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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K3 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D8 | E20 | F11 |
| Minimal | A· | B· | C1 |
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 | |
|---|---|---|---|---|---|---|
| Jul 22, 2026 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Jul 22, 2026 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Jun 29, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 14, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| May 14, 2025 | Health | Health Complaint, Health Standard | 6 | Potential harm | — | Open → |
| Mar 25, 2024 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Mar 25, 2024 | Health | Health Complaint, Health Standard | 16 | Immediate jeopardy | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Mar 25, 2024 | Denial of payment for new admissions | — | Apr 24, 2024 · 15 days | 455602|Payment Denial|2024-04-24 |
| Mar 25, 2024 | Civil money penalty (fine) | $62,078 | — | 455602|Fine|112585 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K3 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D8 | E20 | F11 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 22, 2026 | 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 Sep 3, 2026 | |
| Jul 22, 2026 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 3, 2026 | |
| Jul 22, 2026 | K-0321 |
“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 31 facilities.
9 facilities in 1 states. CMS chain ID 163.
Chain average overall rating (CMS): 2.6
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Coryell County Memorial Hospital Authority | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2019 |
| Tgr Healthcare, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2019 |
| Brian Thomas | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2019 |
| David Byrom | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2014 |
| Tgr Healthcare, LLC | Organization | Additional disclosable party | ADP OF THE SNF |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Fort Worth Wellness & Rehabilitation 2129 Skyline Dr, Fort Worth, TX 76114 CCN 455457 | 104 | Aug 18, 2026 | 301 IJ | $122k | |
| Ivy Creek Wellness & Rehabilitation 2501 Maple Ave, Waco, TX 76707 CCN 455478 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Austin Wellness & Rehabilitation 11406 Rustic Rock Drive, Austin, TX 78750 CCN 455799Abuse icon | 120 | Aug 24, 2026 | 765 IJ1 open | $178k | |
| Windsor Healthcare Residence |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Legacy Estate Long Term Care 10133 Hwy 16 N, Comanche, TX 76442 CCN 745054 | 11.8 km | 100 | Aug 25, 2026 | 12 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 455602 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 455602 | 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
| 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 |
| E · Potential harm Pattern |
| Corrected Sep 3, 2026 |
| Jul 22, 2026 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 3, 2026 |
| Jul 22, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 3, 2026 |
| Jul 22, 2026 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 3, 2026 |
| Jul 22, 2026 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 14, 2026 |
| Jul 22, 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 Aug 14, 2026 |
| Jul 22, 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 | D · Potential harm Isolated | Corrected Aug 14, 2026 |
| Jun 29, 2026 | F-0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Jul 22, 2026 | Complaint |
| May 14, 2025 | 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 | E · Potential harm Pattern | Corrected Jun 15, 2025 |
| May 14, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 15, 2025 |
| May 14, 2025 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 15, 2025 |
| May 14, 2025 | 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 May 15, 2025 | Complaint |
| May 14, 2025 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 15, 2025 |
| May 14, 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 | D · Potential harm Isolated | Corrected May 15, 2025 |
| May 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 May 15, 2025 |
| May 14, 2025 | F-0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected May 15, 2025 |
| May 14, 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 Jun 15, 2025 |
| Mar 25, 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 | K · Immediate jeopardy Pattern | Corrected Apr 12, 2024 | Complaint |
| Mar 25, 2024 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | K · Immediate jeopardy Pattern | Corrected Apr 12, 2024 | Complaint |
| Mar 25, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | K · Immediate jeopardy Pattern | Corrected Apr 12, 2024 | Complaint |
| Mar 25, 2024 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 15, 2024 |
| Mar 25, 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 May 9, 2024 |
| Mar 25, 2024 | K-0344 | Have an alternate power supply for its alarm system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 9, 2024 |
| Mar 25, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 9, 2024 |
| Mar 25, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 9, 2024 |
| Mar 25, 2024 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 9, 2024 |
| Mar 25, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 9, 2024 |
| Mar 25, 2024 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 9, 2024 |
| Mar 25, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 26, 2024 | Complaint |
| Mar 25, 2024 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 15, 2024 | Complaint |
| Mar 25, 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 | E · Potential harm Pattern | Corrected Apr 15, 2024 | Complaint |
| Mar 25, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 15, 2024 | Complaint |
| Mar 25, 2024 | F-0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Apr 15, 2024 | Complaint |
| Mar 25, 2024 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 17, 2024 | Complaint |
| Mar 25, 2024 | F-0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 17, 2024 | Complaint |
| Mar 25, 2024 | 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 Apr 15, 2024 | Complaint |
| Mar 25, 2024 | F-0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Apr 15, 2024 | Complaint |
| Mar 25, 2024 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 15, 2024 | Complaint |
| Mar 25, 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 | F · Potential harm Widespread | Corrected Mar 26, 2024 | Complaint |
| Mar 25, 2024 | 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 | E · Potential harm Pattern | Corrected Apr 15, 2024 | Complaint |
| Mar 25, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 15, 2024 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.85 (case-mix index 1.20).
| not provided |
| Apr 18, 2025 |
| Brian Thomas | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2019 |
| 162 |
| Jul 1, 2026 |
454 IJ2 open |
| $149k |
| Glenview Wellness & Rehabilitation 7625 Glenview Dr, North Richland Hills, TX 76180 CCN 455494 | 163 | Aug 11, 2026 | 444 IJ2 open | $16k |
| Mcgregor Wellness & Rehabilitation 414 Johnson Dr, Mc Gregor, TX 76657 CCN 455554 | 186 | Mar 12, 2026 | 256 IJ | $49k |
| West Side Campus of Care 1950 S Las Vegas Trail, White Settlement, TX 76108 CCN 455592 | 234 | Mar 26, 2026 | 354 IJ | $16k |
| Colonial Manor Nursing Center 2035 N Granbury St, Cleburne, TX 76031 CCN 455631Abuse icon | 137 | Apr 9, 2026 | 142 IJ1 harm | $52k |
| Bedford Wellness & Rehabilitation 2001 Forest Ridge Dr, Bedford, TX 76021 CCN 455798 | 166 | Aug 13, 2026 | 311 IJ2 open | $14k |
| Austin Wellness & Rehabilitation 11406 Rustic Rock Drive, Austin, TX 78750 CCN 455799Abuse icon | 120 | Aug 24, 2026 | 765 IJ1 open | $178k |
| 90 |
| Aug 6, 2026 |
171 IJ1 harm |
| $21k |
| Crestview Healthcare Residence 1400 Lake Shore Dr, Waco, TX 76708 CCN 675141 | 192 | Aug 14, 2025 | 481 IJ | $57k |
| Hillside Medical Lodge 300 S Highway 36 Byp N, Gatesville, TX 76528 CCN 675201 | 128 | Dec 11, 2025 | 12 | — |
| The Manor Healthcare Residence 831 Tehuacana Hwy, Mexia, TX 76667 CCN 675307 | 66 | Dec 11, 2025 | 221 harm1 open | — |
| Fairview Healthcare Residence 601 E Reunion St, Fairfield, TX 75840 CCN 675311 | 84 | Aug 7, 2025 | 171 IJ1 open | $19k |
| Hico Nursing and Rehabilitation 712 North Railroad Avenue, Hico, TX 76457 CCN 675468 | 80 | Dec 3, 2025 | 343 IJ | $32k |
| Wesley Woods Health & Rehabilitation 1700 Woodgate Drive, Waco, TX 76712 CCN 676211 | 120 | Mar 19, 2026 | 371 IJ2 harm | $56k |