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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D13 | E5 | F2 |
| Minimal | A· | B1 | C1 |
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 | |
|---|---|---|---|---|---|---|
| Dec 3, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Dec 3, 2025 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Sep 10, 2025 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Sep 11, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Sep 11, 2024 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Aug 23, 2023 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Aug 23, 2023 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Sep 10, 2025 | Civil money penalty (fine) | $9,113 | — | 675220|Fine|135126 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D13 | E5 | F2 |
| Minimal | A· | B1 | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Dec 3, 2025 | 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 | D · Potential harm Isolated | Corrected Dec 5, 2025 | |
| Dec 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 Dec 4, 2025 | |
| Dec 3, 2025 | F-0813 |
“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 35 facilities.
150 facilities in 1 states. CMS chain ID 169.
Chain average overall rating (CMS): 2.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Liberty County Hospital District No 1 | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 1, 2017 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Liberty County Hospital District No 1 | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 1, 2017 |
| Milton Fregia | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 7, 2022 |
| Shannon Gardner | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 22, 2022 |
| Margaret Gardzina | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Feb 26, 2024 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Mesa Hills Post Acute 901 Wildrose Ln, Brownsville, TX 78520 CCN 455423 | 166 | Aug 28, 2026 | 541 IJ2 open | $5,734 | |
| Timberwood Nursing and Rehabilitation Center 4001 Hwy 59 North, Livingston, TX 77351 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Buena Vida Nursing and Rehab-San Antonio 5027 Pecan Grove, San Antonio, TX 78222 CCN 455390SFF CandidateAbuse icon | 222 | Jul 24, 2026 | 595 IJ1 harm |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 675220 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 675220 | 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
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Food, nutrition & hydration |
| D · Potential harm Isolated |
| Corrected Dec 4, 2025 |
| Dec 3, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 4, 2025 |
| Dec 3, 2025 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | B · Minimal Pattern | Corrected Dec 4, 2025 |
| Sep 10, 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 Sep 5, 2025 | Complaint |
| Sep 10, 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 | D · Potential harm Isolated | Corrected Sep 11, 2025 | Complaint |
| Sep 11, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 11, 2024 |
| Sep 11, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 12, 2024 |
| Sep 11, 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 | D · Potential harm Isolated | Corrected Sep 12, 2024 |
| Sep 11, 2024 | F-0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Sep 12, 2024 |
| Sep 11, 2024 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 8, 2024 |
| Aug 23, 2023 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 22, 2023 |
| Aug 23, 2023 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 24, 2023 |
| Aug 23, 2023 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 1, 2023 |
| Aug 23, 2023 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 1, 2023 |
| Aug 23, 2023 | 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 | D · Potential harm Isolated | Corrected Sep 1, 2023 |
| Aug 23, 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 Sep 1, 2023 |
| Aug 23, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Sep 1, 2023 |
| Aug 23, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 1, 2023 |
| Aug 23, 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 | E · Potential harm Pattern | Corrected Sep 1, 2023 |
| Aug 23, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Sep 1, 2023 |
| Aug 23, 2023 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Aug 28, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.97 (case-mix index 1.23).
| Paul Henry | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 9, 2009 |
| Charles Stratton | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 1, 2005 |
| Kirbyville I Enterprises, L.l.c | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 9, 2024 |
| Gary Blake | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 9, 2024 |
| Malisa Blake | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 9, 2024 |
| Linda Huggins | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 9, 2024 |
| Zachary Willig | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2025 |
| Charles Stratton | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 1, 2005 |
| Kirbyville I Enterprises, L.l.c | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 12, 2025 |
| Kirbyville I Realty, L.l.c | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 9, 2024 |
| Gary Blake | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 9, 2024 |
| Malisa Blake | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 9, 2024 |
| Sheila Burkhalter | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 12, 2025 |
| Christopher Eamiguel | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 9, 2024 |
| Elena Xintavelonis | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 12, 2025 |
| 120 |
| Jan 14, 2026 |
181 IJ |
| $8,021 |
| Cass Valley Healthcare Center 103 Teakwood St, Centerville, TX 75833 CCN 675065Abuse icon | 74 | Apr 21, 2026 | 365 IJ1 open | $55k |
| Bremond Nursing and Rehabilitation Center 211 N Main, Bremond, TX 76629 CCN 675132 | 82 | Aug 22, 2026 | 401 IJ1 harm1 open | $24k |
| Pine Tree Lodge Nursing Center 2711 Pine Tree Rd, Longview, TX 75604 CCN 675177 | 92 | Jun 25, 2026 | 594 IJ | $233k |
| Twin Oaks Health & Rehabilitation Center 1123 North Bolton Street, Jacksonville, TX 75766 CCN 675183 | 116 | Dec 31, 2025 | 492 IJ | $174k |
| Harbor Point Skilled Nursing 1720 N Logan St, Texas City, TX 77590 CCN 675214 | 129 | Apr 17, 2026 | 20 | — |
| Pine Grove Nursing Center 246 Haley Dr, Center, TX 75935 CCN 675230 | 120 | Dec 10, 2025 | 201 harm | $8,407 |
| $198k |
| Mesa Vista Inn Health Center 5756 North Knoll Drive, San Antonio, TX 78240 CCN 455444 | 144 | Jul 2, 2026 | 531 IJ | $8,160 |
| Mountain View Health & Rehabilitation 1600 Muchison Rd, El Paso, TX 79902 CCN 455471 | 187 | Jul 2, 2026 | 836 IJ | $123k |
| Vista Hills Health Care Center 1599 Lomaland Drive, El Paso, TX 79935 CCN 455493 | 120 | Aug 24, 2026 | 832 IJ | $40k |
| Pleasant Springs Healthcare Center 2003 North Edwards Avenue, Mount Pleasant, TX 75455 CCN 455532SFF CandidateAbuse icon | 90 | Aug 7, 2026 | 774 IJ2 harm | $66k |
| Amistad Nursing and Rehabilitation Center 200 Riverside Drive, Uvalde, TX 78801 CCN 455536 | 200 | Aug 7, 2026 | 44 | — |
| Heritage at Longview Healthcare Center 112 Ruthlynn Dr, Longview, TX 75605 CCN 455569 | 140 | Apr 28, 2026 | 401 IJ1 harm1 open | $82k |
| Mineral Wells Nursing & Rehabilitation 316 Southwest 25th Avenue, Mineral Wells, TX 76067 CCN 455570 | 109 | Jun 24, 2026 | 19 | — |