| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K1 | L· |
| Actual harm | G6 | H· | I· |
| Potential harm | D27 | E17 | F5 |
| 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 | |
|---|---|---|---|---|---|---|
| Jul 22, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 12, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 29, 2026 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| May 29, 2026 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Apr 23, 2026 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Mar 5, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 29, 2026 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Dec 9, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 12, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 29, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 3, 2025 | Health | Health Complaint | 3 | Immediate jeopardy | — | Open → |
| Jun 12, 2025 | Health | Health Complaint | 5 | Immediate jeopardy | — | Open → |
| May 17, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 21, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 19, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Mar 19, 2025 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Oct 30, 2024 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Oct 14, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 16, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 4, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 15, 2024 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Apr 30, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 4, 2024 | Health | Infection Control | 0 | No citations | — | Open → |
| Feb 14, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Feb 14, 2024 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Jan 12, 2024 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Dec 5, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 9, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 23, 2026 | Civil money penalty (fine) | $14,882 | — | 455638|Fine|139546 |
| Apr 21, 2025 | Civil money penalty (fine) | $9,068 | — | 455638|Fine|134520 |
| Apr 21, 2025 | Civil money penalty (fine) | $8,281 | — | 455638|Fine|113948 |
| Oct 14, 2024 | Denial of payment for new admissions | — | Nov 29, 2024 · 11 days | 455638|Payment Denial|2024-11-29 |
| Apr 30, 2024 | Denial of payment for new admissions | — | Jun 13, 2024 · 2 days | 455638|Payment Denial|2024-06-13 |
| Apr 30, 2024 | Civil money penalty (fine) | $25,876 | — | 455638|Fine|112838 |
| Nov 9, 2023 | Civil money penalty (fine) | $6,988 | — | 455638|Fine|112265 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K1 | L· |
| Actual harm | G6 | H· | I· |
| Potential harm | D27 | E17 | F5 |
| Minimal | A· | B· | C· |
“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.
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.06 (case-mix index 1.26).
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 | not provided | Apr 1, 2022 |
| Clark Sanderson | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2022 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Fannin County Hospital Authority | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2022 |
| Clark Sanderson | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2022 |
| Lssh Waco I, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2026 |
| Adam Flowers | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2026 |
| Greg Hendrix | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2026 |
| Clark Sanderson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 29, 2012 |
| Lssh Waco I, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2026 |
| Adam Flowers | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2026 |
| Greg Hendrix | Individual | Additional disclosable party | ADP OF THE SNF | 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 | |
| Ennis Care Center 1200 S Hall St, Ennis, TX 75119 CCN 455486 | 155 | May 20, 2026 | 502 IJ | $37k | |
| Pleasant Springs Healthcare Center 2003 North Edwards Avenue, Mount Pleasant, TX 75455 CCN 455532SFF CandidateAbuse icon | 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 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Ennis Care Center 1200 S Hall St, Ennis, TX 75119 CCN 455486 | 155 | May 20, 2026 | 502 IJ | $37k | |
| 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 | 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 | — | |
| 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 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Avir at Jeffrey Place 820 Jeffrey Dr, Waco, TX 76710 CCN 455489 | 1.4 km | 95 | Apr 9, 2026 | 452 IJ | $22k | |
| Woodway Rehabilitation and Healthcare Center 7801 Woodway Dr, Waco, TX 76712 CCN 675924 | 1.8 km | 144 | Aug 26, 2026 | 405 IJ1 harm | $31k | |
| Ridgecrest Retirement and Healthcare Community 1900 W. State Hwy 6, Waco, TX 76712 CCN 455670 | 3.5 km | 90 | Jun 15, 2025 | 341 IJ | $14k | |
| The Chateau Waco 2430 Market Place Dr., Waco, TX 76711 CCN 676409 | 3.6 km | 123 | Mar 19, 2026 | 336 IJ | $72k | |
| Wesley Woods Health & Rehabilitation 1700 Woodgate Drive, Waco, TX 76712 CCN 676211 | 4.4 km | 120 | Mar 19, 2026 | 371 IJ2 harm | $56k | |
| Avir at Waco 9101 Panther Way, Waco, TX 76712 CCN 676343 | 4.9 km | 120 | Apr 6, 2026 | 29 | — | |
| St. Anthony's Care Center 7501 Bagby Ave, Waco, TX 76712 CCN 676462 | 5.1 km | 120 | Mar 26, 2026 | 162 harm | $3,276 | |
| St. Catherine Center 300 West Highway 6, Waco, TX 76712 CCN 455983 | 5.1 km | 165 | Apr 30, 2026 | 241 harm | $8,492 |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 455638 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 455638 | 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 |
| CMS Provider Information US-CMS | 455638 | county_fips County assigned by locating CMS coordinates in Census county boundaries (the CMS county name did not match the Census code list). | Inferred | 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