Veranda Rehabilitation and Healthcare — nursing home in Harlingen, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 100 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 87.3 CMS, MDS-derived
CMS Certification Number: 455925
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jul 1, 1991
Ownership type: For profit - Corporation
Operator (legal business name): Fannin County Hospital Authority
CMS chain: The Ensign Group 347 facilities
Phone: (956) 423-4959
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

13

latest Aug 19, 2026

Citations

23

21 health · 2 fire

Harm or worse

1

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G·	H·	I·
Potential harm	D17	E5	F·
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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$8,021

Payment denials

0

Latest

Apr 12, 2024

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 455925
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 100
First approved: Jul 1, 1991
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Texas.

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.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Aug 19, 2026	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Aug 19, 2026	Health	Health Standard	4	Potential harm	—	Open →
Jul 29, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Apr 9, 2026	Health	Health Complaint	3	Potential harm	—	Open →
Feb 18, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Feb 4, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Dec 10, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Jun 25, 2025	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Jun 25, 2025	Health	Health Complaint, Health Standard	4	Potential harm	—	Open →
May 22, 2025	Health	Health Complaint	2	Potential harm	—	Open →
May 9, 2024	Fire safety	Fire Safety Standard	0	No citations	—	Open →
May 9, 2024	Health	Health Complaint, Health Standard	2	Potential harm	—	Open →
Apr 12, 2024	Health	Health Complaint	2	Immediate jeopardy	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Apr 12, 2024	Civil money penalty (fine)	$8,021	—	455925\|Fine\|112709

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G·	H·	I·
Potential harm	D17	E5	F·
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Aug 19, 2026	F-0635	Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 20, 2026
Aug 19, 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	Corrected Aug 20, 2026
Aug 19, 2026	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 Aug 20, 2026
Aug 19, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Aug 20, 2026
Jul 29, 2026	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 Aug 18, 2026	Complaint
Apr 9, 2026	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	D · Potential harm Isolated	Corrected Apr 10, 2026	Complaint
Apr 9, 2026	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	D · Potential harm Isolated	Corrected Apr 10, 2026	Complaint
Apr 9, 2026	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 10, 2026	Complaint
Feb 18, 2026	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 Feb 19, 2026	Complaint
Feb 4, 2026	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 Feb 5, 2026	Complaint
Dec 10, 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 Dec 11, 2025	Complaint
Jun 25, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 1, 2025
Jun 25, 2025	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 1, 2025
Jun 25, 2025	F-0602	Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 26, 2025	Complaint
Jun 25, 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 Jun 26, 2025
Jun 25, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jun 26, 2025
Jun 25, 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 Jun 26, 2025
May 22, 2025	F-0740	Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 23, 2025	Complaint
May 22, 2025	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 May 23, 2025	Complaint
May 9, 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	D · Potential harm Isolated	Corrected May 23, 2024	Complaint
May 9, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected May 23, 2024
Apr 12, 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	J · Immediate jeopardy Isolated	Past non-compliance Dec 7, 2023	Complaint
Apr 12, 2024	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 13, 2024	Complaint

“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.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QM

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.

Nurse staffing · hours per resident per day

Total nurse staffing3.28

State avg 3.42US avg 3.90

Registered nurse (RN)0.50

State avg 0.44US avg 0.69

Licensed practical nurse0.69

State avg 0.94US avg 0.86

Nurse aide2.09

State avg 2.03US avg 2.35

Weekend total nurse2.68

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.84 (case-mix index 1.62).

Staff turnover

Total nursing staff turnover31.7%

State avg 50.8%US avg 45.3%

Registered nurse turnover25.0%

State avg 49.8%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Aug 19, 2026
Cycle 1 health score: 52
Total weighted score: 53

Operating entity

Fannin County Hospital Authority

CMS legal business name of the certified provider. Operates 58 facilities.

VerifiedLinked by exact legal name

CMS chain

The Ensign Group

347 facilities in 17 states. CMS chain ID 507.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.3

Ownership disclosures

Disclosures

17

Organizations

7

Individuals

9

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Fannin County Hospital Authority	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Apr 1, 2019

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Fannin County Hospital Authority	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Apr 1, 2019
Jason Hess	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Apr 1, 2019
Shridhar Kotta	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Mar 1, 2016
Harlingen Healthcare, Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2019
Jason Hess	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2019
Shridhar Kotta	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2016
Soon Burnam	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 1, 2019
Chad Keetch	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 1, 2011
Clark Sanderson	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 1, 2019
Caretrust Gp LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2019
Caretrust Reit Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2019
Ctr Partnership LP	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2019
Ensign Services Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2009
Expressway Health Holdings LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2019
Harlingen Healthcare, Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 25, 2025
Jason Hess	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2019
Shridhar Kotta	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2016

Other facilities operated by Fannin County Hospital Authority

All 57 →

Facility	Beds	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

Same chain in Texas

All 346 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Richland Hills Rehabilitation and Healthcare Cente 3109 Kings Ct, Fort Worth, TX 76118 CCN 455576	92	May 28, 2026	401 harm	$8,190
Grand Terrace Rehabilitation and Healthcare 812 W. Houston Ave., Mcallen, TX 78501 CCN 455586	93	Jun 17, 2026	16	—
Alta Vista Rehabilitation and Healthcare 510 Paredes Line Rd, Brownsville, TX 78521 CCN 455625	100	May 1, 2026	281 IJ	—
Wellington Rehabilitation and Healthcare 1802 S 31st, Temple, TX 76504 CCN 455637	124	Aug 6, 2026	404 IJ	$32k
Golden Palms Rehabilitation and Retirement 2101 Treasure Hills Boulevard, Harlingen, TX 78550 CCN 455672	60	May 13, 2026	271 IJ1 harm	$16k
Park Village Healthcare and Rehabilitation 207 E Parkerville Rd, Desoto, TX 75115 CCN 455727Abuse icon	150	Aug 25, 2026	636 IJ2 harm2 open	$221k
Kirkwood Manor 2590 Loop 337 N, New Braunfels, TX 78130 CCN 455732	162	Jun 17, 2026	691 IJ	$29k
Timberwood Nursing and Rehabilitation Center 4001 Hwy 59 North, Livingston, TX 77351 CCN 455745	120	Jan 14, 2026	181 IJ	$8,021

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 4301 South Expressway 83, Harlingen, TX 78550
ZIP: 78550
County: Cameron County FIPS 48061
State: Texas
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Mid Valley Nursing & Rehabilitation 601 N Mile 2 West, Mercedes, TX 78570 CCN 676414	3.2 km	123	Jul 29, 2026	374 IJ	$17k
Windsor Nursing and Rehabilitation Center of Wesla 721 S Airport Dr, Weslaco, TX 78596 CCN 675363	12 km	120	Aug 27, 2026	362 IJ2 open	$23k
Valley Grande Manor 1212 S Bridge, Weslaco, TX 78596 CCN 455621Abuse icon	12.8 km	147	Aug 25, 2026	724 IJ2 harm	$89k
Weslaco Nursing and Rehabilitation Center 422 E 18th St, Weslaco, TX 78596 CCN 676037	13.2 km	120	Jul 28, 2026	33	—
Windsor Atrium 1814 Atrium Place Dr, Harlingen, TX 78550 CCN 676125	17.3 km	120	May 8, 2026	403 IJ	$23k
Harlingen Nursing and Rehabilitation Center 3810 Hale Ave, Harlingen, TX 78550 CCN 675606	17.5 km	120	Aug 19, 2026	222 IJ	$6,016

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	455925	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	455925	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

Record-level source links for CCN 455925

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction