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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D35 | E15 | F1 |
| Minimal | A· | B2 | 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 | |
|---|---|---|---|---|---|---|
| Feb 27, 2026 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Feb 27, 2026 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Nov 15, 2024 | Fire safety | Fire Safety Standard | 12 | Potential harm | — | Open → |
| Nov 15, 2024 | Health | Health Standard | 15 | Potential harm | — | Open → |
| Oct 30, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Sep 21, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 26, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 15, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 22, 2023 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Sep 22, 2023 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D35 | E15 | F1 |
| Minimal | A· | B2 | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Feb 27, 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 | Corrected Mar 20, 2026 | |
| Feb 27, 2026 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 27, 2026 | |
| Feb 27, 2026 | K-0355 |
“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 |
|---|---|---|---|---|---|
| Medina County Hospital District | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Aug 1, 2014 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Medina County Hospital District | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Aug 1, 2014 |
| Douglas Boulware | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | May 12, 2026 |
| Pmg Opco - Castroville LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2026 |
| William Bauder | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2026 |
| Billie Bell | Individual | Corporate officer / director | CORPORATE OFFICER | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Windcrest Nursing and Rehabilitation 8800 Fourwinds Dr., Windcrest, TX 78239 CCN 455533 | 180 | Aug 14, 2025 | 445 IJ | $199k | |
| Community Care Center of Hondo 2001 Ave E, Hondo, TX 78861 CCN 455676 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Westover Hills Rehabilitation and Healthcare 9922 State Hwy. 151, San Antonio, TX 78251 CCN 676281 | 13.8 km | 124 | Jun 12, 2026 | 321 IJ1 harm | $20k | |
| Legend Oaks Healthcare and Rehabilitation - West S 222 Bertetti Dr, San Antonio, TX 78227 CCN 676312 | 13.9 km | 124 | Jun 12, 2026 | 231 IJ | $8,632 | |
| The Mission at Blue Skies of Texas East 4949 Ravenswood Drive, San Antonio, TX 78227 CCN 676041 | 14.2 km | 80 | Aug 6, 2026 | 311 IJ1 harm | $17k | |
| Lakeside Nursing and Rehabilitation Center 8707 Lakeside Parkway, San Antonio, TX 78245 CCN 676325 | 14.7 km | 118 | Jun 5, 2026 | 233 IJ | $15k | |
| Las Colinas of Westover 9738 Westover Hills Blvd, San Antonio, TX 78251 CCN 676328 | 15.2 km | 140 | Dec 5, 2025 | 454 IJ | $39k | |
| Windemere at Westover Hills 11106 Christus Hills, San Antonio, TX 78251 CCN 676402 | 15.5 km | 112 | Dec 19, 2025 | 282 IJ | $8,281 | |
| Lytle Nursing Home 15366 Oak St, Lytle, TX 78052 CCN 675295 | 15.5 km | 70 | Jul 17, 2025 | 571 IJ1 harm | $56k | |
| Silver Creek Nursing and Rehabilitation 9014 Timber Path, San Antonio, TX 78250 CCN 455652 | 18.1 km | 120 | Jul 2, 2025 | 28 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 675974 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 675974 | 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
| Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Mar 27, 2026 |
| Feb 27, 2026 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 27, 2026 |
| Feb 27, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 27, 2026 |
| Feb 27, 2026 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 27, 2026 |
| Feb 27, 2026 | 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 | D · Potential harm Isolated | Corrected Mar 27, 2026 |
| Feb 27, 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 Mar 27, 2026 |
| Feb 27, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 27, 2026 |
| Feb 27, 2026 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 27, 2026 |
| Feb 27, 2026 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Mar 27, 2026 |
| Nov 15, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 18, 2024 |
| Nov 15, 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 | D · Potential harm Isolated | Corrected Dec 18, 2024 |
| Nov 15, 2024 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 18, 2024 |
| Nov 15, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 18, 2024 |
| Nov 15, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 18, 2024 |
| Nov 15, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 18, 2024 |
| Nov 15, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 18, 2024 |
| Nov 15, 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 Dec 18, 2024 |
| Nov 15, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 18, 2024 |
| Nov 15, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 18, 2024 |
| Nov 15, 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 Dec 18, 2024 |
| Nov 15, 2024 | 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 | D · Potential harm Isolated | Corrected Dec 18, 2024 |
| Nov 15, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 18, 2024 |
| Nov 15, 2024 | 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 Dec 18, 2024 |
| Nov 15, 2024 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 18, 2024 |
| Nov 15, 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 Dec 18, 2024 |
| Nov 15, 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 Dec 18, 2024 |
| Nov 15, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 18, 2024 |
| Nov 15, 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 | D · Potential harm Isolated | Corrected Dec 18, 2024 |
| Nov 15, 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 Dec 18, 2024 |
| Nov 15, 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 Dec 18, 2024 |
| Nov 15, 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 Dec 18, 2024 |
| Nov 15, 2024 | F-0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Dec 18, 2024 |
| Nov 15, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 18, 2024 |
| Nov 15, 2024 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 17, 2024 |
| Nov 15, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Dec 18, 2024 |
| Nov 15, 2024 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | B · Minimal Pattern | Corrected Dec 18, 2024 |
| Oct 30, 2024 | 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 Nov 14, 2024 | Complaint |
| Oct 30, 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 | D · Potential harm Isolated | Past non-compliance Dec 11, 2023 | Complaint |
| Oct 30, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 14, 2024 | Complaint |
| Sep 21, 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 Oct 1, 2024 | Complaint |
| Jul 26, 2024 | 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 2, 2024 | Complaint |
| Nov 15, 2023 | 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 11, 2023 | Complaint |
| Sep 22, 2023 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 25, 2023 |
| Sep 22, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 25, 2023 |
| Sep 22, 2023 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 25, 2023 |
| Sep 22, 2023 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 25, 2023 |
| Sep 22, 2023 | 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 Oct 25, 2023 |
| Sep 22, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 25, 2023 |
| Sep 22, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 25, 2023 |
| Sep 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 Oct 25, 2023 |
| Sep 22, 2023 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Oct 25, 2023 |
| Sep 22, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Oct 25, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.89 (case-mix index 1.45).
| Jun 3, 2023 |
| Bauder Family Investments, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2026 |
| Boulware St James LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2026 |
| Pmg Realco - Castroville LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2026 |
| Steven Boulware Family Investments LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2026 |
| Kelly Bauder | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2026 |
| Madison Bauder | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2026 |
| Parker Bauder | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2026 |
| William Bauder | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2026 |
| Steven Boulware | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2026 |
| Thomas Boulware | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2026 |
| Patrice Gregory | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 30, 2020 |
| Saleh Jaafar | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2024 |
| Katie Walker | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2026 |
| 75 |
| Sep 12, 2025 |
373 IJ |
| $19k |
| Town and Country Nursing and Rehabilitation Center 625 N Main St, Boerne, TX 78006 CCN 455796 | 126 | Jul 31, 2026 | 763 IJ | $151k |
| Guadalupe Valley Nursing and Rehabilitation Center 1210 Eastwood Dr, Seguin, TX 78155 CCN 455869 | 148 | Jun 30, 2026 | 62 | $60k |
| Cibolo Creek 1440 River Rd, Boerne, TX 78006 CCN 676240 | 120 | Sep 5, 2025 | 334 IJ | $14k |
| Las Colinas of Westover 9738 Westover Hills Blvd, San Antonio, TX 78251 CCN 676328 | 140 | Dec 5, 2025 | 454 IJ | $39k |