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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J4 | K4 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D20 | E10 | F3 |
| Minimal | A· | B· | C2 |
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 1, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 13, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 7, 2026 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jan 7, 2026 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Nov 20, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 22, 2025 | Health | Health Complaint | 5 | Immediate jeopardy | — | Open → |
| Aug 16, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Oct 16, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Oct 16, 2024 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Jun 17, 2024 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Oct 3, 2023 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Sep 13, 2023 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Sep 13, 2023 | Health | Health Standard | 12 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Sep 22, 2025 | Civil money penalty (fine) | $17,345 | — | 675172|Fine|135317 |
| Sep 22, 2025 | Civil money penalty (fine) | $12,428 | — | 675172|Fine|135316 |
| Aug 16, 2025 | Civil money penalty (fine) | $17,660 | — | 675172|Fine|134719 |
| Jun 17, 2024 | Civil money penalty (fine) | $208,196 | — | 675172|Fine|112948 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J4 | K4 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D20 | E10 | F3 |
| Minimal | A· | B· | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| 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 | D · Potential harm Isolated | Corrected May 16, 2026 | Complaint |
| Jan 13, 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 | E · Potential harm Pattern | Corrected Jan 14, 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 77 facilities.
19 facilities in 4 states. CMS chain ID 117.
Chain average overall rating (CMS): 2.1
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Covey Christensen | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | May 11, 2026 |
| 9th Avenue Operations, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2026 |
| James Davidson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2026 |
| John Ikerd | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2026 |
| Edward Murrell | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 1, 2025 |
| James Davidson | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Copperas Cove Nursing & Rehabilitation 607 W. Ave. B, Copperas Cove, TX 76522 CCN 455515 | 123 | Aug 19, 2026 | 472 IJ | $24k | |
| Beaumont Health Care Center 795 Lindbergh Dr, Beaumont, TX 77707 CCN 455561 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Galveston Nursing and Rehabilitation Center 3702 Cove View Blvd, Galveston, TX 77554 CCN 675254SFF Candidate | 150 | Jul 15, 2026 | 667 IJ | $202k | |
| Port Arthur Nursing and Rehabilitation Center 8825 Lamplighter Ln, Port Arthur, TX 77642 CCN 675541 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Port Arthur Nursing and Rehabilitation Center 8825 Lamplighter Ln, Port Arthur, TX 77642 CCN 675541 | 2.8 km | 199 | Aug 18, 2026 | 595 IJ5 open | $311k | |
| Magnolia Manor 4400 Gulf St, Groves, TX 77619 CCN 455538 | 3.8 km | 126 | Jun 17, 2026 | 372 IJ2 harm | $230k | |
| Bonne Vie 8595 Medical Center Boulevard, Port Arthur, TX 77640 CCN 676444 | 4.9 km | 140 | Mar 4, 2026 | 14 | — | |
| Oak Grove Nursing Home 6230 Warren St., Groves, TX 77619 CCN 676122 | 6.1 km | 120 | Sep 10, 2025 | 14 | — | |
| College Street Health Care Center 4150 College St, Beaumont, TX 77707 CCN 675695 | 22.1 km | 50 | Aug 6, 2025 | 281 harm | — | |
| Beaumont Nursing and Rehabilitation 1175 Denton Street, Beaumont, TX 77707 CCN 675620 | 22.1 km | 120 | Aug 12, 2026 | 373 IJ1 open | $276k | |
| Avir at Beaumont 4195 Milam Street, Beaumont, TX 77707 CCN 455001Abuse icon | 22.1 km | 214 | Aug 24, 2026 | 582 IJ2 open | $40k | |
| Spindletop Hill Nursing and Rehabilitation Center 1020 S 23rd St, Beaumont, TX 77707 CCN 455757 | 22.4 km | 148 | Aug 5, 2026 | 443 IJ | $83k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 675172 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 675172 | 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 7, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 6, 2026 |
| Jan 7, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 6, 2026 |
| Jan 7, 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 | E · Potential harm Pattern | Corrected Feb 6, 2026 |
| Jan 7, 2026 | 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 6, 2026 |
| Jan 7, 2026 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 6, 2026 |
| Jan 7, 2026 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 6, 2026 |
| Jan 7, 2026 | 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 Feb 6, 2026 |
| Jan 7, 2026 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 6, 2026 |
| Jan 7, 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 Feb 6, 2026 |
| Jan 7, 2026 | F-0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Feb 6, 2026 |
| Jan 7, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Feb 6, 2026 |
| Jan 7, 2026 | F-0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Feb 6, 2026 |
| Nov 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 | D · Potential harm Isolated | Corrected Dec 12, 2025 | Complaint |
| Sep 22, 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 | Corrected Sep 23, 2025 | Complaint |
| Sep 22, 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 | J · Immediate jeopardy Isolated | Past non-compliance Feb 10, 2025 | Complaint |
| Sep 22, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | J · Immediate jeopardy Isolated | Past non-compliance Feb 10, 2025 | Complaint |
| Sep 22, 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 | E · Potential harm Pattern | Corrected Sep 23, 2025 | Complaint |
| Sep 22, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Sep 23, 2025 | Complaint |
| Aug 16, 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 | J · Immediate jeopardy Isolated | Past non-compliance | Complaint |
| Oct 16, 2024 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 5, 2024 |
| Oct 16, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 5, 2024 |
| Oct 16, 2024 | 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 Nov 5, 2024 |
| Oct 16, 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 | F · Potential harm Widespread | Corrected Nov 5, 2024 |
| Oct 16, 2024 | 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 Nov 5, 2024 |
| Jun 17, 2024 | 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 | K · Immediate jeopardy Pattern | Corrected Jul 10, 2024 | Complaint |
| Jun 17, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | K · Immediate jeopardy Pattern | Corrected Jul 10, 2024 | Complaint |
| Oct 3, 2023 | 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 | K · Immediate jeopardy Pattern | Corrected Oct 6, 2023 | Complaint |
| Oct 3, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | K · Immediate jeopardy Pattern | Corrected Oct 6, 2023 | Complaint |
| Sep 13, 2023 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 13, 2023 |
| Sep 13, 2023 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 13, 2023 |
| Sep 13, 2023 | 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 Oct 13, 2023 |
| Sep 13, 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 Oct 13, 2023 |
| Sep 13, 2023 | 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 Oct 13, 2023 |
| Sep 13, 2023 | 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 Oct 13, 2023 |
| Sep 13, 2023 | 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 | D · Potential harm Isolated | Corrected Oct 13, 2023 |
| Sep 13, 2023 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 13, 2023 |
| Sep 13, 2023 | 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 13, 2023 |
| Sep 13, 2023 | F-0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect | C · Minimal Widespread | Corrected Oct 13, 2023 |
| Sep 13, 2023 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Oct 13, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.44 (case-mix index 1.36).
| Additional disclosable party |
| ADP OF THE SNF |
| not provided |
| Apr 1, 2026 |
| Michael Mcmahon | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2026 |
| 82 |
| Jul 8, 2026 |
24 |
| — |
| Avir at Town Creek 1816 Tile Factory Rd, Palestine, TX 75801 CCN 455565 | 102 | Feb 18, 2026 | 302 harm | $49k |
| Marshall Manor Nursing & Rehabilitation Center 1007 S Washington Ave, Marshall, TX 75670 CCN 455646 | 179 | Jul 29, 2026 | 31 | — |
| Afton Oaks Nursing and Rehabilitation Center 7514 Kingsley St, Houston, TX 77087 CCN 455682SFF CandidateAbuse icon | 169 | Aug 28, 2026 | 468 IJ2 harm2 open | $72k |
| Willowbrook Nursing Center 227 Russell Blvd, Nacogdoches, TX 75965 CCN 455700 | 166 | Jul 9, 2025 | 271 IJ | $153k |
| Monument Hill Nursing and Rehabilitation Center 120 State Loop 92, La Grange, TX 78945 CCN 455715 | 104 | Aug 6, 2026 | 311 IJ | $8,281 |
| Oak Brook Health Care Center 107 Stacy Dr., Whitehouse, TX 75791 CCN 455753 | 120 | Jun 17, 2026 | 24 | — |
| 199 |
| Aug 18, 2026 |
595 IJ5 open |
| $311k |