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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3 | K4 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D14 | E8 | F· |
| Minimal | A· | B1 | 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 | |
|---|---|---|---|---|---|---|
| Mar 11, 2026 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Dec 11, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Dec 11, 2025 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Dec 5, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 23, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Feb 12, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Sep 12, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Sep 12, 2024 | Health | Health Complaint, Health Standard | 5 | Potential harm | — | Open → |
| Aug 9, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jun 18, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 30, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 25, 2024 | Health | Infection Control | 0 | No citations | — | Open → |
| Jan 9, 2024 | Health | Infection Control | 0 | No citations | — | Open → |
| Nov 22, 2023 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Nov 16, 2023 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Nov 1, 2023 | Health | Health Complaint, Infection Control | 1 | Potential harm | — | Open → |
| Aug 4, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Aug 4, 2023 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| May 23, 2025 | Civil money penalty (fine) | $9,734 | — | 455763|Fine|113899 |
| Feb 12, 2025 | Civil money penalty (fine) | $16,981 | — | 455763|Fine|113592 |
| Nov 1, 2023 | Civil money penalty (fine) | $39,140 | — | 455763|Fine|111804 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3 | K4 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D14 | E8 | F· |
| Minimal | A· | B1 | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Mar 11, 2026 | 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 Mar 12, 2026 | Complaint |
| Mar 11, 2026 | 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 | K · Immediate jeopardy Pattern | Corrected Mar 12, 2026 |
“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 101 facilities.
9 facilities in 1 states. CMS chain ID 360.
Chain average overall rating (CMS): 2.1
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Forrest Threadgill | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Mar 28, 2025 |
| Morgan Threadgill | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Mar 28, 2025 |
| Park Bend Rehab LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2023 |
| Sharlyn Threadgill | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2023 |
| Johnny Thompson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 13, 2024 |
| Caretrust Reit Inc | Organization |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Buena Vida Nursing and Rehab-San Antonio 5027 Pecan Grove, San Antonio, TX 78222 CCN 455390SFF CandidateAbuse icon | 222 | Jul 24, 2026 | 595 IJ1 harm |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Ridgewood at the Woodlands 10450 Gosling Rd, The Woodlands, TX 77381 CCN 675739 | 126 | Nov 25, 2025 | 261 IJ1 harm | $14k | |
| Woodway Rehabilitation and Healthcare Center 7801 Woodway Dr, Waco, TX 76712 CCN 675924 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Allegiant Wellness and Rehab 724 W. Rendon Crowley Road, Crowley, TX 76036 CCN 676452 | 1.7 km | 60 | Sep 10, 2026 | 173 open | — | |
| Crowley Nursing and Rehabilitation 920 E Fm 1187, Crowley, TX 76036 CCN 676176 | 3.2 km | 120 | Aug 20, 2026 | 331 harm13 open | $18k | |
| Burleson Nursing and Rehabilitation Center 600 Maple St., Burleson, TX 76028 CCN 675144 | 5.6 km | 120 | Nov 21, 2025 | 34 | — | |
| Estates Healthcare and Rehabilitation Center 201 Sycamore School Road, Fort Worth, TX 76134 CCN 675028Abuse icon | 5.9 km | 141 | Aug 26, 2026 | 848 IJ3 harm1 open | $156k | |
| Advanced Rehabilitation & Healthcare of Burleson 275 SE John Jones Drive, Burleson, TX 76028 CCN 676496 | 7.8 km | 121 | Jun 29, 2026 | 452 IJ | $18k | |
| Tuskegee Airmen Texas State Veterans Home 2200 Joe B Rushing Road, Fort Worth, TX 76119 CCN 745057Abuse icon | 10.1 km | 120 | Jul 23, 2026 | 163 IJ1 open | $14k | |
| Avir at Fort Worth 7100 Trail Lake Dr, Fort Worth, TX 76133 CCN 676132Abuse icon | 10.3 km | 120 | Aug 10, 2026 | 613 IJ | $180k | |
| Ft Worth Southwest Nursing Center 5300 Alta Mesa Blvd, Fort Worth, TX 76133 CCN 675817 | 10.7 km | 198 | May 20, 2026 | 263 IJ | $24k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 455763 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 455763 | 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
| Dec 11, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 1, 2026 |
| Dec 11, 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 Jan 1, 2026 |
| Dec 11, 2025 | 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 | D · Potential harm Isolated | Corrected Jan 10, 2026 |
| Dec 11, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 10, 2026 |
| Dec 5, 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 Dec 6, 2025 | Complaint |
| May 23, 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 May 24, 2025 | Complaint |
| Feb 12, 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 | K · Immediate jeopardy Pattern | Past non-compliance Dec 17, 2024 | Complaint |
| Sep 12, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 12, 2024 |
| Sep 12, 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 Sep 13, 2024 | Complaint |
| Sep 12, 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 | D · Potential harm Isolated | Corrected Sep 13, 2024 | Complaint |
| Sep 12, 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 Sep 13, 2024 | Complaint |
| Sep 12, 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 Sep 13, 2024 | Complaint |
| Sep 12, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 13, 2024 | Complaint |
| Sep 12, 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 | B · Minimal Pattern | Corrected Sep 12, 2024 |
| Sep 12, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Sep 12, 2024 |
| Aug 9, 2024 | F-0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 10, 2024 | Complaint |
| Aug 9, 2024 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 10, 2024 | Complaint |
| Aug 9, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 10, 2024 | Complaint |
| Jun 18, 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 Jul 5, 2024 | Complaint |
| Mar 30, 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 Apr 5, 2024 | Complaint |
| Mar 30, 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 5, 2024 | Complaint |
| Nov 22, 2023 | F-0660 | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Corrected Nov 27, 2023 | Complaint |
| Nov 16, 2023 | 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 | Corrected Nov 20, 2023 | Complaint |
| Nov 16, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | J · Immediate jeopardy Isolated | Corrected Nov 20, 2023 | Complaint |
| Nov 1, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Nov 30, 2023 | ComplaintInfection control |
| Aug 4, 2023 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 22, 2023 |
| Aug 4, 2023 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 8, 2023 |
| Aug 4, 2023 | F-0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 8, 2023 |
| Aug 4, 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 Aug 8, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.16 (case-mix index 1.48).
| Mortgage / security interest |
| 5% OR GREATER MORTGAGE INTEREST |
| not provided |
| Apr 1, 2023 |
| Ctr Partnership LP | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Apr 1, 2023 |
| Caretrust Reit Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2023 |
| Ctr Partnership LP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2023 |
| Jane Erickson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 29, 2023 |
| Lalitha Jagadish | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2023 |
| $198k |
| Avir at Rose Trail 930 S Baxter, Tyler, TX 75701 CCN 455429SFF Candidate | 172 | Aug 14, 2026 | 639 IJ3 harm | $484k |
| Mesa Vista Inn Health Center 5756 North Knoll Drive, San Antonio, TX 78240 CCN 455444 | 144 | Jul 2, 2026 | 531 IJ | $8,160 |
| Avir at Petal Hill 900 S Baxter Ave, Tyler, TX 75701 CCN 455485Abuse icon | 120 | May 13, 2026 | 352 IJ | $26k |
| Sterling Hills Rehabilitation and Healthcare Cente 705 NE Georgia Ave, Sweetwater, TX 79556 CCN 455509 | 96 | Mar 26, 2026 | 17 | — |
| Amistad Nursing and Rehabilitation Center 200 Riverside Drive, Uvalde, TX 78801 CCN 455536 | 200 | Aug 7, 2026 | 44 | — |
| Mineral Wells Nursing & Rehabilitation 316 Southwest 25th Avenue, Mineral Wells, TX 76067 CCN 455570 | 109 | Jun 24, 2026 | 19 | — |
| Concho Health & Rehabilitation Center 613 Eaker St, Eden, TX 76837 CCN 455737 | 66 | Aug 11, 2026 | 28 | — |
| 144 |
| Aug 26, 2026 |
405 IJ1 harm |
| $31k |
| Kingwood Rehabilitation and Healthcare Center 23775 Kingwood Place, Kingwood, TX 77339 CCN 676160 | 194 | Aug 14, 2026 | 277 IJ | $73k |
| Lakewest Rehabilitation and Skilled Care 2450 Bickers St, Dallas, TX 75212 CCN 676276Abuse icon | 118 | Aug 12, 2026 | 582 IJ1 open | $26k |
| West Houston Rehabilitation and Healthcare Center 13428 Bissonnet, Houston, TX 77083 CCN 676381Abuse icon | 124 | Aug 5, 2026 | 397 IJ | $205k |
| Rollingbrook Rehabilitation and Health Care Center 750 Rollingbrook Dr., Baytown, TX 77521 CCN 676442 | 130 | Mar 26, 2026 | 131 IJ | $24k |
| Cypress Creek Rehabilitation and Healthcare Center 13600 Birdcall Lane, Cypress, TX 77429 CCN 676467 | 122 | Jul 2, 2026 | 182 IJ | $74k |
| Sun Valley Rehabilitation and Healthcare Center 2902 S. 77 Sunshine Strip, Harlingen, TX 78550 CCN 676493 | 124 | Jul 9, 2025 | 5 | — |