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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K1 | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D14 | E11 | F5 |
| Minimal | A· | B· | 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 | |
|---|---|---|---|---|---|---|
| Jun 10, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 24, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jul 24, 2025 | Health | Health Standard | 15 | Immediate jeopardy | — | Open → |
| Apr 24, 2025 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Jul 15, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 12, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jun 12, 2024 | Health | Health Complaint, Health Standard | 4 | Actual harm | — | Open → |
| May 10, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| May 10, 2023 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jul 24, 2025 | Civil money penalty (fine) | $18,915 | — | 675484|Fine|134266 |
| Jun 12, 2024 | Civil money penalty (fine) | $12,415 | — | 675484|Fine|113049 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K1 | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D14 | E11 | F5 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 10, 2026 | 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 | E · Potential harm Pattern | Corrected Jun 11, 2026 | Complaint |
| Jul 24, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Aug 8, 2025 | |
“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.
20 facilities in 1 states. CMS chain ID 243.
Chain average overall rating (CMS): 2.4
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Shepherd Ltc Partners Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 15, 2024 |
| Bobby Bergeron | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 15, 2024 |
| Louis Nicholson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 15, 2024 |
| Edward Murrell | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 15, 2024 |
| Shepherd Ktfw, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 15, 2024 |
| Alan Graham | 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 |
|---|---|---|---|---|---|
| Copperas Cove Nursing & Rehabilitation 607 W. Ave. B, Copperas Cove, TX 76522 CCN 455515 | 123 | Aug 19, 2026 | 472 IJ | $24k | |
| Palo Duro Nursing Home 405 S Collins St, Claude, TX 79019 CCN 455641 | 66 |
Coordinates as published by CMS (geocoding footnote 22).
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Cleveland Health Care Center 903 E Houston St, Cleveland, TX 77327 CCN 455952 | 17.6 km | 142 | Jun 17, 2026 | 171 harm | $17k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 675484 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 675484 | 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
| F-0880 |
| Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention |
| K · Immediate jeopardy Pattern |
| Corrected Aug 8, 2025 |
| Jul 24, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Aug 8, 2025 |
| Jul 24, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 8, 2025 |
| Jul 24, 2025 | 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 Aug 8, 2025 |
| Jul 24, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 8, 2025 |
| Jul 24, 2025 | 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 Aug 8, 2025 |
| Jul 24, 2025 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 8, 2025 |
| Jul 24, 2025 | 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 Aug 8, 2025 |
| Jul 24, 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 Aug 8, 2025 |
| Jul 24, 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 8, 2025 |
| Jul 24, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Aug 8, 2025 |
| Jul 24, 2025 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Aug 8, 2025 |
| Jul 24, 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 Aug 8, 2025 |
| Jul 24, 2025 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 8, 2025 |
| Apr 24, 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 | G · Actual harm Isolated | Corrected Apr 25, 2025 | Complaint |
| Apr 24, 2025 | 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 Apr 25, 2025 | Complaint |
| Apr 24, 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 | C · Minimal Widespread | Corrected Apr 25, 2025 | Complaint |
| Jul 15, 2024 | F-0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 16, 2024 | Complaint |
| Jun 12, 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 | G · Actual harm Isolated | Corrected Jun 13, 2024 | Complaint |
| Jun 12, 2024 | 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 | E · Potential harm Pattern | Corrected Jul 25, 2024 |
| Jun 12, 2024 | 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 Jul 29, 2024 |
| Jun 12, 2024 | 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 Aug 16, 2024 |
| Jun 12, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 13, 2024 |
| Jun 12, 2024 | 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 13, 2024 |
| Jun 12, 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 Jun 17, 2024 |
| May 10, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 10, 2023 |
| May 10, 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 | E · Potential harm Pattern | Corrected May 24, 2023 |
| May 10, 2023 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 24, 2023 |
| May 10, 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 May 24, 2023 |
| May 10, 2023 | 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 May 24, 2023 |
| May 10, 2023 | 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 May 24, 2023 |
| May 10, 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 | F · Potential harm Widespread | Corrected Jun 5, 2023 |
| May 10, 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 May 11, 2023 |
| May 10, 2023 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 24, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.60 (case-mix index 1.32).
| Additional disclosable party |
| ADP OF THE SNF |
| not provided |
| Jan 21, 2008 |
| Nakizito Kazigo | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| 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 | — |
| Aug 20, 2025 |
251 open |
| — |
| Arlington Residence and Rehabilitation Center 405 Duncan Perry Rd, Arlington, TX 76011 CCN 455872 | 118 | Apr 9, 2026 | 934 IJ | $53k |
| Woodlake Nursing Center 603 E. Plantation Rd, Clute, TX 77531 CCN 675234 | 93 | Aug 27, 2026 | 192 IJ5 open | $21k |
| The Oaks at Longview 111 Ruthlynn Dr., Longview, TX 75601 CCN 675379 | 108 | Dec 11, 2025 | 37 | — |
| Panola County Nursing & Rehabilitation 501 Cottage Rd, Carthage, TX 75633 CCN 675387 | 108 | Aug 13, 2025 | 44 | — |
| Mi Casita Nursing and Rehabilitation 2400 Quaker Ave, Lubbock, TX 79410 CCN 675842 | 95 | Aug 18, 2026 | 38 | — |
| Hansford County Hospital District DBA Lakeridge Nu 4403 74th St, Lubbock, TX 79424 CCN 675853 | 90 | May 12, 2026 | 361 IJ | $31k |