| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D5 | E8 | F· |
| Minimal | A· | B· | C3 |
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 | |
|---|---|---|---|---|---|---|
| Dec 5, 2025 | Fire safety | Fire Safety Standard | 1 | Minimal | — | Open → |
| Dec 5, 2025 | Health | Health Complaint, Health Standard | 3 | Potential harm | — | Open → |
| Aug 9, 2024 | Fire safety | Fire Safety Standard | 1 | Minimal | — | Open → |
| Aug 9, 2024 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Jun 22, 2023 | Fire safety | Fire Safety Standard | 1 | Minimal | — | Open → |
| Jun 22, 2023 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D5 | E8 | F· |
| Minimal | A· | B· | C3 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Dec 5, 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 | E · Potential harm Pattern | Corrected Dec 9, 2025 | |
| Dec 5, 2025 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Dec 9, 2025 | 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 7 facilities.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Timothy Jones | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Apr 1, 2017 |
| Rising Star Senior Care LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2020 |
| Guyle Donham | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2025 |
| Joseph Neal | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2017 |
| Gregory Whitten | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 3, 2020 |
| Timothy Jones | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 1, 2017 |
| Joseph Neal | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 1, 2017 |
| Gregory Whitten | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 3, 2020 |
| Michele Derrick | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 1, 2017 |
| Terry Keltz | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2017 |
| Kirk Roddie | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2021 |
| Michael Schaffner | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2021 |
| Jk Neal Realty | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2016 |
| Mcculloch County Hospital District | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 14, 2025 |
| Rising Star Senior Care LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2020 |
| Guyle Donham | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Joseph Neal | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2016 |
| Gregory Whitten | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 3, 2020 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| The Lev at San Antonio 7703 Briaridge Drive, San Antonio, TX 78230 CCN 455742 | 106 | Jul 24, 2026 | 611 IJ | $174k | |
| Avir at Converse 7700 Mesquite Pass, Converse, TX 78109 CCN 675452 |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 675832 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 675832 | 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
| Dec 5, 2025 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 9, 2025 |
| Dec 5, 2025 | 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 | Corrected Dec 9, 2025 |
| Aug 9, 2024 | 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 30, 2024 |
| Aug 9, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 30, 2024 |
| Aug 9, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 30, 2024 |
| Aug 9, 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 Aug 30, 2024 |
| Aug 9, 2024 | 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 Aug 30, 2024 |
| Aug 9, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 30, 2024 |
| Aug 9, 2024 | 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 | Corrected Aug 22, 2024 |
| Jun 22, 2023 | F-0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 7, 2023 |
| Jun 22, 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 | E · Potential harm Pattern | Corrected Jun 23, 2023 |
| Jun 22, 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 10, 2023 |
| Jun 22, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 11, 2023 |
| Jun 22, 2023 | 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 | Corrected Aug 2, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.92 (case-mix index 1.44).
| 100 |
| Jun 4, 2026 |
654 IJ |
| $44k |
| Avir at Burnet 507 W Jackson St, Burnet, TX 78611 CCN 675619 | 112 | Apr 29, 2026 | 151 open | — |
| Focused Care at Crane 699 Campus Dr, Crane, TX 79731 CCN 675927 | 110 | Jun 26, 2025 | 501 IJ | $42k |
| Sagecrest Alzheimers Care Center 438 E. Houston Harte Expressway, San Angelo, TX 76903 CCN 676091 | 72 | Dec 11, 2025 | 13 | — |
| Avir at Waco 9101 Panther Way, Waco, TX 76712 CCN 676343 | 120 | Apr 6, 2026 | 29 | — |