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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J4 | K· | L· |
| Actual harm | G1 | H1 | I· |
| Potential harm | D16 | E13 | F· |
| Minimal | A· | B2 | 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 | |
|---|---|---|---|---|---|---|
| May 23, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 15, 2026 | Fire safety | Fire Safety Standard | 1 | Minimal | — | Open → |
| Apr 15, 2026 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Jan 29, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 21, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 12, 2025 | Fire safety | Fire Safety Standard | 1 | Minimal | — | Open → |
| Feb 12, 2025 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Oct 23, 2024 | Health | Health Complaint | 4 | Immediate jeopardy | — | Open → |
| Jun 19, 2024 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Feb 22, 2024 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Jan 24, 2024 | Fire safety | Fire Safety Standard | 1 | Minimal | — | Open → |
| Jan 24, 2024 | Health | Health Complaint, Health Standard | 9 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Oct 23, 2024 | Civil money penalty (fine) | $16,801 | — | 676048|Fine|113319 |
| Oct 23, 2024 | Civil money penalty (fine) | $16,801 | — | 676048|Fine|113320 |
| Oct 23, 2024 | Civil money penalty (fine) | $16,801 | — | 676048|Fine|113321 |
| Oct 23, 2024 | Civil money penalty (fine) | $16,801 | — | 676048|Fine|113322 |
| Jun 19, 2024 | Civil money penalty (fine) | $43,070 | — | 676048|Fine|113051 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J4 | K· | L· |
| Actual harm | G1 | H1 | I· |
| Potential harm | D16 | E13 | F· |
| Minimal | A· | B2 | C3 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 23, 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 May 26, 2026 | Complaint |
| Apr 15, 2026 | F-0572 | Give residents a notice of rights, rules, services and charges. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 1, 2026 | |
| Apr 15, 2026 |
“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 58 facilities.
347 facilities in 17 states. CMS chain ID 507.
Chain average overall rating (CMS): 3.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Fannin County Hospital Authority | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 1, 2017 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Fannin County Hospital Authority | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 1, 2017 |
| Brandon Kegarise | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Apr 1, 2017 |
| Hong-I Shen | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 6, 2021 |
| Daffodil Healthcare, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Avir at the Meadow 8383 Meadow Road, Dallas, TX 75231 CCN 455463 | 184 | Jul 27, 2026 | 693 IJ2 harm | $36k | |
| Ennis Care Center 1200 S Hall St, Ennis, TX 75119 CCN 455486 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Richland Hills Rehabilitation and Healthcare Cente 3109 Kings Ct, Fort Worth, TX 76118 CCN 455576 | 92 | May 28, 2026 | 401 harm | $8,190 | |
| Grand Terrace Rehabilitation and Healthcare 812 W. Houston Ave., Mcallen, TX 78501 CCN 455586 | 93 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Truman W Smith Children's Care Center 2200 W Upshur Ave, Gladewater, TX 75647 CCN 45F470 | 1.6 km | 120 | Mar 17, 2026 | 17 | — | |
| Pine Tree Lodge Nursing Center 2711 Pine Tree Rd, Longview, TX 75604 CCN 675177 | 15.8 km | 92 | Jun 25, 2026 | 594 IJ | $233k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676048 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676048 | 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
| F-0576 |
| Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Resident rights & abuse/neglect |
| E · Potential harm Pattern |
| Corrected May 1, 2026 |
| Apr 15, 2026 | 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 | E · Potential harm Pattern | Corrected May 1, 2026 |
| Apr 15, 2026 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 1, 2026 |
| Apr 15, 2026 | 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 1, 2026 |
| Apr 15, 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 | E · Potential harm Pattern | Corrected Apr 24, 2026 |
| Apr 15, 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 May 1, 2026 |
| Apr 15, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 1, 2026 |
| Apr 15, 2026 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | B · Minimal Pattern | No revisit needed |
| Apr 15, 2026 | F-0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect | C · Minimal Widespread | Corrected Apr 16, 2026 |
| Apr 15, 2026 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected May 1, 2026 |
| Jan 29, 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 Feb 18, 2026 | Complaint |
| Jan 21, 2026 | 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 Feb 4, 2026 | Complaint |
| Feb 12, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 14, 2025 |
| Feb 12, 2025 | 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 Mar 14, 2025 |
| Feb 12, 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 | E · Potential harm Pattern | Corrected Mar 14, 2025 |
| Feb 12, 2025 | F-0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Mar 14, 2025 |
| Feb 12, 2025 | F-0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Mar 14, 2025 |
| Feb 12, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 14, 2025 |
| Feb 12, 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 | Waiver granted |
| Oct 23, 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 | J · Immediate jeopardy Isolated | Past non-compliance Aug 30, 2024 | Complaint |
| Oct 23, 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 | J · Immediate jeopardy Isolated | Past non-compliance Aug 30, 2024 | Complaint |
| Oct 23, 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 | J · Immediate jeopardy Isolated | Past non-compliance Aug 30, 2024 | Complaint |
| Oct 23, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Past non-compliance Aug 30, 2024 | Complaint |
| Jun 19, 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 | G · Actual harm Isolated | Corrected Jul 16, 2024 | Complaint |
| Jun 19, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 16, 2024 | Complaint |
| Feb 22, 2024 | F-0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | H · Actual harm Pattern | Corrected Mar 21, 2024 | Complaint |
| Feb 22, 2024 | F-0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 21, 2024 | Complaint |
| Feb 22, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 21, 2024 | Complaint |
| Jan 24, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 23, 2024 |
| Jan 24, 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 | D · Potential harm Isolated | Corrected Feb 23, 2024 | Complaint |
| Jan 24, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 23, 2024 |
| Jan 24, 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 Feb 23, 2024 |
| Jan 24, 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 Feb 23, 2024 |
| Jan 24, 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 Feb 23, 2024 |
| Jan 24, 2024 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Feb 23, 2024 |
| Jan 24, 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 23, 2024 | Complaint |
| Jan 24, 2024 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | B · Minimal Pattern | Waiver granted |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.65 (case-mix index 1.21).
| Apr 1, 2017 |
| Brandon Kegarise | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2017 |
| Hong-I Shen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 6, 2021 |
| Soon Burnam | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 1, 2017 |
| Chad Keetch | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2011 |
| Clark Sanderson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 1, 2017 |
| Daffodil Healthcare, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 29, 2025 |
| Ensign Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2016 |
| National Health Investors, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2017 |
| Texas Nhi Investors, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2017 |
| Brandon Kegarise | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2017 |
| Hong-I Shen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 6, 2021 |
| 155 |
| May 20, 2026 |
502 IJ |
| $37k |
| Pleasant Springs Healthcare Center 2003 North Edwards Avenue, Mount Pleasant, TX 75455 CCN 455532SFF CandidateAbuse icon | 90 | Aug 7, 2026 | 774 IJ2 harm | $66k |
| Avir at Center 280 Moffitt Dr, Center, TX 75935 CCN 455550 | 137 | Jul 23, 2025 | 271 IJ | $9,113 |
| Texoma Healthcare Center 1000 US Highway 82 East, Sherman, TX 75090 CCN 455573 | 179 | Aug 19, 2026 | 602 IJ6 open | $16k |
| Avir at Weatherford 521 W. 7th Street, Weatherford, TX 76086 CCN 455574Abuse icon | 122 | Feb 12, 2026 | 262 IJ | $22k |
| Grand Terrace Rehabilitation and Healthcare 812 W. Houston Ave., Mcallen, TX 78501 CCN 455586 | 93 | Jun 17, 2026 | 16 | — |
| Christian Care Communities and Services Mesquite 1000 Wiggins Parkway, Mesquite, TX 75150 CCN 455617 | 180 | May 21, 2026 | 314 IJ | $29k |
| Jun 17, 2026 |
16 |
| — |
| Alta Vista Rehabilitation and Healthcare 510 Paredes Line Rd, Brownsville, TX 78521 CCN 455625 | 100 | May 1, 2026 | 281 IJ | — |
| Wellington Rehabilitation and Healthcare 1802 S 31st, Temple, TX 76504 CCN 455637 | 124 | Aug 6, 2026 | 404 IJ | $32k |
| Golden Palms Rehabilitation and Retirement 2101 Treasure Hills Boulevard, Harlingen, TX 78550 CCN 455672 | 60 | May 13, 2026 | 271 IJ1 harm | $16k |
| Park Village Healthcare and Rehabilitation 207 E Parkerville Rd, Desoto, TX 75115 CCN 455727Abuse icon | 150 | Aug 25, 2026 | 636 IJ2 harm2 open | $221k |
| Kirkwood Manor 2590 Loop 337 N, New Braunfels, TX 78130 CCN 455732 | 162 | Jun 17, 2026 | 691 IJ | $29k |
| Timberwood Nursing and Rehabilitation Center 4001 Hwy 59 North, Livingston, TX 77351 CCN 455745 | 120 | Jan 14, 2026 | 181 IJ | $8,021 |