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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J5 | K3 | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D36 | E21 | F16 |
| 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.
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 26, 2026 | Health | Health Complaint | 1 | Potential harm | 1 | Open → |
| Jul 23, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 8, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 17, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 3, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 1, 2026 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| May 1, 2026 | Health | Health Complaint, Health Standard | 7 | Immediate jeopardy | — | Open → |
| Mar 24, 2026 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Dec 11, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Dec 4, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Sep 10, 2025 | Health | Health Complaint | 4 | Immediate jeopardy | — | Open → |
| May 1, 2025 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Feb 14, 2025 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Feb 14, 2025 | Health | Health Complaint, Health Standard | 10 | Immediate jeopardy | — | Open → |
| Jan 13, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Oct 6, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Oct 1, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 21, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jun 5, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 30, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 5, 2024 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Jan 5, 2024 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Dec 13, 2023 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Nov 2, 2023 | Health | Infection Control | 0 | No citations | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| May 1, 2026 | Civil money penalty (fine) | $6,930 | — | 675028|Fine|138905 |
| Sep 10, 2025 | Civil money penalty (fine) | $17,644 | — | 675028|Fine|135850 |
| May 1, 2025 | Civil money penalty (fine) | $12,295 | — | 675028|Fine|113812 |
| May 1, 2025 | Civil money penalty (fine) | $12,295 | — | 675028|Fine|113813 |
| Feb 14, 2025 | Denial of payment for new admissions | — | Mar 19, 2025 · 2 days | 675028|Payment Denial|2025-03-19 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J5 | K3 | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D36 | E21 | F16 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 26, 2026 | 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 | No plan of correction | Complaint |
| Jul 23, 2026 | 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 |
“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.
150 facilities in 1 states. CMS chain ID 169.
Chain average overall rating (CMS): 2.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| West Wharton County Hospital District | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| West Wharton County Hospital District | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2023 |
| Sean Bowers | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2024 |
| Alfred Cisneros | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Feb 18, 2008 |
| Travis Cobb | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided |
| 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 |
|---|---|---|---|---|---|
| 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 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Tuskegee Airmen Texas State Veterans Home 2200 Joe B Rushing Road, Fort Worth, TX 76119 CCN 745057Abuse icon | 5 km | 120 | Jul 23, 2026 | 163 IJ1 open | $14k | |
| Park Bend Rehabilitation and Healthcare Center 301 Huguley Blvd., Burleson, TX 76028 CCN 455763 | 5.9 km | 178 | Mar 11, 2026 | 317 IJ | $66k | |
| Allegiant Wellness and Rehab 724 W. Rendon Crowley Road, Crowley, TX 76036 CCN 676452 | 6.4 km | 60 | Sep 10, 2026 | 173 open | — | |
| Avir at Fort Worth 7100 Trail Lake Dr, Fort Worth, TX 76133 CCN 676132Abuse icon | 7.2 km | 120 | Aug 10, 2026 | 613 IJ | $180k | |
| Ft Worth Southwest Nursing Center 5300 Alta Mesa Blvd, Fort Worth, TX 76133 CCN 675817 | 7.5 km | 198 | May 20, 2026 | 263 IJ | $24k | |
| Crowley Nursing and Rehabilitation 920 E Fm 1187, Crowley, TX 76036 CCN 676176 | 7.6 km | 120 | Aug 20, 2026 | 331 harm13 open | $18k | |
| Wedgewood Nursing Home 6621 Dan Danciger Rd, Fort Worth, TX 76133 CCN 455572 | 7.9 km | 122 | Apr 23, 2026 | 543 IJ | $32k | |
| Ignite Medical Resort Fort Worth, LLC 6301 Oakmont Blvd, Fort Worth, TX 76132 CCN 676449 | 8.1 km | 70 | Jul 16, 2026 | 644 IJ2 harm | $132k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 675028 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 675028 | 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
| Feb 14, 2025 | Civil money penalty (fine) | $64,457 | — | 675028|Fine|113612 |
| Jan 13, 2025 | Civil money penalty (fine) | $16,391 | — | 675028|Fine|113527 |
| Aug 21, 2024 | Civil money penalty (fine) | $10,238 | — | 675028|Fine|113144 |
| Dec 13, 2023 | Civil money penalty (fine) | $15,852 | — | 675028|Fine|111989 |
| Complaint |
| Jul 8, 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 Jul 10, 2026 | Complaint |
| Jun 17, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 30, 2026 | Complaint |
| Jun 3, 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 Jun 4, 2026 | Complaint |
| May 1, 2026 | 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 2, 2026 | Complaint |
| May 1, 2026 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 4, 2026 |
| May 1, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 4, 2026 |
| May 1, 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 May 4, 2026 |
| May 1, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 4, 2026 |
| May 1, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 4, 2026 |
| May 1, 2026 | 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 | F · Potential harm Widespread | Corrected May 4, 2026 |
| May 1, 2026 | 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 May 4, 2026 |
| May 1, 2026 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 4, 2026 |
| May 1, 2026 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 2, 2026 |
| May 1, 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 | D · Potential harm Isolated | Corrected May 2, 2026 |
| May 1, 2026 | 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 | E · Potential harm Pattern | Corrected May 2, 2026 |
| May 1, 2026 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 2, 2026 |
| May 1, 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 May 2, 2026 |
| May 1, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 2, 2026 |
| Mar 24, 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 | D · Potential harm Isolated | Corrected Apr 6, 2026 | Complaint |
| Mar 24, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 6, 2026 | Complaint |
| Mar 24, 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 | D · Potential harm Isolated | Corrected Apr 6, 2026 | Complaint |
| Mar 24, 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 6, 2026 | Complaint |
| Mar 24, 2026 | 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 Apr 6, 2026 | Complaint |
| Dec 11, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 12, 2025 | Complaint |
| Dec 11, 2025 | 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 Dec 12, 2025 | Complaint |
| Dec 11, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 12, 2025 | Complaint |
| Dec 4, 2025 | 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 Dec 5, 2025 | Complaint |
| Dec 4, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 5, 2025 | Complaint |
| Sep 10, 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 | K · Immediate jeopardy Pattern | Past non-compliance Sep 5, 2025 | Complaint |
| Sep 10, 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 Jun 19, 2025 | Complaint |
| Sep 10, 2025 | 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 Sep 11, 2025 | Complaint |
| Sep 10, 2025 | 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 Sep 11, 2025 | Complaint |
| May 1, 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 | G · Actual harm Isolated | Past non-compliance Mar 14, 2025 | Complaint |
| May 1, 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 | G · Actual harm Isolated | Past non-compliance Apr 2, 2025 | Complaint |
| May 1, 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 | E · Potential harm Pattern | Corrected May 2, 2025 | Complaint |
| Feb 14, 2025 | 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 Feb 15, 2025 |
| Feb 14, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Feb 15, 2025 |
| Feb 14, 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 | Corrected Feb 15, 2025 |
| Feb 14, 2025 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Feb 14, 2025 |
| Feb 14, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 14, 2025 |
| Feb 14, 2025 | K-0343 | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 14, 2025 |
| Feb 14, 2025 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 21, 2025 |
| Feb 14, 2025 | K-0352 | Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 14, 2025 |
| Feb 14, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 14, 2025 |
| Feb 14, 2025 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 14, 2025 |
| Feb 14, 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 Mar 14, 2025 |
| Feb 14, 2025 | 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 | D · Potential harm Isolated | Corrected Feb 15, 2025 |
| Feb 14, 2025 | 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 Feb 15, 2025 | Complaint |
| Feb 14, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 15, 2025 | Complaint |
| Feb 14, 2025 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 15, 2025 |
| Feb 14, 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 | E · Potential harm Pattern | Corrected Feb 15, 2025 | Complaint |
| Feb 14, 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 Feb 15, 2025 | Complaint |
| Feb 14, 2025 | F-0825 | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 15, 2025 |
| Jan 13, 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 Dec 5, 2024 | Complaint |
| Oct 6, 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 Oct 7, 2024 | Complaint |
| Oct 6, 2024 | 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 Oct 7, 2024 | Complaint |
| Oct 6, 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 Oct 7, 2024 | Complaint |
| Oct 1, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 2, 2024 | Complaint |
| Oct 1, 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 Oct 2, 2024 | Complaint |
| Aug 21, 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 | Past non-compliance Aug 9, 2024 | Complaint |
| Jun 5, 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 | E · Potential harm Pattern | Corrected Jun 6, 2024 | Complaint |
| Jun 5, 2024 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jun 6, 2024 | Complaint |
| Jan 30, 2024 | 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 Jan 31, 2024 | Complaint |
| Jan 5, 2024 | E-0020 | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 5, 2024 |
| Jan 5, 2024 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 2, 2024 |
| Jan 5, 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 | D · Potential harm Isolated | Corrected Jan 5, 2024 |
| Jan 5, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 5, 2024 |
| Jan 5, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 10, 2024 |
| Jan 5, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 5, 2024 |
| Jan 5, 2024 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 5, 2024 |
| Jan 5, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 5, 2024 |
| Jan 5, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 5, 2024 |
| Jan 5, 2024 | K-0900 | Meet Health Care Facilities Code mechanical requirements. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 5, 2024 |
| Jan 5, 2024 | 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 Jan 5, 2024 |
| Jan 5, 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 Jan 8, 2024 |
| Jan 5, 2024 | 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 | D · Potential harm Isolated | Corrected Jan 8, 2024 |
| Jan 5, 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 Jan 8, 2024 |
| Jan 5, 2024 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 8, 2024 |
| Jan 5, 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 Jan 8, 2024 |
| Jan 5, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 8, 2024 |
| Jan 5, 2024 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 8, 2024 |
| Dec 13, 2023 | 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 | K · Immediate jeopardy Pattern | Past non-compliance Dec 8, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.31 (case-mix index 1.38).
| Oct 5, 2022 |
| Stephen Cooper | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Nov 11, 2022 |
| Sherrie Hardin | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Sep 4, 2024 |
| Richard Kerzee | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Sep 24, 2007 |
| Patricia Korenek | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 5, 2018 |
| Paul Soechting | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Nov 22, 2024 |
| Joe Strack | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Feb 11, 2022 |
| Johnny Thompson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2024 |
| Fort Worth V Enterprises LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2023 |
| Gary Blake | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2023 |
| Malisa Blake | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2023 |
| Linda Huggins | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2023 |
| Syed Jamal | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2025 |
| Bradley Romero | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2025 |
| Johnny Thompson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Zachary Willig | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2025 |
| Fort Worth V Enterprises LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 10, 2025 |
| Gary Blake | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2023 |
| Syed Jamal | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Bradley Romero | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 24, 2025 |
| $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 | — |
| $198k |
| Mesa Vista Inn Health Center 5756 North Knoll Drive, San Antonio, TX 78240 CCN 455444 | 144 | Jul 2, 2026 | 531 IJ | $8,160 |
| Mountain View Health & Rehabilitation 1600 Muchison Rd, El Paso, TX 79902 CCN 455471 | 187 | Jul 2, 2026 | 836 IJ | $123k |
| Vista Hills Health Care Center 1599 Lomaland Drive, El Paso, TX 79935 CCN 455493 | 120 | Aug 24, 2026 | 832 IJ | $40k |
| Pleasant Springs Healthcare Center 2003 North Edwards Avenue, Mount Pleasant, TX 75455 CCN 455532SFF CandidateAbuse icon | 90 | Aug 7, 2026 | 774 IJ2 harm | $66k |
| Amistad Nursing and Rehabilitation Center 200 Riverside Drive, Uvalde, TX 78801 CCN 455536 | 200 | Aug 7, 2026 | 44 | — |
| Heritage at Longview Healthcare Center 112 Ruthlynn Dr, Longview, TX 75605 CCN 455569 | 140 | Apr 28, 2026 | 401 IJ1 harm1 open | $82k |
| Mineral Wells Nursing & Rehabilitation 316 Southwest 25th Avenue, Mineral Wells, TX 76067 CCN 455570 | 109 | Jun 24, 2026 | 19 | — |