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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D11 | E14 | F1 |
| 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 | |
|---|---|---|---|---|---|---|
| Aug 7, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 19, 2026 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Feb 19, 2026 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Nov 18, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 4, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Dec 4, 2024 | Health | Health Complaint, Health Standard | 12 | Potential harm | — | Open → |
| Oct 11, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Oct 11, 2023 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D11 | E14 | F1 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 7, 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 | E · Potential harm Pattern | Corrected Aug 10, 2026 | Complaint |
| Feb 19, 2026 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 13, 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 27 facilities.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| South Limestone Hospital District | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jun 1, 2019 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| South Limestone Hospital District | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jun 1, 2019 |
| Sbs Leaseco Chandler LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2019 |
| Joshua Bates | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2019 |
| Chana Shelton | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2019 |
| Debra Sims | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Creekside Terrace Rehabilitation 1555 Powell Avenue, Belton, TX 76513 CCN 455497 | 126 | Jun 8, 2026 | 211 IJ | $13k | |
| Van Healthcare 169 S Oak St, Van, TX 75790 CCN 455856 | 60 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Greenbrier Nursing & Rehabilitation Center of Tyle 3526 West Erwin Street, Tyler, TX 75702 CCN 675267 | 14.1 km | 120 | Aug 18, 2026 | 392 open | — | |
| The Heights of Tyler 2650 Elkton Trail, Tyler, TX 75703 CCN 676262 | 14.1 km | 120 | Mar 24, 2026 | 23 | — | |
| Briarcliff Health Center 3403 Vine Ave, Tyler, TX 75701 CCN 675142 | 15.2 km | 230 | Jul 22, 2026 | 243 IJ2 harm | $51k | |
| Reunion Plaza Healthcare & Rehabilitation 1401 Rice Rd, Tyler, TX 75703 CCN 675888 | 15.4 km | 99 | Aug 7, 2025 | 19 | — | |
| Avir at Azalea Heights 3505 Old Jacksonville Rd, Tyler, TX 75701 CCN 675289 | 15.4 km | 120 | Aug 28, 2026 | 263 IJ1 open | $15k | |
| Meadow Lake Health Center 16044 Cr 165, Tyler, TX 75703 CCN 676286 | 17.3 km | 20 | Sep 24, 2025 | 4 | — | |
| Providence Park Rehabilitation and Skilled Nursing 5505 New Copeland Rd, Tyler, TX 75703 CCN 676184 | 18.3 km | 125 | Jun 15, 2026 | 242 IJ | $188k | |
| Avir at Rose Trail 930 S Baxter, Tyler, TX 75701 CCN 455429SFF Candidate | 18.7 km | 172 | Aug 14, 2026 | 639 IJ3 harm | $484k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 455910 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 455910 | 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
| F-0641 |
| Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care |
| D · Potential harm Isolated |
| Corrected Mar 31, 2026 |
| Feb 19, 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 | E · Potential harm Pattern | Corrected Mar 31, 2026 |
| Feb 19, 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 | E · Potential harm Pattern | Corrected Mar 31, 2026 |
| Feb 19, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 31, 2026 |
| Feb 19, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 31, 2026 |
| Nov 18, 2025 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 12, 2025 | Complaint |
| Dec 4, 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 | E · Potential harm Pattern | Corrected Dec 31, 2024 |
| Dec 4, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 6, 2024 |
| Dec 4, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 4, 2025 |
| Dec 4, 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 23, 2024 | Complaint |
| Dec 4, 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 23, 2024 |
| Dec 4, 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 | D · Potential harm Isolated | Corrected Dec 23, 2024 |
| Dec 4, 2024 | 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 Dec 23, 2024 | Complaint |
| Dec 4, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 23, 2024 | Complaint |
| Dec 4, 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 | E · Potential harm Pattern | Corrected Dec 23, 2024 | Complaint |
| Dec 4, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Dec 23, 2024 |
| Dec 4, 2024 | 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 | D · Potential harm Isolated | Corrected Dec 23, 2024 |
| Dec 4, 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 Dec 23, 2024 |
| Dec 4, 2024 | F-0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Dec 23, 2024 | Complaint |
| Dec 4, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 23, 2024 | Complaint |
| Dec 4, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Dec 23, 2024 | Complaint |
| Oct 11, 2023 | 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 Dec 15, 2023 |
| Oct 11, 2023 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 20, 2023 |
| Oct 11, 2023 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 20, 2023 |
| Oct 11, 2023 | 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 Nov 20, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.65 (case-mix index 1.28).
| Jun 1, 2019 |
| Arnold Gray | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 1, 2019 |
| Herbert Hewitt | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 1, 2019 |
| Jack Milstead | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 1, 2019 |
| Glenda O'neal | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 1, 2019 |
| Larry Price | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 1, 2019 |
| Chet Seelinger | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 1, 2019 |
| Martha Stanton | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 1, 2019 |
| Michael Williams | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 1, 2019 |
| Jul 9, 2026 |
26 |
| — |
| Briarcliff Health Center 3403 Vine Ave, Tyler, TX 75701 CCN 675142 | 230 | Jul 22, 2026 | 243 IJ2 harm | $51k |
| Woodland Springs Nursing Center 1010 Dallas St, Waco, TX 76704 CCN 675360 | 132 | Mar 2, 2026 | 353 IJ5 harm2 open | $92k |
| Panola County Nursing & Rehabilitation 501 Cottage Rd, Carthage, TX 75633 CCN 675387 | 108 | Aug 13, 2025 | 44 | — |
| Teague Nursing and Rehabilitation 884 Hwy 84 W, Teague, TX 75860 CCN 675884 | 76 | Feb 26, 2026 | 121 open | — |
| Mexia Ltc Nursing and Rehabilitation 601 Terrace Ln, Mexia, TX 76667 CCN 675903 | 66 | Dec 18, 2025 | 201 IJ | — |
| Avir at Belton 810 E. 13th Ave, Belton, TX 76513 CCN 675948 | 114 | Aug 22, 2026 | 363 IJ4 harm | $76k |