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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G6 | H· | I· |
| Potential harm | D28 | E34 | F2 |
| Minimal | A· | B· | C6 |
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 28, 2026 | Health | Health Complaint | 2 | Potential harm | 2 | Open → |
| Jul 30, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 14, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 8, 2026 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| May 27, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 6, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 12, 2026 | Fire safety | Fire Safety Standard | 3 | Minimal | — | Open → |
| Feb 12, 2026 | Health | Health Standard | 11 | Potential harm | — | Open → |
| Dec 22, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Dec 5, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 21, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 7, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 16, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Apr 24, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 20, 2025 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Dec 5, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Dec 5, 2024 | Health | Health Complaint, Health Standard | 8 | Potential harm | — | Open → |
| Sep 19, 2024 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Feb 27, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 1, 2024 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Oct 27, 2023 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Oct 27, 2023 | Health | Health Complaint, Health Standard | 16 | Potential harm | — | Open → |
| Oct 10, 2023 | Health | Infection Control | 0 | No citations | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jul 8, 2026 | Civil money penalty (fine) | $63,840 | — | 455606|Fine|142243 |
| Jul 16, 2025 | Civil money penalty (fine) | $43,592 | — | 455606|Fine|134518 |
| Feb 20, 2025 | Civil money penalty (fine) | $26,481 | — | 455606|Fine|113623 |
| Sep 19, 2024 | Civil money penalty (fine) | $17,160 | — | 455606|Fine|113212 |
| Feb 1, 2024 | Civil money penalty (fine) | $97,760 | — | 455606|Fine|112313 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G6 | H· | I· |
| Potential harm | D28 | E34 | F2 |
| Minimal | A· | B· | C6 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 28, 2026 | 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 | No plan of correction | Complaint |
| Aug 28, 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 | D · Potential harm Isolated | No plan of correction |
“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 3 facilities.
7 facilities in 1 states. CMS chain ID 824.
Chain average overall rating (CMS): 3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Jack County Hospital District | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2014 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Jack County Hospital District | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2014 |
| Advanced Hcs LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2021 |
| Teddy Lichtschein | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2021 |
| Eliezer Scheiner | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Avir at Jacksboro 211 E Jasper St, Jacksboro, TX 76458 CCN 455808 | 104 | Jun 1, 2026 | 401 harm | — | |
| Arlington Residence and Rehabilitation Center 405 Duncan Perry Rd, Arlington, TX 76011 CCN 455872 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| White Settlement Nursing Center 7820 Skyline Park Dr, White Settlement, TX 76108 CCN 455475 | 108 | Aug 11, 2026 | 763 IJ1 harm19 open | $43k | |
| Wedgewood Nursing Home |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Village Creek Nursing & Rehabilitation 3825 Village Creek Rd, Fort Worth, TX 76119 CCN 675977 | 5 km | 100 | Jul 2, 2026 | 441 IJ1 harm | $19k | |
| Arbor Lake Nursing & Rehabilitation, LLC 901 Pennsylvania Ave, Fort Worth, TX 76104 CCN 675034Abuse icon | 5.2 km | 123 | Jul 8, 2026 | 391 IJ2 harm | $15k | |
| Dfw Nursing & Rehab 900 W Leuda St, Fort Worth, TX 76104 CCN 455881SFF CandidateAbuse icon | 5.2 km | 98 | Feb 4, 2026 | 9310 IJ3 harm | $317k | |
| Downtown Health and Rehabilitation Center 424 South Adams Street, Fort Worth, TX 76104 CCN 455651Abuse icon | 5.4 km | 161 | Jun 16, 2026 | 631 IJ1 harm | $27k | |
| James L. West Center for Dementia Care 1111 Summit Ave, Fort Worth, TX 76102 CCN 745019Abuse icon | 5.9 km | 112 | Jun 12, 2025 | 237 IJ1 harm | $58k | |
| Trinity Terrace 1600 Texas Street, Fort Worth, TX 76102 CCN 675238 | 5.9 km | 52 | May 29, 2026 | 22 | — | |
| Immanuel's Healthcare 4515 Village Creek Rd, Fort Worth, TX 76119 CCN 676052 | 5.9 km | 84 | Aug 19, 2026 | 429 open | — | |
| Life Care Center of Haltom 2936 Markum Dr, Fort Worth, TX 76117 CCN 675935 | 6 km | 127 | Jul 9, 2026 | 401 IJ | $22k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 455606 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 455606 | 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
| Oct 27, 2023 | Civil money penalty (fine) | $105,836 | — | 455606|Fine|112037 |
| Complaint |
| Jul 30, 2026 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 31, 2026 | Complaint |
| Jul 30, 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 Jul 31, 2026 | Complaint |
| Jul 14, 2026 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 15, 2026 | Complaint |
| Jul 8, 2026 | 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 | G · Actual harm Isolated | Corrected Jul 10, 2026 | Complaint |
| May 27, 2026 | 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 May 28, 2026 | Complaint |
| May 27, 2026 | 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 May 28, 2026 | Complaint |
| Mar 6, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 7, 2026 | Complaint |
| Feb 12, 2026 | 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 Feb 13, 2026 |
| Feb 12, 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 Feb 13, 2026 |
| Feb 12, 2026 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 13, 2026 |
| Feb 12, 2026 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 13, 2026 |
| Feb 12, 2026 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 13, 2026 |
| Feb 12, 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 Feb 13, 2026 |
| Feb 12, 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 Feb 13, 2026 |
| Feb 12, 2026 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 13, 2026 |
| Feb 12, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Feb 13, 2026 |
| Feb 12, 2026 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 13, 2026 |
| Feb 12, 2026 | F-0926 | Have policies on smoking. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 13, 2026 |
| Feb 12, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Feb 13, 2026 |
| Feb 12, 2026 | 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 13, 2026 |
| Feb 12, 2026 | K-0522 | Have an externally vented heating system. Services Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Feb 13, 2026 |
| Dec 22, 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 Dec 23, 2025 | Complaint |
| Dec 22, 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 Dec 23, 2025 | Complaint |
| Dec 22, 2025 | F-0914 | Provide bedrooms that don't allow residents to see each other when privacy is needed. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 23, 2025 | Complaint |
| Dec 5, 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 Dec 6, 2025 | Complaint |
| Nov 21, 2025 | 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 Nov 22, 2025 | Complaint |
| Nov 21, 2025 | 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 Nov 22, 2025 | Complaint |
| Nov 7, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Nov 8, 2025 | Complaint |
| Jul 16, 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 | G · Actual harm Isolated | Corrected Aug 1, 2025 | Complaint |
| Apr 24, 2025 | F-0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 25, 2025 | Complaint |
| Apr 24, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 25, 2025 | Complaint |
| Feb 20, 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 | G · Actual harm Isolated | Corrected Feb 21, 2025 | Complaint |
| Feb 20, 2025 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 11, 2025 | Complaint |
| Dec 5, 2024 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Dec 10, 2024 |
| Dec 5, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 19, 2024 |
| Dec 5, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 16, 2024 | Complaint |
| Dec 5, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 16, 2024 | Complaint |
| Dec 5, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 12, 2024 |
| Dec 5, 2024 | 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 Dec 12, 2024 |
| Dec 5, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 10, 2024 |
| Dec 5, 2024 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 10, 2024 | Complaint |
| Dec 5, 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 Dec 9, 2024 | Complaint |
| Dec 5, 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 Dec 6, 2024 |
| Sep 19, 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 | G · Actual harm Isolated | Corrected Sep 20, 2024 | Complaint |
| Sep 19, 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 | G · Actual harm Isolated | Corrected Sep 20, 2024 | Complaint |
| Sep 19, 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 Sep 20, 2024 | Complaint |
| Feb 27, 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 | E · Potential harm Pattern | Corrected Feb 28, 2024 | Complaint |
| Feb 27, 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 28, 2024 | Complaint |
| Feb 1, 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 | G · Actual harm Isolated | Corrected Feb 2, 2024 | Complaint |
| Feb 1, 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 Feb 2, 2024 | Complaint |
| Feb 1, 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 Feb 2, 2024 | Complaint |
| Oct 27, 2023 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 5, 2023 |
| Oct 27, 2023 | 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 Dec 5, 2023 |
| Oct 27, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 5, 2023 |
| Oct 27, 2023 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 5, 2023 |
| Oct 27, 2023 | 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 Dec 5, 2023 |
| Oct 27, 2023 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Dec 6, 2023 | Complaint |
| Oct 27, 2023 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 6, 2023 | Complaint |
| Oct 27, 2023 | 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 Dec 6, 2023 | Complaint |
| Oct 27, 2023 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 6, 2023 |
| Oct 27, 2023 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 6, 2023 |
| Oct 27, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 6, 2023 | Complaint |
| Oct 27, 2023 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 6, 2023 | Complaint |
| Oct 27, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 6, 2023 | Complaint |
| Oct 27, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Dec 6, 2023 | Complaint |
| Oct 27, 2023 | 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 Dec 6, 2023 | Complaint |
| Oct 27, 2023 | 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 Dec 6, 2023 | Complaint |
| Oct 27, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 6, 2023 | Complaint |
| Oct 27, 2023 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 6, 2023 | Complaint |
| Oct 27, 2023 | 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 Dec 6, 2023 | Complaint |
| Oct 27, 2023 | F-0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Dec 6, 2023 | Complaint |
| Oct 27, 2023 | 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 Dec 5, 2023 |
| Oct 27, 2023 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Dec 6, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.20 (case-mix index 1.25).
| Jul 1, 2021 |
| Jack Shelby | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2021 |
| Frank Beaman | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2014 |
| Frank Beaman | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Oct 1, 2014 |
| 118 |
| Apr 9, 2026 |
934 IJ |
| $53k |
| 122 |
| Apr 23, 2026 |
543 IJ |
| $32k |
| Colonial Manor Nursing Center 2035 N Granbury St, Cleburne, TX 76031 CCN 455631Abuse icon | 137 | Apr 9, 2026 | 142 IJ1 harm | $52k |
| Advanced Rehabilitation & Healthcare of Live Oak 8221 Palisades Drive, Live Oak, TX 78233 CCN 675437 | 123 | Jul 17, 2026 | 571 IJ | $12k |
| Southeast Nursing & Rehabilitation Center 4302 East Southcross Blvd, San Antonio, TX 78222 CCN 675883 | 116 | Jul 31, 2026 | 561 IJ | $11k |
| Brady West Rehab & Nursing 2201 Menard Hwy, Brady, TX 76825 CCN 676034 | 106 | Sep 4, 2025 | 371 harm | $11k |