| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D7 | E9 | F7 |
| Minimal | A· | B· | C4 |
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 | |
|---|---|---|---|---|---|---|
| Jul 10, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 24, 2026 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jun 24, 2026 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Feb 9, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 4, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Apr 4, 2025 | Health | Health Standard | 4 | Immediate jeopardy | — | Open → |
| Jan 24, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jan 25, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jan 25, 2024 | Health | Health Standard | 6 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 4, 2025 | Civil money penalty (fine) | $13,260 | — | 675017|Fine|113744 |
| Jan 25, 2024 | Denial of payment for new admissions | — | Feb 21, 2024 · 2 days | 675017|Payment Denial|2024-02-21 |
| Jan 25, 2024 | Civil money penalty (fine) | $8,824 | — | 675017|Fine|112182 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D7 | E9 | F7 |
| Minimal | A· | B· | C4 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 10, 2026 | 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 | E · Potential harm Pattern | Corrected Jul 11, 2026 | Complaint |
| Jun 24, 2026 | 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 Jul 1, 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 61 facilities.
10 facilities in 1 states. CMS chain ID 589.
Chain average overall rating (CMS): 2.7
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Slp Brownwood, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2021 |
| Cassandra Mistretta | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2021 |
| Grady Hooper | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 1, 2021 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Avir at the Lakes 424 N Tarpey Rd, Texas City, TX 77591 CCN 455490 | 109 | Dec 4, 2025 | 401 IJ | $8,410 | |
| Mcallen Nursing Center 600 N Cynthia St, Mcallen, TX 78501 CCN 455560 | 122 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Avir at the Lakes 424 N Tarpey Rd, Texas City, TX 77591 CCN 455490 | 109 | Dec 4, 2025 | 401 IJ | $8,410 | |
| Colonial Manor Advanced Rehab & Healthcare 1100 W Minnesota Rd, Pharr, TX 78577 CCN 675044 | 123 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Pecan Bayou Nursing and Rehabilitation 2700 Memorial Park Dr., Brownwood, TX 76801 CCN 676278 | 2.6 km | 90 | Aug 27, 2025 | 162 IJ | $48k | |
| Songbird Lodge 2500 Songbird Circle, Brownwood, TX 76801 CCN 675959 | 2.8 km | 121 | Dec 11, 2025 | 251 IJ | $10k | |
| Oak Ridge Manor 2501 Morris Sheppard Drive, Brownwood, TX 76801 CCN 675944 | 2.9 km | 114 | Dec 30, 2025 | 17 | $130k | |
| Brownwood Nursing & Rehabilitation 101 Miller Dr, Brownwood, TX 76801 CCN 675537 | 3 km | 128 | Apr 15, 2026 | 26 | — | |
| Care Nursing & Rehabilitation 200 County Road 616, Brownwood, TX 76802 CCN 676046 | 9.1 km | 97 | May 28, 2026 | 26 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 675017 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 675017 | 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
| Jun 24, 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 Jul 1, 2026 |
| Jun 24, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 1, 2026 |
| Jun 24, 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 Jul 26, 2026 |
| Jun 24, 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 Jul 26, 2026 |
| Jun 24, 2026 | 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 Jul 26, 2026 |
| Jun 24, 2026 | F-0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jul 26, 2026 |
| Jun 24, 2026 | 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 Jul 1, 2026 |
| Feb 9, 2026 | F-0728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Mar 9, 2026 | Complaint |
| Apr 4, 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 | Past non-compliance Mar 24, 2025 |
| Apr 4, 2025 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 17, 2025 |
| Apr 4, 2025 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 17, 2025 |
| Apr 4, 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 | F · Potential harm Widespread | Corrected Apr 17, 2025 |
| Apr 4, 2025 | F-0777 | Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Apr 5, 2025 |
| Apr 4, 2025 | 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 Apr 5, 2025 |
| Apr 4, 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 | Corrected Apr 17, 2025 |
| Apr 4, 2025 | F-0680 | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · Clinical care | C · Minimal Widespread | Corrected Apr 5, 2025 |
| Jan 24, 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 Jan 25, 2025 | Complaint |
| Jan 24, 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 Jan 25, 2025 | Complaint |
| Jan 24, 2025 | 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 Jan 25, 2025 | Complaint |
| Jan 25, 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 | G · Actual harm Isolated | Corrected Jan 26, 2024 |
| Jan 25, 2024 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 23, 2024 |
| Jan 25, 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 Jan 26, 2024 |
| Jan 25, 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 | E · Potential harm Pattern | Corrected Jan 26, 2024 |
| Jan 25, 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 Jan 26, 2024 |
| Jan 25, 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 Jan 26, 2024 |
| Jan 25, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 26, 2024 |
| Jan 25, 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 Jan 25, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.25 (case-mix index 1.19).
| Aug 5, 2026 |
412 IJ5 open |
| $17k |
| Sulphur Springs Health and Rehabilitation 411 Airport Rd, Sulphur Springs, TX 75482 CCN 455579 | 128 | Jun 24, 2026 | 581 IJ | $44k |
| Riverside Oaks 3103 E. Airline Drive, Victoria, TX 77901 CCN 455726 | 108 | Apr 16, 2026 | 33 | — |
| Advanced Health & Rehab Center of Garland 1201 Colonel Dr., Garland, TX 75043 CCN 455731SFF Candidate | 139 | Jun 4, 2026 | 584 IJ | $183k |
| Pecan Creek Healthcare Center 910 E Pierson St, Hamilton, TX 76531 CCN 455954 | 76 | Jun 11, 2026 | 192 open | — |
| Avir at Kaufman 3001 S Houston St, Kaufman, TX 75142 CCN 455962 | 115 | Feb 9, 2026 | 491 IJ | $8,021 |
| Clarksville Nursing Center 300 East Baker St., Clarksville, TX 75426 CCN 455985 | 132 | Apr 14, 2026 | 33 | — |
| Aug 12, 2026 |
441 IJ1 harm2 open |
| $55k |
| Rosenberg Health & Rehabilitation Center 1419 Mahlmann St., Rosenberg, TX 77471 CCN 675046 | 124 | Jun 10, 2026 | 397 IJ1 harm | $97k |
| Avir at Hillview 1110 Rice St, Goldthwaite, TX 76844 CCN 675388 | 52 | Jan 15, 2026 | 14 | — |
| Avante Rehabilitation Center 225 N Sowers Rd, Irving, TX 75061 CCN 675908 | 120 | Aug 25, 2026 | 266 IJ | $17k |
| Goldthwaite Health & Rehab Center 1207 S Reynolds St, Goldthwaite, TX 76844 CCN 676086 | 94 | May 14, 2026 | 273 IJ1 open | $33k |
| Riverside Nursing and Rehabilitation Center 6801 E Riverside Dr, Austin, TX 78741 CCN 676246Abuse icon | 122 | Apr 12, 2026 | 401 IJ3 harm | $11k |
| The Reserve at Richardson 1610 Richardson Dr, Richardson, TX 75080 CCN 676448 | 129 | May 21, 2026 | 451 IJ | $14k |