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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J5 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D23 | E14 | F2 |
| Minimal | A· | B· | C· |
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 | |
|---|---|---|---|---|---|---|
| Aug 14, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Aug 14, 2025 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Jul 31, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Mar 3, 2025 | Health | Health Complaint | 5 | Immediate jeopardy | — | Open → |
| Jun 28, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jun 28, 2024 | Health | Health Standard | 11 | Potential harm | — | Open → |
| Jun 24, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 30, 2024 | Health | Health Complaint | 4 | Immediate jeopardy | — | Open → |
| Nov 7, 2023 | Health | Health Complaint | 6 | Potential harm | — | Open → |
| Apr 14, 2023 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Apr 14, 2023 | Health | Health Standard | 0 | No citations | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jul 31, 2025 | Civil money penalty (fine) | $9,113 | — | 455533|Fine|134320 |
| Mar 3, 2025 | Civil money penalty (fine) | $93,356 | — | 455533|Fine|113656 |
| Mar 3, 2025 | Civil money penalty (fine) | $16,149 | — | 455533|Fine|113655 |
| May 30, 2024 | Civil money penalty (fine) | $80,455 | — | 455533|Fine|112890 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J5 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D23 | E14 | F2 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 14, 2025 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 29, 2025 | |
| Aug 14, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 20, 2025 | |
| Aug 14, 2025 | F-0584 |
“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 7 facilities.
8 facilities in 1 states. CMS chain ID 103.
Chain average overall rating (CMS): 3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Medina County Hospital District | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | May 1, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Medina County Hospital District | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | May 1, 2025 |
| Maryann Choi | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | May 8, 2025 |
| Robert Choi | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | May 8, 2025 |
| Ernest Cunningham | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | May 8, 2025 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Community Care Center of Hondo 2001 Ave E, Hondo, TX 78861 CCN 455676 | 75 | Sep 12, 2025 | 373 IJ | $19k | |
| Town and Country Nursing and Rehabilitation Center 625 N Main St, Boerne, TX 78006 CCN 455796 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Hearthstone Nursing and Rehabilitation 401 Oakwood Blvd, Round Rock, TX 78681 CCN 455771 | 120 | Apr 3, 2026 | 273 IJ1 harm | $26k | |
| Wurzbach Nursing and Rehabilitation 8300 Wurzbach Rd., San Antonio, TX 78229 CCN 455824 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Avir at Heritage 5437 Eisenhauer Road, San Antonio, TX 78218 CCN 675858 | 2.9 km | 150 | Aug 21, 2026 | 49 | — | |
| Northeast Rehabilitation and Healthcare Center 603 Corinne Drive, San Antonio, TX 78218 CCN 455754 | 4.3 km | 120 | Jul 9, 2026 | 651 IJ1 harm | $16k | |
| Crestway Nursing & Rehabilitation 7181 Crestway Rd., San Antonio, TX 78239 CCN 675171 | 4.6 km | 120 | Apr 30, 2026 | 773 IJ2 harm | $74k | |
| Army Residence Community 7400 Crestway Dr, San Antonio, TX 78239 CCN 675697 | 4.7 km | 91 | Aug 21, 2026 | 20 | — | |
| Avir at Converse 7700 Mesquite Pass, Converse, TX 78109 CCN 675452 | 5.6 km | 100 | Jun 4, 2026 | 654 IJ | $44k | |
| Broadway Nursing & Rehabilitation 8223 Broadway, San Antonio, TX 78209 CCN 455467 | 7 km | 237 | Apr 17, 2026 | 823 IJ | $85k | |
| Advanced Rehabilitation & Healthcare of Live Oak 8221 Palisades Drive, Live Oak, TX 78233 CCN 675437 | 7.5 km | 123 | Jul 17, 2026 | 571 IJ | $12k | |
| San Antonio Wellness & Rehabilitation 1 Heartland Drive, San Antonio, TX 78247 CCN 455762 | 7.6 km | 154 | Feb 20, 2026 | 561 IJ | $105k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 455533 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 455533 | 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
| D · Potential harm Isolated |
| Corrected Aug 29, 2025 |
| Aug 14, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 29, 2025 |
| Aug 14, 2025 | 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 Aug 29, 2025 |
| Aug 14, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 29, 2025 |
| Aug 14, 2025 | 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 Aug 29, 2025 |
| Aug 14, 2025 | 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 | E · Potential harm Pattern | Corrected Aug 29, 2025 |
| Aug 14, 2025 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Aug 29, 2025 |
| Aug 14, 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 | F · Potential harm Widespread | Corrected Aug 29, 2025 |
| Aug 14, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 29, 2025 |
| Aug 14, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 29, 2025 |
| Jul 31, 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 Jun 4, 2025 | Complaint |
| Mar 3, 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 | J · Immediate jeopardy Isolated | Corrected Mar 4, 2025 | Complaint |
| Mar 3, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Past non-compliance Oct 16, 2024 | Complaint |
| Mar 3, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 4, 2025 | Complaint |
| Mar 3, 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 Mar 4, 2025 | Complaint |
| Mar 3, 2025 | 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 Mar 4, 2025 | Complaint |
| Jun 28, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 3, 2024 |
| Jun 28, 2024 | 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 | D · Potential harm Isolated | Corrected Aug 2, 2024 |
| Jun 28, 2024 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 2, 2024 |
| Jun 28, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 2, 2024 |
| Jun 28, 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 Aug 2, 2024 |
| Jun 28, 2024 | F-0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 2, 2024 |
| Jun 28, 2024 | 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 Aug 2, 2024 |
| Jun 28, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 2, 2024 |
| Jun 28, 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 | D · Potential harm Isolated | Corrected Aug 2, 2024 |
| Jun 28, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 2, 2024 |
| Jun 28, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 2, 2024 |
| Jun 28, 2024 | F-0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Aug 2, 2024 |
| Jun 24, 2024 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 25, 2024 | Complaint |
| May 30, 2024 | 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 | J · Immediate jeopardy Isolated | Corrected Jun 1, 2024 | Complaint |
| May 30, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Past non-compliance Feb 24, 2024 | Complaint |
| May 30, 2024 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 1, 2024 | Complaint |
| May 30, 2024 | 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 1, 2024 | Complaint |
| Nov 7, 2023 | F-0551 | Give the resident's representative the ability to exercise the resident's rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 17, 2023 | Complaint |
| Nov 7, 2023 | F-0567 | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Nov 17, 2023 | Complaint |
| Nov 7, 2023 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 17, 2023 | Complaint |
| Nov 7, 2023 | 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 Nov 17, 2023 | Complaint |
| Nov 7, 2023 | F-0772 | Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Nov 17, 2023 | Complaint |
| Nov 7, 2023 | F-0840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Nov 17, 2023 | Complaint |
| Apr 14, 2023 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 28, 2023 |
| Apr 14, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 28, 2023 |
| Apr 14, 2023 | 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 May 28, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.93 (case-mix index 1.37).
| Maire O'donoghue-Stallard | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | May 8, 2025 |
| Thomas Stallard | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | May 8, 2025 |
| Caraday Windcrest LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2025 |
| Gregory Moore | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2025 |
| Rudolfo Zarate | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2025 |
| Billie Bell | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 1, 2025 |
| Granite Windcrest, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 8, 2025 |
| Elizabeth Cantu | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2025 |
| Rudolfo Zarate | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2025 |
| 126 |
| Jul 31, 2026 |
763 IJ |
| $151k |
| Guadalupe Valley Nursing and Rehabilitation Center 1210 Eastwood Dr, Seguin, TX 78155 CCN 455869 | 148 | Jun 30, 2026 | 62 | $60k |
| Medina Valley Health & Rehabilitation Center 913 Hwy 90 W, Castroville, TX 78009 CCN 675974 | 116 | Feb 27, 2026 | 54 | — |
| Cibolo Creek 1440 River Rd, Boerne, TX 78006 CCN 676240 | 120 | Sep 5, 2025 | 334 IJ | $14k |
| Las Colinas of Westover 9738 Westover Hills Blvd, San Antonio, TX 78251 CCN 676328 | 140 | Dec 5, 2025 | 454 IJ | $39k |
| 140 |
| Aug 6, 2026 |
653 IJ |
| $35k |
| Trinity Care Center 1000 E Main St, Round Rock, TX 78664 CCN 675546 | 179 | Jan 23, 2026 | 282 IJ1 open | $10k |
| Stonebridge Health Rehab 11127 Circle Dr, Austin, TX 78736 CCN 675649 | 116 | Apr 23, 2026 | 231 IJ1 harm | $33k |
| Regency House 3745 Summer Crest Dr., San Angelo, TX 76901 CCN 675767 | 120 | Jan 28, 2026 | 22 | — |
| Sagebrook Nursing and Rehabilitation 901 Discovery Blvd, Cedar Park, TX 78613 CCN 675937 | 124 | Jul 16, 2026 | 33 | — |
| Caraday of Lampasas 1000 E Ave J, Lampasas, TX 76550 CCN 676473 | 76 | Jul 7, 2026 | 203 harm1 open | $13k |