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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K3 | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D19 | E15 | F1 |
| Minimal | A· | B1 | 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 | |
|---|---|---|---|---|---|---|
| Jan 7, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 8, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Aug 6, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Aug 6, 2025 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Jul 31, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jul 31, 2024 | Health | Health Complaint, Health Standard | 7 | Potential harm | — | Open → |
| Jun 6, 2024 | Health | Health Complaint | 6 | Immediate jeopardy | — | Open → |
| Jan 22, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 26, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Apr 26, 2023 | Health | Health Standard | 16 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Oct 8, 2025 | Civil money penalty (fine) | $10,358 | — | 675998|Fine|135323 |
| Jun 6, 2024 | Civil money penalty (fine) | $284,250 | — | 675998|Fine|113023 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K3 | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D19 | E15 | F1 |
| Minimal | A· | B1 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jan 7, 2026 | 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 Jan 8, 2026 | Complaint |
| Oct 8, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Oct 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 35 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 |
|---|---|---|---|---|---|
| Liberty County Hospital District No 1 | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 1, 2018 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Liberty County Hospital District No 1 | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 1, 2018 |
| 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- Palestine LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Mesa Hills Post Acute 901 Wildrose Ln, Brownsville, TX 78520 CCN 455423 | 166 | Aug 28, 2026 | 541 IJ2 open | $5,734 | |
| Timberwood Nursing and Rehabilitation Center 4001 Hwy 59 North, Livingston, TX 77351 |
| 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 | |
| Reunion Plaza Healthcare & Rehabilitation 1401 Rice Rd, Tyler, TX 75703 CCN 675888 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Trucare Living Centers 2265 S Sycamore St, Palestine, TX 75801 CCN 676257 | 2.7 km | 120 | Dec 17, 2025 | 10 | — | |
| Avir at Town Creek 1816 Tile Factory Rd, Palestine, TX 75801 CCN 455565 | 2.8 km | 102 | Feb 18, 2026 | 302 harm | $49k | |
| Greenbrier Nursing & Rehabilitation Center of Pale 2404 State Highway 155, Palestine, TX 75803 CCN 675816 | 5.7 km | 120 | Apr 30, 2026 | 20 | — | |
| Avir at Elkhart 214 Jones Rd, Elkhart, TX 75839 CCN 675217 | 15.4 km | 98 | Jun 3, 2026 | 411 open | $65k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 675998 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 675998 | 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
| Aug 6, 2025 | 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 Sep 10, 2025 |
| Aug 6, 2025 | 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 10, 2025 |
| Aug 6, 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 Sep 10, 2025 |
| Aug 6, 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 Sep 10, 2025 |
| Aug 6, 2025 | F-0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Sep 10, 2025 |
| Aug 6, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 10, 2025 |
| Jul 31, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 22, 2024 |
| Jul 31, 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 | Corrected Aug 12, 2024 |
| Jul 31, 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 Aug 12, 2024 |
| Jul 31, 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 Aug 12, 2024 |
| Jul 31, 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 Aug 12, 2024 |
| Jul 31, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 12, 2024 |
| Jul 31, 2024 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 12, 2024 | Complaint |
| Jul 31, 2024 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Aug 12, 2024 |
| Jun 6, 2024 | 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 | K · Immediate jeopardy Pattern | Corrected Jun 7, 2024 | Complaint |
| Jun 6, 2024 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | K · Immediate jeopardy Pattern | Corrected Jun 7, 2024 | Complaint |
| Jun 6, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | K · Immediate jeopardy Pattern | Corrected Jun 7, 2024 | Complaint |
| Jun 6, 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 7, 2024 | Complaint |
| Jun 6, 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 | E · Potential harm Pattern | Corrected Jun 7, 2024 | Complaint |
| Jun 6, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 7, 2024 | Complaint |
| Jan 22, 2024 | 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 Feb 14, 2024 | Complaint |
| Jan 22, 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 Feb 14, 2024 | Complaint |
| Apr 26, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 14, 2023 |
| Apr 26, 2023 | 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 May 12, 2023 |
| Apr 26, 2023 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 19, 2023 |
| Apr 26, 2023 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 19, 2023 |
| Apr 26, 2023 | 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 | E · Potential harm Pattern | Corrected May 20, 2023 |
| Apr 26, 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 | E · Potential harm Pattern | Corrected May 16, 2023 |
| Apr 26, 2023 | 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 May 19, 2023 |
| Apr 26, 2023 | 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 | E · Potential harm Pattern | Corrected Apr 27, 2023 |
| Apr 26, 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 May 15, 2023 |
| Apr 26, 2023 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 19, 2023 |
| Apr 26, 2023 | 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 May 12, 2023 |
| Apr 26, 2023 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 12, 2023 |
| Apr 26, 2023 | 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 May 12, 2023 |
| Apr 26, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 27, 2023 |
| Apr 26, 2023 | 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 | E · Potential harm Pattern | Corrected May 1, 2023 |
| Apr 26, 2023 | F-0926 | Have policies on smoking. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 15, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.21 (case-mix index 1.40).
| Oct 1, 2025 |
| Adebayo Adewale | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2025 |
| Bradley Franklin | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2025 |
| Charles Stratton | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 1, 2018 |
| 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- Palestine 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 |
| Adebayo Adewale | Individual | 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 |
| Bradley Franklin | 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 |
| 120 |
| Jan 14, 2026 |
181 IJ |
| $8,021 |
| Cass Valley Healthcare Center 103 Teakwood St, Centerville, TX 75833 CCN 675065Abuse icon | 74 | Apr 21, 2026 | 365 IJ1 open | $55k |
| Bremond Nursing and Rehabilitation Center 211 N Main, Bremond, TX 76629 CCN 675132 | 82 | Aug 22, 2026 | 401 IJ1 harm1 open | $24k |
| Pine Tree Lodge Nursing Center 2711 Pine Tree Rd, Longview, TX 75604 CCN 675177 | 92 | Jun 25, 2026 | 594 IJ | $233k |
| Twin Oaks Health & Rehabilitation Center 1123 North Bolton Street, Jacksonville, TX 75766 CCN 675183 | 116 | Dec 31, 2025 | 492 IJ | $174k |
| Harbor Point Skilled Nursing 1720 N Logan St, Texas City, TX 77590 CCN 675214 | 129 | Apr 17, 2026 | 20 | — |
| Avalon Place Kirbyville 700 N Herndon Ave, Kirbyville, TX 75956 CCN 675220 | 114 | Dec 3, 2025 | 231 IJ | $9,113 |
| 99 |
| Aug 7, 2025 |
19 |
| — |
| Legacy at Jacksonville 810 Bellaire Street, Jacksonville, TX 75766 CCN 676092 | 101 | Jun 1, 2026 | 151 harm | $27k |