]. Record review on 4/23/2026 of Resident #1's diagnoses report reflected the following diagnoses in part: End Stage Renal Disease (kidney failure), Other Specified Disorders of Bone Density and Structure, Unspecified Site (abnormal bone density), Nondisplaced Fracture of Third Metatarsal Bone, Right Foot, Subsequent Encounter for…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2025-06-12 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure residents received care consistent with professional standards of practice to prevent pressure ulcers and did not develop pressure ulcers unless the individual's clinical condition demonstrates they were unavoidable, and a resident with pressure ulcers received necessary treatment and services to promote healing, prevent infection, and prevent new ulcers from developing for one 1 (Resident #3) of six residents reviewed for quality of care. The facility failed to complete weekly skin assessments, obtain wound care orders and a therapy consult for Resident #3, causing his wound to deteriorate. These failures placed the resident at risk of not receiving adequate care and services, pain, and decreased quality of life. Findings included: Review of Resident #3's face sheet dated 5/29/2025 reflected a [AGE] year-old male admitted to the facility on [DATE] with diagnoses that included: Spastic Quadriplegic Cerebral Palsy (congenital…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-10-30 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to ensure its residents were free from abuse for 2 of 10 Residents (Resident #2 and Resident #3) reviewed for resident-on-resident abuse. 1. The facility failed to prevent Resident #1 from punching Resident #2, on his body, on 8/18/2024. 2. The facility failed to prevent Resident #1 from physically abusing Resident #3, with a wheelchair, on 8/22/2024. This failure could have placed the facility residents at risk of physical harm and mental anguish. Findings included: Resident #1 Record review or Resident #1's AR, dated 10/29/2024, reflected a [AGE] year-old male who admitted to the facility on [DATE]. He was diagnosed with Dementia (which was a disease that affected memory, thought, and interfered with daily life). Record review of Resident #1's Discharge MDS (unplanned), dated 10/10/2024, reflected the resident had a BIMS Score of 1. A BIMS Score of 1 indicated the resident had severe cognitive impairment. Record review of Resident #1's…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-10-30 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to develop and implement a CCP for 1 or 3 residents (Resident #1) reviewed for CCP. 1. The facility failed to implement care plan interventions for Resident #1, after Resident #1's physically abused Resident #2 on 8/18/2024, to protect other facility residents. This failure could have placed the facility residents at risk of physical harm and mental anguish. Findings included: Resident #1 Record review or Resident #1's AR, dated 10/29/2024, reflected a [AGE] year-old male who admitted to the facility on [DATE]. He was diagnosed with Dementia (which was a disease that affected memory, thought, and interfered with daily life.) Record review of Resident #1's Discharge MDS (unplanned), dated 10/10/2024, reflected the resident had a BIMS Score of 1. A BIMS Score of 1 indicated the resident had severe cognitive impairment. Record review of Resident #1's CCP reflected a focus area, initiated on 8/22/2024/ revised on 8/22/2024, for potential to demonstrate…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-05-15 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review that facility failed to immediately inform the resident; consult with the resident's physician; and notify, consistent with his or her authority, the resident representative(s) when there is (A) significant change in the resident's physical, mental, or psychosocial status (that is, a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications); (C) A need to alter treatment significantly (that is, a need to discontinue an existing form of treatment due to adverse consequences, or to commence a new form of treatment). On 5/11/2024 Resident #1 was admitted into the hospital due to a decline in health. Resident #1 was lethargic, unable to stand, skin was pale in color and fingertips were turning purple. Resident #1 was diagnosed with severe dehydration and non-traumatic rhabdomyolysis (breakdown of muscle tissue that release a damaging protein into the blood). The facility failed to identify there was a…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-05-15 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure residents maintained acceptable parameters of nutritional status, such as usual body weight or desirable body weight range and electrolyte balance, unless the resident's clinical condition demonstrated that was not possible or the resident preferences indicated otherwise for 1 of 13 residents (Resident #1) reviewed for nutrition and hydration. On 5/11/2024 Resident #1 was admitted into the hospital due to a decline in health. Resident #1 was lethargic, unable to stand, skin was pale in color and fingertips were turning purple. Resident #1 was diagnosed with severe dehydration and non-traumatic rhabdomyolysis (breakdown of muscle tissue that release a damaging protein into the blood). The facility failed to identify there was a decrease in Resident #1's meal intake and notify the nutritionist, NP, or PCP to address nutritional or hydration concerns for Resident #1. This failure could place residents at risk of nutritional deficit, dehydration, 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-03-05 · tag F0562 — widespread
  Provide immediate access to any resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews, observation, and record review, the facility failed to allow immediate access to residents by a state representative of HHSC in that:The facility's Administrator refused to allow a HHSC Employee to enter the facility to conduct a Priority One investigation; with a resulting outcome of delaying entrance on 3/3/2026 from 10:05 am through til 2:00 pm, a delay of 4 hours.This failure placed all 93 residents at risk of potential harm due to a priority investigation not being conducted to rule out immediacy. Findings included: On 03/03/2026 at 10:05 am, through direct observation the HHSC Surveyor entered the facility and checked in with the reception desk. The HHSC Surveyor was led to the conference room behind the reception desk. On 3/3/2026 at 10:11 am, the ADM entered the conference room and informed the Surveyor she would not be allowed in the building to conduct the P1 investigation. The ADM was advised it was a P1 investigation. On 3/3/2026 at 10:43 am, the Surveyor was instructed by phone from the PM to leave the facility. The PM then contacted the ARD and was…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-03-05 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record reviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for one of one kitchen reviewed for kitchen sanitation, in that: The facility failed to label, date and seal food items in the pantry, refrigerator and chest freezer on 3/3/2026. The deficient practice placed residents who were served from the kitchen at risk for health complications and foodborne illnesses.Findings included: During an observation on 3/3/2026 between 3:27 pm and 3:47 pm the following observations were made in the kitchen area: 1) a clear, plastic, square container with a white granulated substance in it was found on the floor, lying on its side with the lid off and the white granulated substance on the pantry floor.2) an unsealed zip bag of pasta was on the pantry shelf.3) an unsealed bag of tortilla chips was on the pantry shelf.4) an open box, containing a blue unsealed bag of rice was on the pantry shelf.5) an unsealed plastic tote, not dated or labeled, of a while granulated substance was on the pantry…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-01-29 · tag F0558 — failed to accommodate residents' needs and preferences — pattern
  Reasonably accommodate the needs and preferences of each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences for two (Resident #2 and Resident #3) of six residents review for resident rights. The facility failed to keep Resident #2's bell within reach to call for assistance. The facility failed to provide an alternative way for Resident #3 to call for staff assistance. These failures place residents at risk of not getting their needs met timely.Findings included:Review of Resident #2's face sheet printed 01/29/2026 reflected a [AGE] year-old female who was admitted on [DATE] with remission date of 12/15/2022 with the following dx: Osteoarthritis to the right shoulder (a degenerative condition where cartilage wears down, causing pain, stiffness, grinding (crepitus), and reduced range of motion, often affecting sleep), Osteoarthritis of the knee, Chronic Obstructive Pulmonary Disease (a progressive, incurable lung…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-01-29 · tag F0919 — failed to provide a working call system — pattern
  Make sure that a working call system is available in each resident's bathroom and bathing area.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews and record review, the facility failed to ensure resident rooms were adequately equipped to allow residents to call for staff assistance through a communication system which relays the call directly to a staff member or to a centralized staff work area for two (Resident #2 and Resident #3) of six residents reviewed for resident call system in that: Resident #2 and Resident #3 did not have a properly functioning call system in their room from 11/18/2025 to 01/29/2026. This failure placed residents at risk of being unable to obtain assistance for activities of daily living or in the event of an emergency.Findings included Observation on 01/29/2026 at about 09:40 am with the Maintenance Director, in Resident #2 and Resident #3's room revealed their call light system was not functioning, and the entire box was out of the wall. It was observed Resident #2's call button was placed on the bed within reach even though it was non-functioning and a bell on top of Resident #2's nightstand was out of reach. Observation also revealed Resident #3's call light 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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-29 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and records review the facility failed to develop and implement a person-centered comprehensive care plan for each resident consistent with resident rights set forth that include measurable objectives and timeframes to meet the resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment. for one (Resident #1) of six residents reviewed for care plan. The Facility failed to include in Resident #1's care plan that she needed 2-person physical assist with transfer via mechanical lift.The facility failed to have an order for Resident #1 to be transferred via mechanical lift. This deficient practice placed Residents at risk for not getting the right interventions, risk for harm and hospitalization. Findings included:Review of Resident #1's face sheet printed 01/29/2026 reflected a [AGE] year-old female who was admitted on [DATE] with the following dx: Chronic Obstructive Pulmonary Disease (a progressive, incurable lung disease-primarily caused…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-29 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record review, the facility failed to ensure each resident receives adequate supervision and assistance devices to prevent accidents for 1 of 4 residents (Resident #1) reviewed for mechanical lift transfer. The facility failed to ensure Resident #1 was transferred safely when CNA A transferred her by mechanical lift by herself on 01/29/2026. This failure placed residents at risk of injury.Review of Resident #1's face sheet printed 01/29/2026 reflected a [AGE] year-old female who was admitted on [DATE] with the following dx: Chronic Obstructive Pulmonary Disease (a progressive, incurable lung disease-primarily caused by smoking-that causes airflow obstruction, making it difficult to breathe.), Muscle weakness, pain unspecified, Type 2 Diabetes Mellitus with unspecific complications (is a chronic metabolic condition where the body resists insulin or fails to produce enough, causing high blood sugar.), cerebral infarction (a critical medical condition where restricted blood…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-12-09 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for dietary services in that: The facility's dietary staff failed to effectively label and date items in the walk-in refrigerator. The facility failed to address the kitchen's air conditioning vents that were visibly soiled with a black substance. These failures could place residents at risk for food contamination and foodborne illness.The findings include:During a tour of the kitchen on 10/17/2025 at 09:27am the following was observed:The walk-in refrigerator contained what appeared to be ravioli in a clear plastic bag that was not labeled or dated.The freezer contained what appeared to be hash browns in a clear plastic bag with no label or date.The freezer contained what appeared to be pancakes in a clear plastic bag with no label or date.The air condition system in the ceiling of the kitchen had a black substance on the vents. No interview could be conducted with the DM…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-12 · tag F0813 — isolated
  Have 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 have a policy regarding use and storage of foods brought to residents by family and other visitors to ensure safe and sanitary storage, handling, and consumption for 1 of 5 residents (Residents #1) reviewed for food and nutrition services.1. The facility failed to ensure Resident #1's personal refrigerator did not have a brown substance stuck to the bottom of the refrigerator and freezer along with a food encrusted butter knife. 2. The facility failed to ensure Resident #1's personal refrigerator had a temperature log.These deficient practices could place residents at risk of foodborne illness due to consuming foods which might be spoiled. The findings include: Record review of Resident #1's admission Record reflected Resident #1 was admitted to the facility on [DATE]. Resident #1 had diagnoses which included Alzheimer's disease (a progressive brain disorder that affects memory, thinking, and behavior), elevated blood pressure, muscle…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-29 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide a safe, clean, comfortable, homelike environment for 1 (Resident #1) of 5 Residents. The facility failed to clean food and dead fly larvae (maggots) from Resident #1s bed side table on 08/29/25. This failure could place residents at risk of living, and families visiting in an unclean and uncomfortable environment.Record review of Resident #1's undated admission record reflected a [AGE] year-old male who was admitted to the facility on [DATE]. Diagnosis included Alzheimer's disease (a progressive brain disease leading to memory loss), Diabetes Mellitus (elevated blood sugar), High Blood Pressure, and schizophrenia (a chronic mental health disease affecting a person's thoughts, feeling, and behaviors). Record review of Resident #1's Annual MDS, dated [DATE], reflected a BIMS score of 08, indicating Resident #1 had moderate cognitive impairment. The MDs reflected Resident #1 required set up or clean up assistance with eating,…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-03 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, observation, and record review, the facility failed to ensure that residents received routine and emergency drugs and biologicals for 1 of 6 residents (Resident #3) reviewed for pharmacy services. The facility failed to give Resident #3 her Rivaroxaban 20mg (a medication used to prevent blood clots) tablet scheduled medication on 06/22/2025, 06/23/2025, 06/24/2025 and 06/25/2025. These failures placed residents at risk not receiving the therapeutic benefit or adverse reactions to prescribed medications. Record review of Resident #3's admission record, dated 07/02/2025, reflected a [AGE] year-old female originally admitted to the facility on [DATE] and last readmitted on [DATE]. Resident #3 had diagnoses that included Type 2 Diabetes Mellitus (a condition that affects how the body uses sugar as a fuel), Senile Degeneration of Brain (a decline in an individual's memory, behavior, and cognitive abilities), Chronic Systolic Heart Failure (an impairment in the heart's ability to fill with and pump…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$73,108 in federal fines across 5 penalties. 2 Medicare payment denials on record.

• $22,895 — penalty dated 2026-04-23
• $8,281 — penalty dated 2025-04-21
• $9,068 — penalty dated 2025-04-21
• $25,876 — penalty dated 2024-04-30
• $6,988 — penalty dated 2023-11-09
• Medicare payment denial — starting 2024-11-29 for 11 days
• Medicare payment denial — starting 2024-06-13 for 2 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to EDURO HEALTHCARE — 34 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 7 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

About 80% 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