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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K5 | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D15 | E12 | F4 |
| 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 | |
|---|---|---|---|---|---|---|
| Jun 10, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 14, 2026 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| May 14, 2026 | Health | Health Standard | 0 | No citations | — | Open → |
| Jan 29, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 20, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Mar 25, 2025 | Health | Health Complaint | 3 | Immediate jeopardy | — | Open → |
| Feb 27, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Feb 27, 2025 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Sep 27, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 21, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Aug 16, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 21, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 7, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Mar 19, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 31, 2023 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Dec 31, 2023 | Health | Health Complaint, Health Standard | 4 | Immediate jeopardy | — | Open → |
| Dec 15, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 11, 2023 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Dec 7, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Oct 6, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Nov 20, 2025 | Civil money penalty (fine) | $17,345 | — | 675046|Fine|136276 |
| Feb 27, 2025 | Denial of payment for new admissions | — | May 27, 2025 · 13 days | 675046|Payment Denial|2025-05-27 |
| Feb 27, 2025 | Civil money penalty (fine) | $25,587 | — | 675046|Fine|113924 |
| Dec 7, 2023 | Civil money penalty (fine) | $39,884 | — | 675046|Fine|112065 |
| Dec 7, 2023 | Civil money penalty (fine) | $14,518 | — | 675046|Fine|111944 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K5 | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D15 | E12 | F4 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 10, 2026 | 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 | D · Potential harm Isolated | Corrected Jun 15, 2026 | Complaint |
| Jun 10, 2026 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 15, 2026 | 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.
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 |
|---|---|---|---|---|---|
| Rosenberg Hc LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2023 |
| Ari Silberstein | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2023 |
| Grady Hooper | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 1, 2023 |
| Nicholas Ireroa | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Apr 1, 2023 |
| 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 | |
| Lake Hills Healthcare Center 1514 Indian Creek Rd., Brownwood, TX 76801 CCN 675017 | 94 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Cambridge Health and Rehabilitation Center 1106 Golfview, Richmond, TX 77469 CCN 675901 | 3.1 km | 158 | Jul 10, 2026 | 301 IJ3 harm | $35k | |
| Oakbend Medical Center 1705 Jackson Street, Rosenberg, TX 77469 CCN 455770 | 3.2 km | 36 | Jun 17, 2026 | 13 | $12k | |
| Paradigm at the Brazos 2127 Preston St, Richmond, TX 77469 CCN 675420 | 3.5 km | 56 | Aug 1, 2025 | 11 | — | |
| Fort Bend Healthcare Center 3010 Bamore Road, Rosenberg, TX 77471 CCN 675663 | 3.6 km | 56 | Aug 14, 2026 | 181 IJ | $23k | |
| Richmond Health Care Center 705 Jackson St, Richmond, TX 77469 CCN 676006Abuse icon | 3.8 km | 92 | Aug 7, 2026 | 321 IJ1 harm | $78k | |
| Ignite Medical Resort Sugar Land, LLC 1803 Wescott Avenue, Sugar Land, TX 77479 CCN 676384 | 14.4 km | 90 | Jun 30, 2026 | 273 IJ | $137k | |
| The Crescent 11353 Sugar Park Lane, Sugar Land, TX 77478 CCN 676323 | 15.7 km | 112 | Jul 30, 2026 | 467 IJ | $106k | |
| S.p.j.s.t. Rest Home No 2 8611 Main St, Needville, TX 77461 CCN 676298 | 17.7 km | 58 | Dec 18, 2025 | 271 IJ | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 675046 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 675046 | 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
| May 14, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 26, 2026 |
| May 14, 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 26, 2026 |
| May 14, 2026 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 26, 2026 |
| Jan 29, 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 Jan 30, 2026 | Complaint |
| Nov 20, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Past non-compliance | Complaint |
| Mar 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 | K · Immediate jeopardy Pattern | Corrected Jun 9, 2025 | Complaint |
| Mar 25, 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 Jun 9, 2025 | Complaint |
| Mar 25, 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 | K · Immediate jeopardy Pattern | Corrected Jun 9, 2025 | Complaint |
| Feb 27, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 5, 2025 |
| Feb 27, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 5, 2025 |
| Feb 27, 2025 | 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 5, 2025 |
| Feb 27, 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 Mar 5, 2025 |
| Feb 27, 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 Mar 5, 2025 |
| Feb 27, 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 | E · Potential harm Pattern | Corrected Mar 5, 2025 |
| Feb 27, 2025 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Mar 5, 2025 |
| Sep 27, 2024 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | 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 | D · Potential harm Isolated | Corrected Aug 28, 2024 | Complaint |
| Aug 21, 2024 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Aug 28, 2024 | Complaint |
| Aug 21, 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 | D · Potential harm Isolated | Corrected Aug 28, 2024 | Complaint |
| Aug 16, 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 Aug 28, 2024 | Complaint |
| Aug 16, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 28, 2024 | Complaint |
| Jun 21, 2024 | F-0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 17, 2024 | Complaint |
| May 7, 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 Jun 3, 2024 | Complaint |
| Mar 19, 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 Apr 3, 2024 | Complaint |
| Dec 31, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | K · Immediate jeopardy Pattern | Corrected Jan 1, 2024 | Complaint |
| Dec 31, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 10, 2024 |
| Dec 31, 2023 | 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 Jan 10, 2024 |
| Dec 31, 2023 | 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 10, 2024 |
| Dec 31, 2023 | 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 | D · Potential harm Isolated | Corrected Jan 10, 2024 | Complaint |
| Dec 31, 2023 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 10, 2024 |
| Dec 31, 2023 | 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 | E · Potential harm Pattern | Corrected Jan 10, 2024 |
| Dec 15, 2023 | 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 Dec 31, 2023 | Complaint |
| Dec 11, 2023 | 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 | J · Immediate jeopardy Isolated | Corrected Dec 31, 2023 | Complaint |
| Dec 11, 2023 | 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 | Corrected Dec 31, 2023 | Complaint |
| Dec 7, 2023 | F-0660 | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 31, 2023 | Complaint |
| Dec 7, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 31, 2023 | Complaint |
| Oct 6, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 27, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.36 (case-mix index 1.23).
| 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 | — |
| Jul 10, 2026 |
291 IJ1 harm |
| $22k |
| Colonial Manor Advanced Rehab & Healthcare 1100 W Minnesota Rd, Pharr, TX 78577 CCN 675044 | 123 | Aug 12, 2026 | 441 IJ1 harm2 open | $55k |
| 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 |