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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J4 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D12 | E14 | F4 |
| 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 | |
|---|---|---|---|---|---|---|
| Jun 26, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 20, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jan 4, 2026 | Health | Health Complaint | 5 | Immediate jeopardy | — | Open → |
| Aug 29, 2025 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Aug 29, 2025 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Jun 6, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 27, 2024 | Health | Health Complaint | 3 | Immediate jeopardy | — | Open → |
| Jul 26, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jul 26, 2024 | Health | Health Complaint, Health Standard | 5 | Potential harm | — | Open → |
| Jul 19, 2024 | Health | Infection Control | 0 | No citations | — | Open → |
| Jun 9, 2023 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jun 9, 2023 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jan 4, 2026 | Civil money penalty (fine) | $19,432 | — | 675446|Fine|136542 |
| Nov 27, 2024 | Civil money penalty (fine) | $13,627 | — | 675446|Fine|113407 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J4 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D12 | E14 | F4 |
| Minimal | A· | B· | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 26, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 3, 2026 | Complaint |
| Jun 26, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 3, 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 101 facilities.
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 at Floresville, Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2021 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Nexion Health at Floresville, Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2021 |
| Nexion Health at Floresville, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2021 |
| West Wharton County Hospital District | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2021 |
| Sean Bowers | Individual | Operational / managerial control |
| 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 |
| 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 |
|---|---|---|---|---|---|---|
| Harmony Care at Floresville 1811 6th St, Floresville, TX 78114 CCN 675469 | 0.9 km | 144 | Jul 30, 2026 | 644 IJ | $87k | |
| Frank M. Tejeda Texas State Veterans Home 200 Veterans Drive, Floresville, TX 78114 CCN 675863Abuse icon | 1.3 km | 160 | Aug 26, 2026 | 31 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 675446 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 675446 | 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
| Feb 20, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 21, 2026 | Complaint |
| Feb 20, 2026 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 21, 2026 | Complaint |
| Feb 20, 2026 | 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 Feb 21, 2026 | Complaint |
| Jan 4, 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 | J · Immediate jeopardy Isolated | Corrected Jan 5, 2026 | Complaint |
| Jan 4, 2026 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Jan 24, 2026 | Complaint |
| Jan 4, 2026 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | J · Immediate jeopardy Isolated | Corrected Jan 5, 2026 | Complaint |
| Jan 4, 2026 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 5, 2026 | Complaint |
| Jan 4, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 5, 2026 | Complaint |
| Aug 29, 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 Sep 5, 2025 |
| Aug 29, 2025 | 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 | F · Potential harm Widespread | Corrected Sep 19, 2025 |
| Aug 29, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 19, 2025 |
| Aug 29, 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 Sep 5, 2025 |
| Aug 29, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 5, 2025 |
| Aug 29, 2025 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 30, 2025 |
| Aug 29, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 30, 2025 |
| Aug 29, 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 Aug 30, 2025 |
| Aug 29, 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 | F · Potential harm Widespread | Corrected Aug 30, 2025 |
| Aug 29, 2025 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | C · Minimal Widespread | Corrected Aug 30, 2025 |
| Jun 6, 2025 | F-0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jul 6, 2025 | Complaint |
| Jun 6, 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 Jul 6, 2025 | Complaint |
| Nov 27, 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 Nov 28, 2024 | Complaint |
| Nov 27, 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 Nov 28, 2024 | Complaint |
| Nov 27, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Nov 28, 2024 | Complaint |
| Jul 26, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 1, 2024 |
| Jul 26, 2024 | 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 Sep 7, 2024 | Complaint |
| Jul 26, 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 Sep 7, 2024 | Complaint |
| Jul 26, 2024 | 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 Sep 5, 2024 | Complaint |
| Jul 26, 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 | E · Potential harm Pattern | Corrected Sep 7, 2024 | Complaint |
| Jul 26, 2024 | 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 Sep 7, 2024 | Complaint |
| Jun 9, 2023 | E-0031 | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 5, 2023 |
| Jun 9, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 23, 2023 |
| Jun 9, 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 | D · Potential harm Isolated | Corrected Jul 23, 2023 |
| Jun 9, 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 | E · Potential harm Pattern | Corrected Jul 27, 2023 |
| Jun 9, 2023 | F-0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jul 27, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.67 (case-mix index 1.34).
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Apr 1, 2021 |
| Alfred Cisneros | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2021 |
| Travis Cobb | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 5, 2022 |
| Stephen Cooper | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2021 |
| John Fallon | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2021 |
| Rick Graff | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2021 |
| Sherrie Hardin | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 21, 2021 |
| Richard Kerzee | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2021 |
| Francis Kirley | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2021 |
| Patricia Korenek | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2021 |
| Susanna Ozuna | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2021 |
| Meera Riner | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2021 |
| Joe Strack | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2021 |
| Johnny Thompson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 16, 2024 |
| Emily Wiatrek | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2017 |
| Nexion Health at Floresville, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2021 |
| West Wharton County Hospital District | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2021 |
| Sean Bowers | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2021 |
| Alfred Cisneros | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2021 |
| Travis Cobb | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 5, 2022 |
| Stephen Cooper | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 11, 2022 |
| Rick Graff | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2021 |
| Sherrie Hardin | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2021 |
| Richard Kerzee | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2021 |
| Patricia Korenek | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2021 |
| Susanna Ozuna | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2021 |
| Joe Strack | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2021 |
| Johnny Thompson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 16, 2024 |
| Emily Wiatrek | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2017 |
| $198k |
| Avir at Rose Trail 930 S Baxter, Tyler, TX 75701 CCN 455429SFF Candidate | 172 | Aug 14, 2026 | 639 IJ3 harm | $484k |
| Mesa Vista Inn Health Center 5756 North Knoll Drive, San Antonio, TX 78240 CCN 455444 | 144 | Jul 2, 2026 | 531 IJ | $8,160 |
| Avir at Petal Hill 900 S Baxter Ave, Tyler, TX 75701 CCN 455485Abuse icon | 120 | May 13, 2026 | 352 IJ | $26k |
| Sterling Hills Rehabilitation and Healthcare Cente 705 NE Georgia Ave, Sweetwater, TX 79556 CCN 455509 | 96 | Mar 26, 2026 | 17 | — |
| Amistad Nursing and Rehabilitation Center 200 Riverside Drive, Uvalde, TX 78801 CCN 455536 | 200 | Aug 7, 2026 | 44 | — |
| Mineral Wells Nursing & Rehabilitation 316 Southwest 25th Avenue, Mineral Wells, TX 76067 CCN 455570 | 109 | Jun 24, 2026 | 19 | — |
| Concho Health & Rehabilitation Center 613 Eaker St, Eden, TX 76837 CCN 455737 | 66 | Aug 11, 2026 | 28 | — |
| 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 |
| Bay Ridge Healthcare Center 208 South Utah, La Porte, TX 77571 CCN 675052 | 58 | Jun 26, 2026 | 395 IJ1 harm | $55k |
| Renaissance Rehabilitation and Healthcare Center 220 Davenport, Italy, TX 76651 CCN 675103 | 74 | Sep 10, 2025 | 18 | — |