Lone Star Ranch Rehabilitation and Healthcare Cent — nursing home in Kingsville, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 146 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 79.0 CMS, MDS-derived
CMS Certification Number: 675494
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jun 7, 1995
Ownership type: For profit - Corporation
Operator (legal business name): West Wharton County Hospital District
CMS chain: Nexion Health 51 facilities
Phone: (410) 552-4800
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

11

latest Aug 12, 2026

Citations

34

23 health · 11 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D18	E13	F2
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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 675494
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 146
First approved: Jun 7, 1995
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Texas.

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.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Aug 12, 2026	Fire safety	Fire Safety Standard	4	Potential harm	4	Open →
Aug 12, 2026	Health	Health Standard	10	Potential harm	—	Open →
May 28, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Dec 29, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Nov 26, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Jun 19, 2025	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Jun 19, 2025	Health	Health Standard	3	Potential harm	—	Open →
May 15, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Nov 12, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Apr 25, 2024	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Apr 25, 2024	Health	Health Standard	4	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D18	E13	F2
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Aug 12, 2026	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	E · Potential harm Pattern	No plan of correction
Aug 12, 2026	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	No plan of correction
Aug 12, 2026	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	No plan of correction
Aug 12, 2026	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 21, 2026
Aug 12, 2026	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 Sep 21, 2026
Aug 12, 2026	F-0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 21, 2026
Aug 12, 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	D · Potential harm Isolated	Corrected Sep 21, 2026
Aug 12, 2026	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 21, 2026
Aug 12, 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	D · Potential harm Isolated	Corrected Sep 21, 2026
Aug 12, 2026	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	D · Potential harm Isolated	Corrected Sep 21, 2026
Aug 12, 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	D · Potential harm Isolated	Corrected Sep 21, 2026
Aug 12, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Sep 21, 2026
Aug 12, 2026	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 21, 2026
Aug 12, 2026	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	C · Minimal Widespread	No plan of correction
May 28, 2026	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 Jun 8, 2026	Complaint
Dec 29, 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 Dec 30, 2025	Complaint
Dec 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 Dec 30, 2025	Complaint
Nov 26, 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 Dec 22, 2025	Complaint
Jun 19, 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	F · Potential harm Widespread	Corrected Jul 31, 2025
Jun 19, 2025	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 31, 2025
Jun 19, 2025	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jun 25, 2025
Jun 19, 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 Jun 25, 2025
Jun 19, 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 Jun 25, 2025
May 15, 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 May 16, 2025	Complaint
Nov 12, 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 Nov 13, 2024	Complaint
Apr 25, 2024	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	E · Potential harm Pattern	Corrected Apr 29, 2024
Apr 25, 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 Apr 29, 2024
Apr 25, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 29, 2024
Apr 25, 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 Apr 29, 2024
Apr 25, 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 Apr 29, 2024
Apr 25, 2024	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 Apr 26, 2024
Apr 25, 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	E · Potential harm Pattern	Corrected Apr 26, 2024
Apr 25, 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	F · Potential harm Widespread	Corrected Apr 26, 2024
Apr 25, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Apr 26, 2024

“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.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QM

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.

Nurse staffing · hours per resident per day

Total nurse staffing3.62

State avg 3.42US avg 3.90

Registered nurse (RN)0.64

State avg 0.44US avg 0.69

Licensed practical nurse0.72

State avg 0.94US avg 0.86

Nurse aide2.25

State avg 2.03US avg 2.35

Weekend total nurse3.13

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.96 (case-mix index 1.28).

Staff turnover

Total nursing staff turnover43.9%

State avg 50.8%US avg 45.3%

Registered nurse turnover11.1%

State avg 49.8%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Aug 12, 2026
Cycle 1 health score: 60
Total weighted score: 51

Operating entity

West Wharton County Hospital District

CMS legal business name of the certified provider. Operates 101 facilities.

VerifiedLinked by exact legal name

CMS chain

Nexion Health

51 facilities in 3 states. CMS chain ID 370.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.3

Ownership disclosures

Disclosures

9

Organizations

1

Individuals

8

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Nexion Health at Kingsville Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2022
John Fallon	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2022
William Herdrich	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2022
Francis Kirley	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2022
Brian Lee	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2022
John Reid	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2022
Meera Riner	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2022
David Mak	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 1, 2022
Victoria Breeden	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Apr 1, 2022

Other facilities operated by West Wharton County Hospital District

All 100 →

Facility	Beds	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	—

Same chain in Texas

All 50 in chain →

Facility	Beds	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	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	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 316 General Cavazos Blvd, Kingsville, TX 78363
ZIP: 78363
County: Kleberg County FIPS 48273
State: Texas
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Kingsville Nursing and Rehabilitation Center 3130 S Brahma Blvd, Kingsville, TX 78363 CCN 675815	1.5 km	120		Apr 29, 2026	20	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	675494	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	675494	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

Record-level source links for CCN 675494

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction