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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J5 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D19 | E7 | F4 |
| Minimal | A· | B· | C3 |
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 26, 2026 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| May 1, 2026 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| May 1, 2026 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Feb 5, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 25, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Nov 13, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Feb 20, 2025 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Feb 20, 2025 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Aug 7, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 15, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 22, 2024 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Mar 13, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 7, 2024 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Dec 29, 2023 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Dec 29, 2023 | Health | Health Complaint, Health Standard | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jun 26, 2026 | Civil money penalty (fine) | $36,624 | — | 675052|Fine|141030 |
| Jan 25, 2024 | Denial of payment for new admissions | — | Apr 5, 2024 · 10 days | 675052|Payment Denial|2024-04-05 |
| Jan 25, 2024 | Civil money penalty (fine) | $10,033 | — | 675052|Fine|112825 |
| Jan 25, 2024 | Civil money penalty (fine) | $8,021 | — | 675052|Fine|112496 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J5 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D19 | E7 | F4 |
| Minimal | A· | B· | C3 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 26, 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 | J · Immediate jeopardy Isolated | Corrected Jul 23, 2026 | Complaint |
| Jun 26, 2026 | 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 Jul 23, 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 this facility only.
51 facilities in 3 states. CMS chain ID 370.
Chain average overall rating (CMS): 2.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Nexion Health Leasing, Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Dec 14, 2022 |
| Nexion Health, Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 14, 2022 |
| Francis Kirley | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Nexion Health Leasing, Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Dec 14, 2022 |
| Nexion Health, Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 14, 2022 |
| Francis Kirley | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2023 |
| Francis Kirley | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 14, 2022 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Sterling Hills Rehabilitation and Healthcare Cente 705 NE Georgia Ave, Sweetwater, TX 79556 CCN 455509 | 96 | Mar 26, 2026 | 17 | — | |
| Lily Springs Rehabilitation and Healthcare Center 901 Central Texas Exp, Lampasas, TX 76550 CCN 455889 | 116 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Sylan Shores Health and Wellness 3950 Underwood Rd, La Porte, TX 77571 CCN 676490Abuse icon | 7 km | 124 | Nov 24, 2025 | 201 IJ | $8,281 | |
| Mont Belvieu Rehabilitation & Healthcare Center 14000 Lakes of Champions Blvd, Mont Belvieu, TX 77523 CCN 676484 | 11 km | 124 | Aug 26, 2026 | 402 IJ1 harm | $22k | |
| Rollingbrook Rehabilitation and Health Care Center 750 Rollingbrook Dr., Baytown, TX 77521 CCN 676442 | 11.1 km | 130 | Mar 26, 2026 | 131 IJ | $24k | |
| St James House of Baytown 5800 W Baker Rd, Baytown, TX 77520 CCN 675999 | 11.6 km | 105 | Mar 26, 2026 | 181 IJ | $15k | |
| Focused Care at Allenbrook 4109 Allenbrook Dr, Baytown, TX 77521 CCN 675079 | 11.9 km | 120 | Mar 13, 2026 | 201 IJ1 harm | $8,400 | |
| Focused Care at Cedar Bayou 2000 W Baker Road, Baytown, TX 77521 CCN 676204 | 11.9 km | 125 | Aug 30, 2026 | 349 IJ2 harm2 open | $119k | |
| Focused Care at Burnet Bay 3921 N. Main Street, Baytown, TX 77521 CCN 675849 | 12.1 km | 120 | Jul 22, 2026 | 303 IJ1 harm2 open | $16k | |
| Baywood Crossing Rehabilitation & Healthcare Cente 5020 Space Center Blvd, Pasadena, TX 77505 CCN 676309 | 12.8 km | 124 | Jul 2, 2026 | 263 open | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 675052 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 675052 | 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 1, 2026 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 21, 2026 |
| May 1, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 15, 2026 |
| May 1, 2026 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 20, 2026 |
| May 1, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 20, 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 20, 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 | E · Potential harm Pattern | Corrected May 20, 2026 |
| May 1, 2026 | F-0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected May 20, 2026 |
| May 1, 2026 | 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 May 20, 2026 |
| May 1, 2026 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 20, 2026 |
| May 1, 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 Jun 5, 2026 |
| Feb 5, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 9, 2026 | Complaint |
| Nov 25, 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 Jan 27, 2026 | Complaint |
| Nov 25, 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 27, 2026 | Complaint |
| Nov 25, 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 | E · Potential harm Pattern | Corrected Jan 27, 2026 | Complaint |
| Nov 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 | Complaint |
| Feb 20, 2025 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 7, 2025 |
| Feb 20, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 6, 2025 |
| Feb 20, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 22, 2025 |
| Feb 20, 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 10, 2025 |
| Feb 20, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 25, 2025 |
| Feb 20, 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 Feb 22, 2025 |
| Feb 20, 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 Feb 28, 2025 |
| Feb 20, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 22, 2025 |
| Feb 20, 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 | E · Potential harm Pattern | Corrected Mar 7, 2025 |
| Feb 20, 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 Mar 14, 2025 |
| Aug 7, 2024 | 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 Sep 6, 2024 | Complaint |
| Apr 15, 2024 | F-0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Apr 16, 2024 | Complaint |
| Apr 15, 2024 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Apr 16, 2024 | Complaint |
| Mar 22, 2024 | 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 | Corrected Mar 23, 2024 | Complaint |
| Mar 22, 2024 | 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 Mar 23, 2024 | Complaint |
| Mar 13, 2024 | 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 Mar 14, 2024 | Complaint |
| Mar 7, 2024 | 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 Mar 7, 2024 | Complaint |
| Mar 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 | J · Immediate jeopardy Isolated | Corrected Mar 7, 2024 | Complaint |
| Dec 29, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 30, 2023 |
| Dec 29, 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 5, 2024 |
| Dec 29, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 5, 2024 | Complaint |
| Dec 29, 2023 | 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 Dec 30, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.25 (case-mix index 1.23).
| Dante Liberatore | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 19, 2022 |
| John Oswald | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 14, 2022 |
| Francis Kirley | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 14, 2022 |
| Brian Lee | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 14, 2022 |
| Daniel Pierce | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 14, 2022 |
| Meera Riner | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 14, 2022 |
| Dominique Murray | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Apr 1, 2023 |
| Jun 24, 2026 |
594 IJ2 harm |
| $86k |
| Cedar Ridge Rehabilitation and Healthcare Center 1700 N Washington St, Pilot Point, TX 76258 CCN 455930 | 108 | Apr 1, 2026 | 36 | — |
| Pecan Creek Healthcare Center 910 E Pierson St, Hamilton, TX 76531 CCN 455954 | 76 | Jun 11, 2026 | 192 open | — |
| Coleman Healthcare Center 2713 S. Commercial Ave, Coleman, TX 76834 CCN 675009 | 54 | Mar 6, 2026 | 27 | — |
| Lakeview Rehabilitation and Healthcare Center 502 E Coke Rd, Winnsboro, TX 75494 CCN 675051 | 60 | Apr 23, 2026 | 372 harm | $34k |
| Renaissance Rehabilitation and Healthcare Center 220 Davenport, Italy, TX 76651 CCN 675103 | 74 | Sep 10, 2025 | 18 | — |
| Midwestern Healthcare Center 601 Midwestern Pkwy, Wichita Falls, TX 76302 CCN 675128 | 121 | Feb 10, 2026 | 373 IJ | $30k |