| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D9 | E10 | F6 |
| 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 29, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 13, 2026 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Mar 13, 2026 | Health | Health Standard | 5 | Actual harm | — | Open → |
| Jan 16, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jan 16, 2025 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Nov 30, 2023 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Nov 30, 2023 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D9 | E10 | F6 |
| Minimal | A· | B· | C· |
“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.
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.93 (case-mix index 1.63).
CMS legal business name of the certified provider. Operates 101 facilities.
25 facilities in 1 states. CMS chain ID 521.
Chain average overall rating (CMS): 2.8
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Touchstone Strategies - West Oaks LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2019 |
| Christopher Boening | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 13, 2020 |
| Leslie Campbell | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2020 |
| Lynnea Castillo | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2019 |
| Calandra Greene | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 21, 2022 |
| Sondra Hare | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 26, 2019 |
| Bryon Sehlke | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2019 |
| Cynthia Tanguilig-Robinson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2025 |
| Darrell Zurovec | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2019 |
| Johnny Thompson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 1, 2023 |
| International Bank of Commerce | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | May 19, 2022 |
| Aegis Therapies, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2019 |
| Carvajal Pharmacy Ltc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2019 |
| Nutritious Lifestyles, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2019 |
| Plante & Moran PLLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2019 |
| The Bryon and Rena Sehlke Living Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Touchstone Communities Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2019 |
| Touchstone Realty - West Oaks LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2019 |
| Touchstone Strategies - West Oaks LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 15, 2025 |
| Trident Health Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2019 |
| Christopher Boening | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 13, 2020 |
| Leslie Campbell | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2020 |
| Lynnea Castillo | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2019 |
| Ernest Fellbaum | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 29, 2019 |
| Calandra Greene | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 21, 2022 |
| Sondra Hare | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 26, 2019 |
| Bryon Sehlke | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2019 |
| Stanley Studer | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 29, 2019 |
| Cynthia Tanguilig-Robinson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |
| Darrell Zurovec | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2019 |
| 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 | $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 | — |
| 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 | |
| La Frontera Nursing & Rehabilitation 7001 Mcpherson Rd., Laredo, TX 78041 CCN 675030 | 186 | Aug 14, 2026 | 272 IJ | $32k | |
| Hill Country Heights 810 Industrial Ave, Copperas Cove, TX 76522 CCN 675536 | 96 | May 21, 2026 | 241 IJ | $12k | |
| Del Rio Nursing and Rehabilitation Center 301 W. Martin Street, Del Rio, TX 78840 CCN 675677Abuse icon | 60 | Aug 6, 2026 | 411 IJ1 harm | $22k | |
| The Heights at Medical Center 3935 Medical Drive, San Antonio, TX 78229 CCN 675890 | 134 | Aug 15, 2025 | 633 IJ | $22k | |
| Harker Heights Nursing & Rehabilitation 415 Indian Oaks Dr, Harker Heights, TX 76548 CCN 675909 | 199 | Aug 26, 2026 | 613 IJ | $65k | |
| Country Care Manor 2736 Fm 775, La Vernia, TX 78121 CCN 675947 | 91 | Dec 17, 2025 | 16 | $22k | |
| Stone Oak Care Center 505 Madison Oak Drive, San Antonio, TX 78258 CCN 675968 | 152 | Jun 4, 2026 | 421 IJ | $9,087 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Park Manor of Westchase 11910 Richmond Ave, Houston, TX 77082 CCN 676059 | 0.3 km | 125 | Jun 13, 2026 | 332 IJ | $33k | |
| Avir at Houston 2310 S Eldridge Pkwy., Houston, TX 77077 CCN 676066 | 3.5 km | 148 | Jul 10, 2026 | 546 IJ | $180k | |
| Parkway Place 1321 Park Bayou Dr, Houston, TX 77077 CCN 675777 | 4.8 km | 42 | Jul 30, 2026 | 183 IJ | $46k | |
| Continuing Care at Eagles Trace 14703 Eagle Vista Drive Bldg 601b, Houston, TX 77077 CCN 676336 | 5.1 km | 44 | Sep 18, 2025 | 222 IJ | $22k | |
| West Houston Rehabilitation and Healthcare Center 13428 Bissonnet, Houston, TX 77083 CCN 676381Abuse icon | 6.1 km | 124 | Aug 5, 2026 | 397 IJ | $205k | |
| Focused Care at Beechnut 12777 Beechnut St, Houston, TX 77072 CCN 675000 | 6.2 km | 146 | Apr 17, 2026 | 3910 IJ | $90k | |
| Solera at West Houston 2101 Greenhouse Road, Houston, TX 77084 CCN 676310 | 8.9 km | 112 | Aug 13, 2026 | 432 IJ1 harm | $87k | |
| Focused Care at Westwood 8702 Course Drive, Houston, TX 77099 CCN 676116 | 10.1 km | 125 | Aug 12, 2026 | 42 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 675454 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 675454 | 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