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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D6 | E3 | F1 |
| 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 | |
|---|---|---|---|---|---|---|
| Jul 28, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 29, 2026 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Apr 29, 2026 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Feb 12, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Feb 12, 2025 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Nov 17, 2023 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Nov 17, 2023 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Oct 5, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D6 | E3 | F1 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 28, 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 Jul 29, 2026 | Complaint |
| Apr 29, 2026 | 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 | E · Potential harm Pattern | Corrected May 5, 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 38 facilities.
67 facilities in 1 states. CMS chain ID 670.
Chain average overall rating (CMS): 2.8
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Regency Ihs of La Paloma LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2022 |
| Sergio Cantu | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2025 |
| Cruz Leal | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2025 |
| Amanda Stone | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2024 |
| Dorothy Vela | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2025 |
| Csv Rhea Management Holdco, LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2022 |
| Dwd Tx Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2022 |
| Jack and Nancy Dwyer Workforce Development Center Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2022 |
| Reg Leased Opco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2022 |
| Reg Operator Holdco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2022 |
| Regency Integrated Health Services LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2022 |
| Regency Texas Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2022 |
| Daniel Baird | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 13, 2021 |
| Barbara Clapp | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2021 |
| Daren Cortese | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 10, 2021 |
| Donovan Dekowski | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2022 |
| Patricia Gibson | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2021 |
| Elliot Mandelbaum | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Regency Ihs of La Paloma LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2022 |
| Sergio Cantu | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2025 |
| Cruz Leal | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2025 |
| Amanda Stone | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2024 |
| Dorothy Vela |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Rosewood Heights 5700 E Central Texas Expwy, Killeen, TX 76543 CCN 455503 | 64 | Apr 17, 2026 | 193 IJ2 harm | $37k | |
| Laredo West Nursing and Rehabilitation Center 1200 E Lane St, Laredo, TX 78043 CCN 455528 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Laredo West Nursing and Rehabilitation Center 1200 E Lane St, Laredo, TX 78043 CCN 455528 | 188 | Jul 28, 2026 | 583 IJ | $50k | |
| Windsor Nursing and Rehabilitation Center of Morga 2322 Morgan Ave, Corpus Christi, TX 78405 CCN 455575Abuse icon |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| The Premier SNF of Alice 800 a Coyote Trail, Alice, TX 78332 CCN 676469 | 15.8 km | 104 | Aug 27, 2026 | 224 open | — | |
| Meridian Care of Alice 219 N King St, Alice, TX 78332 CCN 455455Abuse icon | 16.7 km | 201 | Aug 5, 2026 | 235 IJ | $138k | |
| Windsor Nursing and Rehabilitation Center of Alice 606 Coyote Tr, Alice, TX 78332 CCN 675309 | 19.1 km | 136 | Apr 1, 2026 | 293 IJ | $31k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 675170 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 675170 | 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
| Apr 29, 2026 |
| K-0353 |
| Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected May 5, 2026 |
| Apr 29, 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 May 5, 2026 |
| Apr 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 May 5, 2026 |
| Apr 29, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 5, 2026 |
| Feb 12, 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 Feb 13, 2025 |
| Nov 17, 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 | D · Potential harm Isolated | Corrected Nov 18, 2023 |
| Nov 17, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Nov 18, 2023 |
| Oct 5, 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 Oct 24, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.08 (case-mix index 1.53).
| Individual |
| Direct owner |
| DIRECT OWNERSHIP INTEREST |
| not provided |
| Jan 1, 2025 |
| Csv Rhea Management Holdco, LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2022 |
| Dwd Tx Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2022 |
| Jack and Nancy Dwyer Workforce Development Center Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2022 |
| Reg Leased Opco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2022 |
| Reg Operator Holdco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2022 |
| Regency Integrated Health Services LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2022 |
| Regency Texas Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2022 |
| Daniel Baird | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 13, 2021 |
| Barbara Clapp | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2021 |
| Daren Cortese | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 10, 2021 |
| Donovan Dekowski | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2022 |
| Patricia Gibson | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2021 |
| Elliot Mandelbaum | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2025 |
| Regency Ihs of La Paloma LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2022 |
| Regency Integrated Health Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2022 |
| Uvalde County Hospital Authority | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2022 |
| Donovan Dekowski | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2022 |
| Amanda Stone | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2024 |
| Adam Apolinar | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 23, 2015 |
| Terri Contreras | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 29, 2019 |
| Benjamin Elliott | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 23, 2015 |
| Kelly Faglie | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 25, 2016 |
| Gajanan Gaitonde | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 28, 2015 |
| Hector Gonzales | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 27, 2001 |
| Monica Gutierrez | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 28, 2015 |
| William Kessler | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 28, 2015 |
| Raul Zamora | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 28, 2015 |
| Regency Ihs Clinical Consulting, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2022 |
| Regency Ihs of La Paloma LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 18, 2025 |
| Regency Ihs Rehab LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2022 |
| Regency Integrated Health Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 18, 2025 |
| Uvalde County Hospital Authority | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 18, 2025 |
| Sergio Cantu | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Donovan Dekowski | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2022 |
| Cruz Leal | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Amanda Stone | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| Dorothy Vela | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| 188 |
| Jul 28, 2026 |
583 IJ |
| $50k |
| Memorial Medical Nursing and Rehabilitation 307 W Cypress St, San Antonio, TX 78212 CCN 455597 | 135 | Aug 5, 2026 | 872 IJ11 open | $35k |
| Hilltop Village Nursing and Rehabilitation 1400 Hilltop Rd, Kerrville, TX 78028 CCN 455628 | 150 | Aug 20, 2026 | 601 IJ | — |
| Silver Creek Nursing and Rehabilitation 9014 Timber Path, San Antonio, TX 78250 CCN 455652 | 120 | Jul 2, 2025 | 28 | — |
| Kirkwood Manor 2590 Loop 337 N, New Braunfels, TX 78130 CCN 455732 | 162 | Jun 17, 2026 | 691 IJ | $29k |
| Avir at San Knoll 5757 N. Knoll, San Antonio, TX 78240 CCN 455804 | 120 | Jul 24, 2026 | 711 IJ | $28k |
| San Antonio North Nursing and Rehabilitation 501 Ogden, San Antonio, TX 78212 CCN 455817 | 118 | Aug 6, 2026 | 762 IJ | $17k |
| 176 |
| Jul 16, 2026 |
371 IJ4 harm |
| $19k |
| Heritage Park Rehabilitation and Skilled Nursing C 2806 Real St, Austin, TX 78722 CCN 455599 | 197 | Feb 20, 2026 | 523 IJ2 harm1 open | $56k |
| Windsor Nursing and Rehabilitation Center of Mcall 900 S 12th St, Mcallen, TX 78501 CCN 455662 | 110 | Dec 3, 2025 | 211 harm | $24k |
| Longview Hill Nursing and Rehabilitation Center 3201 N Fourth St, Longview, TX 75605 CCN 455684 | 198 | Mar 18, 2026 | 683 IJ1 harm | $225k |
| Monument Hill Nursing and Rehabilitation Center 120 State Loop 92, La Grange, TX 78945 CCN 455715 | 104 | Aug 6, 2026 | 311 IJ | $8,281 |
| Spindletop Hill Nursing and Rehabilitation Center 1020 S 23rd St, Beaumont, TX 77707 CCN 455757 | 148 | Aug 5, 2026 | 443 IJ | $83k |
| Town and Country Nursing and Rehabilitation Center 625 N Main St, Boerne, TX 78006 CCN 455796 | 126 | Jul 31, 2026 | 763 IJ | $151k |