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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J4 | K· | L· |
| Actual harm | G· | H1 | I· |
| Potential harm | D7 | E14 | F7 |
| 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 | |
|---|---|---|---|---|---|---|
| Feb 20, 2026 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Nov 20, 2025 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Sep 4, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Sep 4, 2025 | Health | Health Standard | 3 | Potential harm | — | Open → |
| May 7, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Mar 3, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 31, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jul 31, 2024 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Jun 27, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 16, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 5, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Nov 20, 2023 | Health | Infection Control | 0 | No citations | — | Open → |
| Jun 2, 2023 | Fire safety | Fire Safety Standard | 10 | Potential harm | — | Open → |
| Jun 2, 2023 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Sep 7, 2026 | Civil money penalty (fine) | $16,350 | — | 675458|Fine|145869 |
| Feb 20, 2026 | Civil money penalty (fine) | $14,508 | — | 675458|Fine|137479 |
| Nov 20, 2025 | Civil money penalty (fine) | $10,523 | — | 675458|Fine|136175 |
| May 7, 2025 | Civil money penalty (fine) | $10,361 | — | 675458|Fine|113851 |
| Feb 5, 2024 | Civil money penalty (fine) | $29,575 | — | 675458|Fine|112325 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J4 | K· | L· |
| Actual harm | G· | H1 | I· |
| Potential harm | D7 | E14 | F7 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Feb 20, 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 | J · Immediate jeopardy Isolated | Past non-compliance Feb 14, 2026 | Complaint |
| Nov 20, 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 |
“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 12 facilities.
34 facilities in 7 states. CMS chain ID 193.
Chain average overall rating (CMS): 2.4
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Maverick County Hospital District | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jun 1, 2022 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Maverick County Hospital District | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jun 1, 2022 |
| Lockhart Nursing and Rehab Center LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2022 |
| Michael Bewsey | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2022 |
| Alma Martinez | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Jourdanton Nursing and Rehabilitation 1504 Highway 97e, Jourdanton, TX 78026 CCN 455549 | 60 | Jul 27, 2026 | 542 IJ | $28k | |
| Hacienda Oaks at Beeville 4713 Business 181 N, Beeville, TX 78102 CCN 455608 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Ennis Care Center 1200 S Hall St, Ennis, TX 75119 CCN 455486 | 155 | May 20, 2026 | 502 IJ | $37k | |
| Jourdanton Nursing and Rehabilitation 1504 Highway 97e, Jourdanton, TX 78026 CCN 455549 | 60 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Chisolm Trail Nursing and Rehabilitation Center 107 North Medina Street, Lockhart, TX 78644 CCN 675053 | 2.3 km | 96 | Aug 23, 2026 | 411 IJ2 harm3 open | $38k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 675458 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 675458 | 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
| Nov 20, 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 | Complaint |
| Sep 4, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 26, 2025 |
| Sep 4, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 26, 2025 |
| Sep 4, 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 Sep 5, 2025 |
| Sep 4, 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 | D · Potential harm Isolated | Corrected Sep 5, 2025 |
| Sep 4, 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 | E · Potential harm Pattern | Corrected Sep 5, 2025 |
| May 7, 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 Apr 21, 2025 | Complaint |
| Mar 3, 2025 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 8, 2025 | Complaint |
| Jul 31, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 26, 2024 |
| Jul 31, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 26, 2024 |
| Jul 31, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 26, 2024 |
| Jul 31, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 26, 2024 |
| Jul 31, 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 Aug 1, 2024 |
| Jun 27, 2024 | F-0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Jun 28, 2024 | Complaint |
| Apr 16, 2024 | 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 Apr 30, 2024 | Complaint |
| Apr 16, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 30, 2024 | Complaint |
| Feb 5, 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 | H · Actual harm Pattern | Corrected Feb 26, 2024 | Complaint |
| Jun 2, 2023 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Dec 22, 2023 |
| Jun 2, 2023 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Dec 23, 2023 |
| Jun 2, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 10, 2023 |
| Jun 2, 2023 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 23, 2023 |
| Jun 2, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 15, 2023 |
| Jun 2, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 15, 2023 |
| Jun 2, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 20, 2023 |
| Jun 2, 2023 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 13, 2023 |
| Jun 2, 2023 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 20, 2023 |
| Jun 2, 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 | F · Potential harm Widespread | Corrected Dec 15, 2023 |
| Jun 2, 2023 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jun 26, 2023 |
| Jun 2, 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 Jun 26, 2023 |
| Jun 2, 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 Jun 26, 2023 |
| Jun 2, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jun 26, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.80 (case-mix index 1.41).
| Mar 1, 2022 |
| 101 |
| Jul 1, 2026 |
271 open |
| — |
| Hurst Plaza Nursing and Rehab 215 E Plaza Blvd, Hurst, TX 76053 CCN 455850 | 106 | May 21, 2026 | 23 | $6,540 |
| San Antonio West Nursing and Rehabilitation 636 Cupples Rd, San Antonio, TX 78237 CCN 675002SFF Candidate | 135 | Aug 30, 2026 | 946 IJ1 harm | $365k |
| La Frontera Nursing & Rehabilitation 7001 Mcpherson Rd., Laredo, TX 78041 CCN 675030 | 186 | Aug 14, 2026 | 272 IJ | $32k |
| Pleasanton South Nursing and Rehabilitation 905 West Oaklawn Rd, Pleasanton, TX 78064 CCN 675428 | 88 | Jun 18, 2026 | 453 IJ | $8,827 |
| Pleasanton North Nursing and Rehabilitation 404 W. Goodwin St, Pleasanton, TX 78064 CCN 675502 | 46 | Jun 26, 2026 | 583 IJ2 harm | $168k |
| Cypress Woods Care Center 135 1/2 E. Hospital Dr, Angleton, TX 77515 CCN 675556 | 105 | Apr 2, 2026 | 212 IJ | $36k |
| Jul 27, 2026 |
542 IJ |
| $28k |
| Memorial Medical Nursing and Rehabilitation 307 W Cypress St, San Antonio, TX 78212 CCN 455597 | 135 | Aug 5, 2026 | 872 IJ11 open | $35k |
| Hacienda Oaks at Beeville 4713 Business 181 N, Beeville, TX 78102 CCN 455608 | 101 | Jul 1, 2026 | 271 open | — |
| Greenview Nursing and Rehabilitation 401 Owen Lane, Waco, TX 76710 CCN 455638 | 128 | Jul 22, 2026 | 583 IJ6 harm | $65k |
| Silver Creek Nursing and Rehabilitation 9014 Timber Path, San Antonio, TX 78250 CCN 455652 | 120 | Jul 2, 2025 | 28 | — |
| San Antonio North Nursing and Rehabilitation 501 Ogden, San Antonio, TX 78212 CCN 455817 | 118 | Aug 6, 2026 | 762 IJ | $17k |
| Hurst Plaza Nursing and Rehab 215 E Plaza Blvd, Hurst, TX 76053 CCN 455850 | 106 | May 21, 2026 | 23 | $6,540 |