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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D9 | E5 | F5 |
| 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 | |
|---|---|---|---|---|---|---|
| Aug 7, 2025 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Aug 7, 2025 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Jul 17, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jul 17, 2024 | Health | Health Standard | 0 | No citations | — | Open → |
| May 17, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| May 17, 2023 | Health | Health Standard | 0 | No citations | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D9 | E5 | F5 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 7, 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 | D · Potential harm Isolated | Corrected Sep 15, 2025 | |
| Aug 7, 2025 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 15, 2025 | |
| Aug 7, 2025 | K-0321 |
“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 8 facilities.
10 facilities in 2 states. CMS chain ID 481.
Chain average overall rating (CMS): 2.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Stephens Memorial Hospital District | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 1, 2022 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Stephens Memorial Hospital District | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 1, 2022 |
| Douglas Boulware | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Mar 24, 2026 |
| Sandra Boulware | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Mar 24, 2026 |
| Pmg Opco-Tyler LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Park Village Healthcare and Rehabilitation 207 E Parkerville Rd, Desoto, TX 75115 CCN 455727Abuse icon | 150 | Aug 25, 2026 | 636 IJ2 harm2 open |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Cedar Hill Healthcare Center 230 S Clark Rd, Cedar Hill, TX 75104 CCN 675032 | 110 | Aug 27, 2026 | 482 IJ17 open | $23k | |
| Legacy at Town Creek 2212 W Reagan St, Palestine, TX 75801 CCN 675998 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Avir at Azalea Heights 3505 Old Jacksonville Rd, Tyler, TX 75701 CCN 675289 | 2.1 km | 120 | Aug 28, 2026 | 263 IJ1 open | $15k | |
| Meadow Lake Health Center 16044 Cr 165, Tyler, TX 75703 CCN 676286 | 2.2 km | 20 | Sep 24, 2025 | 4 | — | |
| Briarcliff Health Center 3403 Vine Ave, Tyler, TX 75701 CCN 675142 | 2.3 km | 230 | Jul 22, 2026 | 243 IJ2 harm | $51k | |
| The Heights of Tyler 2650 Elkton Trail, Tyler, TX 75703 CCN 676262 | 2.3 km | 120 | Mar 24, 2026 | 23 | — | |
| Providence Park Rehabilitation and Skilled Nursing 5505 New Copeland Rd, Tyler, TX 75703 CCN 676184 | 2.9 km | 125 | Jun 15, 2026 | 242 IJ | $188k | |
| The Waterton Healthcare & Rehabilitation 2875 Shiloh Road, Tyler, TX 75703 CCN 676193 | 5.4 km | 92 | Aug 20, 2026 | 111 IJ1 harm | $23k | |
| Avir at Rose Trail 930 S Baxter, Tyler, TX 75701 CCN 455429SFF Candidate | 6.1 km | 172 | Aug 14, 2026 | 639 IJ3 harm | $484k | |
| Avir at Petal Hill 900 S Baxter Ave, Tyler, TX 75701 CCN 455485Abuse icon | 6.2 km | 120 | May 13, 2026 | 352 IJ | $26k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 675888 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 675888 | 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
| 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 |
| F · Potential harm Widespread |
| Corrected Sep 15, 2025 |
| Aug 7, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 15, 2025 |
| Aug 7, 2025 | K-0343 | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 15, 2025 |
| Aug 7, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 15, 2025 |
| Aug 7, 2025 | K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 15, 2025 |
| Aug 7, 2025 | 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 Sep 15, 2025 |
| Aug 7, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 15, 2025 |
| Aug 7, 2025 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 1, 2025 |
| Aug 7, 2025 | 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 | E · Potential harm Pattern | Corrected Sep 1, 2025 |
| Aug 7, 2025 | 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 Sep 1, 2025 |
| Aug 7, 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 Sep 1, 2025 |
| Aug 7, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Sep 1, 2025 |
| Jul 17, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 27, 2024 |
| Jul 17, 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 Sep 27, 2024 |
| Jul 17, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 27, 2024 |
| Jul 17, 2024 | K-0929 | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 27, 2024 |
| May 17, 2023 | 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 | D · Potential harm Isolated | Corrected Sep 1, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.27 (case-mix index 1.40).
| Oct 1, 2025 |
| Kent Davis | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2025 |
| Keith Koehler | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2025 |
| Gena Speer | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2025 |
| Bauder Family Investments, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Boulware St James LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Pmg Realco-Tyler LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Steven Boulware Family Investments LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Kelly Bauder | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Madison Bauder | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Parker Bauder | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| William Bauder | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Steven Boulware | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Thomas Boulware | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Kent Davis | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Keith Koehler | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Katie Walker | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| $221k |
| Heritage at Turner Park Health & Rehab 820 Small Street, Grand Prairie, TX 75050 CCN 455733 | 146 | May 5, 2026 | 571 IJ2 harm | $27k |
| Avir at Stephenville 1670 Lingleville Rd, Stephenville, TX 76401 CCN 455744 | 102 | Aug 20, 2026 | 522 IJ | $205k |
| Cedar Hill Healthcare Center 230 S Clark Rd, Cedar Hill, TX 75104 CCN 675032 | 110 | Aug 27, 2026 | 482 IJ17 open | $23k |
| Avir at Baird 224 E 6th St, Baird, TX 79504 CCN 675364 | 74 | Aug 20, 2026 | 325 open | — |
| Briarcliff Health Center of Greenville 4400 Walnut St, Greenville, TX 75401 CCN 675666 | 120 | Apr 6, 2026 | 413 IJ | $15k |
| Mabank Nursing Center 18957 US Hwy 175 W., Mabank, TX 75147 CCN 676458 | 90 | May 21, 2026 | 392 IJ | $31k |
| 199 |
| Jan 7, 2026 |
413 IJ2 harm |
| $295k |
| Legacy at Jacksonville 810 Bellaire Street, Jacksonville, TX 75766 CCN 676092 | 101 | Jun 1, 2026 | 151 harm | $27k |