Loading facility…
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K1 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D14 | E11 | F4 |
| Minimal | A· | B2 | C3 |
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 | |
|---|---|---|---|---|---|---|
| Sep 12, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Sep 12, 2025 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Apr 26, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Aug 16, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Aug 16, 2024 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Feb 5, 2024 | Health | Infection Control | 0 | No citations | — | Open → |
| Nov 14, 2023 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Jul 21, 2023 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Jul 21, 2023 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 26, 2025 | Civil money penalty (fine) | $11,403 | — | 455676|Fine|113795 |
| Nov 14, 2023 | Civil money penalty (fine) | $7,693 | — | 455676|Fine|111787 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K1 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D14 | E11 | F4 |
| Minimal | A· | B2 | C3 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Sep 12, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 12, 2025 | |
| Sep 12, 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 | E · Potential harm Pattern | Corrected Sep 26, 2025 | |
| Sep 12, 2025 | K-0929 |
“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.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Leland Bruce | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Mar 4, 2026 |
| Lucy Gaytan | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Mar 4, 2026 |
| Brooke Hixson | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Mar 4, 2026 |
| Daniel Thuet | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Mar 4, 2026 |
| Hondo SNF Operations, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2024 |
| Brian Ramos | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2024 |
| William Bain | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 23, 2011 |
| Billie Bell | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 3, 2023 |
| Lori Carter Krieger | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2020 |
| Kevin Frosch | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 7, 2010 |
| Timothy Hardt | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 23, 2011 |
| Robert Johnson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 1, 2017 |
| Lynn White | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 1, 2017 |
| Zachary Windrow | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 26, 2012 |
| Judy Winkler | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 26, 2012 |
| Carlton Young | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 26, 2012 |
| Arturo Apolinar | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2024 |
| Brian Ramos | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2024 |
| Matthew Windrow | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2024 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Windcrest Nursing and Rehabilitation 8800 Fourwinds Dr., Windcrest, TX 78239 CCN 455533 | 180 | Aug 14, 2025 | 445 IJ | $199k | |
| Town and Country Nursing and Rehabilitation Center 625 N Main St, Boerne, TX 78006 CCN 455796 |
Coordinates as published by CMS (geocoding footnote 22).
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 455676 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 455676 | 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 precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Sep 26, 2025 |
| Sep 12, 2025 | 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 Sep 15, 2025 |
| Sep 12, 2025 | F-0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Oct 1, 2025 |
| Sep 12, 2025 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 29, 2025 |
| Sep 12, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 1, 2025 |
| Sep 12, 2025 | 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 Oct 5, 2025 |
| Sep 12, 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 | D · Potential harm Isolated | Corrected Oct 6, 2025 |
| Sep 12, 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 | E · Potential harm Pattern | Corrected Oct 3, 2025 |
| Sep 12, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 5, 2025 |
| Sep 12, 2025 | F-0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Past non-compliance Sep 8, 2025 |
| Sep 12, 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 | No revisit needed |
| Apr 26, 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 | Corrected Apr 27, 2025 | Complaint |
| Aug 16, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 11, 2024 |
| Aug 16, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 10, 2024 |
| Aug 16, 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 Sep 11, 2024 |
| Aug 16, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 11, 2024 |
| Aug 16, 2024 | 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 | E · Potential harm Pattern | Corrected Aug 20, 2024 |
| Aug 16, 2024 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 9, 2024 |
| Aug 16, 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 Sep 9, 2024 |
| Aug 16, 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 Aug 15, 2024 |
| Aug 16, 2024 | F-0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety | B · Minimal Pattern | Corrected Sep 9, 2024 |
| Nov 14, 2023 | 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 Nov 15, 2023 | Complaint |
| Nov 14, 2023 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | K · Immediate jeopardy Pattern | Corrected Nov 15, 2023 | Complaint |
| Jul 21, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 24, 2023 |
| Jul 21, 2023 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 1, 2023 |
| Jul 21, 2023 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 25, 2023 |
| Jul 21, 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 Jul 21, 2023 |
| Jul 21, 2023 | 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 Aug 11, 2023 |
| Jul 21, 2023 | F-0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 11, 2023 |
| Jul 21, 2023 | 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 Jul 24, 2023 |
| Jul 21, 2023 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 26, 2023 |
| Jul 21, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 26, 2023 |
| Jul 21, 2023 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 6, 2023 |
| Jul 21, 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 | Waiver granted Jul 21, 2023 |
| Jul 21, 2023 | F-0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety | B · Minimal Pattern | Corrected Aug 11, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.91 (case-mix index 1.60).
| 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 |