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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D8 | E10 | F3 |
| 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 | |
|---|---|---|---|---|---|---|
| May 5, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 31, 2026 | Health | Health Complaint | 3 | Immediate jeopardy | — | Open → |
| Jul 3, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jul 3, 2025 | Health | Health Complaint, Health Standard | 9 | Potential harm | — | Open → |
| Jun 6, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jun 6, 2024 | Health | Health Complaint, Health Standard | 2 | Potential harm | — | Open → |
| Apr 6, 2023 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Apr 6, 2023 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jan 31, 2026 | Civil money penalty (fine) | $14,069 | — | 675151|Fine|137144 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D8 | E10 | F3 |
| Minimal | A· | B· | C3 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 5, 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 | D · Potential harm Isolated | Corrected Jun 30, 2026 | Complaint |
| Jan 31, 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 | J · Immediate jeopardy Isolated | Corrected Feb 16, 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 37 facilities.
66 facilities in 6 states. CMS chain ID 231.
Chain average overall rating (CMS): 2.5
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Dallas County Hospital District | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 1, 2017 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Dallas County Hospital District | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 1, 2017 |
| Cassandra Mistretta | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Mar 25, 2026 |
| Vanalstynetx LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2025 |
| Mary Pfeifer | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Windsor Gardens 2535 W Pleasant Run, Lancaster, TX 75146 CCN 455832 | 150 | Jul 20, 2026 | 342 IJ | $14k | |
| Avir at River Valley 1907 Refinery Rd, Gainesville, TX 76240 CCN 455970 | 116 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Creekside Terrace Rehabilitation 1555 Powell Avenue, Belton, TX 76513 CCN 455497 | 126 | Jun 8, 2026 | 211 IJ | $13k | |
| Avir at Memorial 1300 Memorial Dr, Denison, TX 75020 CCN 455806 | 136 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Cedar Hollow Rehabilitation Center 5011 North US Hwy 75, Sherman, TX 75090 CCN 676488 | 18 km | 142 | Aug 20, 2026 | 343 IJ2 harm1 open | $32k | |
| Mullican Care Center 105 North Main Street, Savoy, TX 75479 CCN 675439 | 28.2 km | 112 | Jul 23, 2026 | 472 open | $5,159 |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 675151 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 675151 | 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
| Jan 31, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 16, 2026 | Complaint |
| Jan 31, 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 Feb 16, 2026 | Complaint |
| Jul 3, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 11, 2025 |
| Jul 3, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Past non-compliance Dec 11, 2024 |
| Jul 3, 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 Jul 11, 2025 |
| Jul 3, 2025 | 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 Jul 31, 2025 | Complaint |
| Jul 3, 2025 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 31, 2025 | Complaint |
| Jul 3, 2025 | 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 Jul 31, 2025 |
| Jul 3, 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 | D · Potential harm Isolated | Corrected Jul 31, 2025 |
| Jul 3, 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 Jul 31, 2025 | Complaint |
| Jul 3, 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 Jul 31, 2025 | Complaint |
| Jul 3, 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 Jul 31, 2025 | Complaint |
| Jul 3, 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 Jul 31, 2025 |
| Jul 3, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 31, 2025 | Complaint |
| Jul 3, 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 Jul 11, 2025 |
| Jun 6, 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 Jul 17, 2024 |
| Jun 6, 2024 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 17, 2024 | Complaint |
| Jun 6, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 17, 2024 | Complaint |
| Jun 6, 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 Jul 17, 2024 |
| Apr 6, 2023 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 15, 2023 |
| Apr 6, 2023 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 4, 2023 |
| Apr 6, 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 | F · Potential harm Widespread | Corrected May 4, 2023 |
| Apr 6, 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 Apr 28, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.27 (case-mix index 1.33).
| Oct 1, 2025 |
| Jagdish Shah | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 19, 2024 |
| Kasha Smith | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 24, 2023 |
| Edmundo Castaneda | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 10, 2022 |
| 632 Windsor Way LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Empower Healthcare Management LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Empower Opco LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Texas Senior Realty Ventures LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Jagdish Shah | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 19, 2024 |
| Kasha Smith | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 24, 2023 |
| Jul 27, 2026 |
41 |
| — |
| Denton Rehabilitation and Nursing Center 3345 Medpark Dr., Denton, TX 76210 CCN 675136 | 94 | Jul 16, 2026 | 32 | — |
| The Manor at Seagoville 2416 Elizabeth Ln, Seagoville, TX 75159 CCN 675418 | 90 | Apr 1, 2026 | 382 IJ | $98k |
| Renaissance Care Center 1400 Blackshill Dr, Gainesville, TX 76240 CCN 675441 | 91 | Jun 4, 2026 | 42 | — |
| Beacon Hill 3515 S Park Ave, Denison, TX 75020 CCN 675503 | 150 | May 26, 2026 | 28 | — |
| Williamsburg Village Healthcare Campus 940 York Drive, Desoto, TX 75115 CCN 675756SFF Candidate | 242 | Jul 30, 2026 | 939 IJ | $150k |
| The Villa at Mountain View 2918 Duncanville Rd, Dallas, TX 75211 CCN 675783 | 120 | Aug 28, 2026 | 512 IJ1 harm3 open | $25k |
| May 3, 2026 |
512 IJ |
| $47k |
| Bremond Nursing and Rehabilitation Center 211 N Main, Bremond, TX 76629 CCN 675132 | 82 | Aug 22, 2026 | 401 IJ1 harm1 open | $24k |
| Brownfield Rehabilitation and Care Center 510 S First St, Brownfield, TX 79316 CCN 675182 | 54 | Aug 26, 2026 | 231 open | — |
| Harbor Point Skilled Nursing 1720 N Logan St, Texas City, TX 77590 CCN 675214 | 129 | Apr 17, 2026 | 20 | — |
| Villa Haven Health and Rehabilitation Center 300 S Jackson St, Breckenridge, TX 76424 CCN 675279 | 92 | Mar 13, 2026 | 18 | — |
| Hillside Heights Rehabilitation Suites 6650 South Soncy Road, Amarillo, TX 79119 CCN 675498Abuse icon | 120 | Jun 4, 2026 | 301 IJ | $15k |
| Mira Vista Court 7021 Bryant Irvin Rd, Fort Worth, TX 76132 CCN 676067 | 142 | Aug 6, 2026 | 381 harm | $9,110 |