| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J4 | K1 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D32 | E20 | 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 | |
|---|---|---|---|---|---|---|
| Jun 22, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 13, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 2, 2026 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| May 2, 2026 | Health | Health Standard | 11 | Immediate jeopardy | — | Open → |
| Jan 8, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 10, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Feb 12, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Feb 12, 2025 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Jan 19, 2025 | Health | Health Complaint | 3 | Immediate jeopardy | — | Open → |
| Jun 22, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 13, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jan 13, 2024 | Health | Health Standard | 18 | Immediate jeopardy | — | Open → |
| Dec 21, 2023 | Health | Infection Control | 0 | No citations | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jan 19, 2025 | Civil money penalty (fine) | $49,205 | — | 455941|Fine|113525 |
| Jan 13, 2024 | Civil money penalty (fine) | $13,916 | — | 455941|Fine|112167 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J4 | K1 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D32 | E20 | F· |
| Minimal | A· | B1 | C1 |
“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: 3.55 (case-mix index 1.25).
CMS legal business name of the certified provider. Operates 38 facilities.
118 facilities in 1 states. CMS chain ID 719.
Chain average overall rating (CMS): 2.2
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Uvalde County Hospital District | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 1, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Uvalde County Hospital District | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 1, 2025 |
| Amitai Dagan | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Apr 25, 2025 |
| Abraham Goldberger | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Apr 25, 2025 |
| 210 West Windcrest Street Opco, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2025 |
| Nochum Freund | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2025 |
| Adrian Padilla | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2025 |
| Aaron Travitsky | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2025 |
| Adam Apolinar | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 23, 2015 |
| Welltower Inc | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Mar 1, 2025 |
| Welltower Nnn Group, LLC | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Mar 1, 2025 |
| Welltower Op LLC | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Mar 1, 2025 |
| Welltower Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| Welltower Nnn Group, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| Welltower Op LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| Richard Herren | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| Adrian Padilla | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Rosewood Heights 5700 E Central Texas Expwy, Killeen, TX 76543 CCN 455503 | 64 | Apr 17, 2026 | 193 IJ2 harm | $37k | |
| Laredo West Nursing and Rehabilitation Center 1200 E Lane St, Laredo, TX 78043 CCN 455528 | 188 | Jul 28, 2026 | 583 IJ | $50k | |
| Memorial Medical Nursing and Rehabilitation 307 W Cypress St, San Antonio, TX 78212 CCN 455597 | 135 | Aug 5, 2026 | 872 IJ11 open | $35k | |
| Hilltop Village Nursing and Rehabilitation 1400 Hilltop Rd, Kerrville, TX 78028 CCN 455628 | 150 | Aug 20, 2026 | 601 IJ | — | |
| Silver Creek Nursing and Rehabilitation 9014 Timber Path, San Antonio, TX 78250 CCN 455652 | 120 | Jul 2, 2025 | 28 | — | |
| Kirkwood Manor 2590 Loop 337 N, New Braunfels, TX 78130 CCN 455732 | 162 | Jun 17, 2026 | 691 IJ | $29k | |
| Avir at San Knoll 5757 N. Knoll, San Antonio, TX 78240 CCN 455804 | 120 | Jul 24, 2026 | 711 IJ | $28k | |
| San Antonio North Nursing and Rehabilitation 501 Ogden, San Antonio, TX 78212 CCN 455817 | 118 | Aug 6, 2026 | 762 IJ | $17k |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Avir at Beaumont 4195 Milam Street, Beaumont, TX 77707 CCN 455001Abuse icon | 214 | Aug 24, 2026 | 582 IJ2 open | $40k | |
| Avir at New Braunfels 821 US Hwy 81 W, New Braunfels, TX 78130 CCN 455020Abuse icon | 154 | Jul 10, 2026 | 755 IJ | $158k | |
| Avir at Rose Trail 930 S Baxter, Tyler, TX 75701 CCN 455429SFF Candidate | 172 | Aug 14, 2026 | 639 IJ3 harm | $484k | |
| Avir at Petal Hill 900 S Baxter Ave, Tyler, TX 75701 CCN 455485Abuse icon | 120 | May 13, 2026 | 352 IJ | $26k | |
| Avir at Jeffrey Place 820 Jeffrey Dr, Waco, TX 76710 CCN 455489 | 95 | Apr 9, 2026 | 452 IJ | $22k | |
| Avir at Temple West 1700 Marlandwood Rd, Temple, TX 76502 CCN 455522 | 104 | Dec 18, 2025 | 312 IJ1 open | $7,257 | |
| Avir at Center 280 Moffitt Dr, Center, TX 75935 CCN 455550 | 137 | Jul 23, 2025 | 271 IJ | $9,113 | |
| Avir at Graham 1224 Corvadura St, Graham, TX 76450 CCN 455555 | 116 | Aug 14, 2025 | 33 | — |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Avir at Fredericksburg 1117 S. Adams St., Fredericksburg, TX 78624 CCN 675169 | 0.6 km | 90 | Jun 26, 2026 | 642 IJ | $15k | |
| Knopp Nursing & Rehab Center Inc 202 Billie Dr, Fredericksburg, TX 78624 CCN 675740 | 0.9 km | 60 | Jan 21, 2026 | 492 IJ | $32k | |
| Knopp Healthcare and Rehab Center Inc 1208 N Llano, Fredericksburg, TX 78624 CCN 455278 | 3 km | 119 | Jan 9, 2026 | 39 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 455941 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 455941 | 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