Loading facility…
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K1 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D16 | E19 | F11 |
| Minimal | A· | B· | C2 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| May 20, 2026 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| May 20, 2026 | Health | Health Standard | 11 | Potential harm | — | Open → |
| Nov 19, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| May 19, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 13, 2025 | Fire safety | Fire Safety Standard | 14 | Potential harm | — | Open → |
| Mar 13, 2025 | Health | Health Complaint, Health Standard | 6 | Potential harm | — | Open → |
| Dec 27, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Mar 14, 2024 | Health | Infection Control | 0 | No citations | — | Open → |
| Feb 1, 2024 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Feb 1, 2024 | Health | Health Standard | 6 | Immediate jeopardy | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| May 19, 2025 | Civil money penalty (fine) | $6,227 | — | 455486|Fine|113886 |
| Feb 1, 2024 | Denial of payment for new admissions | — | Mar 2, 2024 · 5 days | 455486|Payment Denial|2024-03-02 |
| Feb 1, 2024 | Civil money penalty (fine) | $30,684 | — | 455486|Fine|112331 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K1 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D16 | E19 | F11 |
| Minimal | A· | B· | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 20, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 23, 2026 | |
| May 20, 2026 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 18, 2026 | |
| May 20, 2026 | F-0656 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates 58 facilities.
34 facilities in 7 states. CMS chain ID 193.
Chain average overall rating (CMS): 2.4
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Fannin County Hospital Authority | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 1, 2018 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Fannin County Hospital Authority | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 1, 2018 |
| Lssh Ennis, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2026 |
| Ryan Coil | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2026 |
| Morley Paterson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2026 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Avir at the Meadow 8383 Meadow Road, Dallas, TX 75231 CCN 455463 | 184 | Jul 27, 2026 | 693 IJ2 harm | $36k | |
| Pleasant Springs Healthcare Center 2003 North Edwards Avenue, Mount Pleasant, TX 75455 CCN 455532 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Jourdanton Nursing and Rehabilitation 1504 Highway 97e, Jourdanton, TX 78026 CCN 455549 | 60 | Jul 27, 2026 | 542 IJ | $28k | |
| Memorial Medical Nursing and Rehabilitation 307 W Cypress St, San Antonio, TX 78212 CCN 455597 | 135 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Legend Oaks Healthcare and Rehabilitation - Ennis 1400 Medical Center Drive, Ennis, TX 75119 CCN 676253 | 1.1 km | 124 | May 7, 2026 | 17 | — | |
| Bluebonnet Rehab at Ennis 2300 South Oak Grove Rd, Ennis, TX 75119 CCN 675150 | 1.5 km | 136 | Aug 20, 2026 | 311 harm | $13k | |
| Legend Oaks Healthcare and Rehabilitation - Waxaha 151 Country Meadows Boulevard, Waxahachie, TX 75165 CCN 676421 | 23.6 km | 121 | Jul 25, 2026 | 372 IJ3 harm | $41k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 455486 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 455486 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care |
| D · Potential harm Isolated |
| Corrected Jun 18, 2026 |
| May 20, 2026 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 18, 2026 |
| May 20, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 18, 2026 |
| May 20, 2026 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 18, 2026 |
| May 20, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 18, 2026 |
| May 20, 2026 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 18, 2026 |
| May 20, 2026 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 18, 2026 |
| May 20, 2026 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 18, 2026 |
| May 20, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 18, 2026 |
| May 20, 2026 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 18, 2026 |
| Nov 19, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Past non-compliance Nov 17, 2025 | Complaint |
| May 19, 2025 | F-0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 13, 2025 | Complaint |
| Mar 13, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 27, 2025 |
| Mar 13, 2025 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 27, 2025 |
| Mar 13, 2025 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 27, 2025 |
| Mar 13, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 27, 2025 |
| Mar 13, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 27, 2025 |
| Mar 13, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 27, 2025 |
| Mar 13, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 27, 2025 |
| Mar 13, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 27, 2025 |
| Mar 13, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 27, 2025 |
| Mar 13, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 27, 2025 |
| Mar 13, 2025 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 27, 2025 |
| Mar 13, 2025 | K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 27, 2025 |
| Mar 13, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 27, 2025 |
| Mar 13, 2025 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 6, 2025 |
| Mar 13, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Past non-compliance Jan 7, 2025 | Complaint |
| Mar 13, 2025 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 7, 2025 |
| Mar 13, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 6, 2025 |
| Mar 13, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 6, 2025 |
| Mar 13, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 6, 2025 |
| Mar 13, 2025 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Mar 14, 2025 |
| Dec 27, 2024 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 17, 2025 | Complaint |
| Dec 27, 2024 | F-0624 | Prepare residents for a safe transfer or discharge from the nursing home. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 17, 2025 | Complaint |
| Dec 27, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 17, 2025 | Complaint |
| Feb 1, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Corrected Feb 3, 2024 |
| Feb 1, 2024 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Feb 5, 2024 |
| Feb 1, 2024 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 7, 2024 |
| Feb 1, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 7, 2024 |
| Feb 1, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 5, 2024 |
| Feb 1, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 2, 2024 |
| Feb 1, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 23, 2024 |
| Feb 1, 2024 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Feb 3, 2024 |
| Feb 1, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 3, 2024 |
| Feb 1, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 3, 2024 |
| Feb 1, 2024 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 3, 2024 |
| Feb 1, 2024 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 3, 2024 |
| Feb 1, 2024 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Feb 2, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.55 (case-mix index 1.32).
| Clark Sanderson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 1, 2018 |
| Lssh Ennis, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2026 |
| Ryan Coil | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2026 |
| Morley Paterson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2026 |
| 90 |
| Aug 7, 2026 |
774 IJ2 harm |
| $66k |
| Avir at Center 280 Moffitt Dr, Center, TX 75935 CCN 455550 | 137 | Jul 23, 2025 | 271 IJ | $9,113 |
| Texoma Healthcare Center 1000 US Highway 82 East, Sherman, TX 75090 CCN 455573 | 179 | Aug 19, 2026 | 602 IJ6 open | $16k |
| Avir at Weatherford 521 W. 7th Street, Weatherford, TX 76086 CCN 455574Abuse icon | 122 | Feb 12, 2026 | 262 IJ | $22k |
| Grand Terrace Rehabilitation and Healthcare 812 W. Houston Ave., Mcallen, TX 78501 CCN 455586 | 93 | Jun 17, 2026 | 16 | — |
| Christian Care Communities and Services Mesquite 1000 Wiggins Parkway, Mesquite, TX 75150 CCN 455617 | 180 | May 21, 2026 | 314 IJ | $29k |
| Alta Vista Rehabilitation and Healthcare 510 Paredes Line Rd, Brownsville, TX 78521 CCN 455625 | 100 | May 1, 2026 | 281 IJ | — |
| Aug 5, 2026 |
872 IJ11 open |
| $35k |
| Hacienda Oaks at Beeville 4713 Business 181 N, Beeville, TX 78102 CCN 455608 | 101 | Jul 1, 2026 | 271 open | — |
| Greenview Nursing and Rehabilitation 401 Owen Lane, Waco, TX 76710 CCN 455638 | 128 | Jul 22, 2026 | 583 IJ6 harm | $65k |
| Silver Creek Nursing and Rehabilitation 9014 Timber Path, San Antonio, TX 78250 CCN 455652 | 120 | Jul 2, 2025 | 28 | — |
| San Antonio North Nursing and Rehabilitation 501 Ogden, San Antonio, TX 78212 CCN 455817 | 118 | Aug 6, 2026 | 762 IJ | $17k |
| Hurst Plaza Nursing and Rehab 215 E Plaza Blvd, Hurst, TX 76053 CCN 455850 | 106 | May 21, 2026 | 23 | $6,540 |
| Deer Creek Nursing and Rehabilitation 555 Ranch Rd 3237, Wimberley, TX 78676 CCN 455917 | 122 | Aug 20, 2026 | 544 IJ1 harm | $50k |