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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D22 | E13 | F7 |
| Minimal | A· | B· | 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 | |
|---|---|---|---|---|---|---|
| Aug 14, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 30, 2026 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Mar 6, 2026 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Dec 4, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 21, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 11, 2025 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Jun 11, 2025 | Health | Health Complaint, Health Standard | 13 | Potential harm | — | Open → |
| Feb 25, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 15, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| May 15, 2024 | Health | Health Complaint, Health Standard | 6 | Potential harm | — | Open → |
| Apr 9, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 29, 2023 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Mar 29, 2023 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 30, 2026 | Civil money penalty (fine) | $9,350 | — | 676069|Fine|138951 |
| Mar 6, 2026 | Civil money penalty (fine) | $86,109 | — | 676069|Fine|138128 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D22 | E13 | F7 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 14, 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 Aug 15, 2026 | Complaint |
| Aug 14, 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 Aug 15, 2026 | 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 27 facilities.
118 facilities in 1 states. CMS chain ID 719.
Chain average overall rating (CMS): 2.2
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Guadalupe County Hospital Board | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Sep 1, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Guadalupe County Hospital Board | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Sep 1, 2025 |
| Amitai Dagan | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Sep 11, 2025 |
| Nochum Freund | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Sep 11, 2025 |
| Abraham Goldberger | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Sep 11, 2025 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Morningside Manor 602 Babcock Rd, San Antonio, TX 78201 CCN 455523 | 147 | Apr 11, 2026 | 37 | $5,000 | |
| Eden Home 631 Lakeview Blvd, New Braunfels, TX 78130 CCN 455618 | 122 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Avir at Beaumont 4195 Milam Street, Beaumont, TX 77707 CCN 455001Abuse icon | 214 | Aug 24, 2026 | 582 IJ2 open | $40k | |
| Avir at New Braunfels |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| The Villa at Texarkana 4920 Elizabeth St, Texarkana, TX 75503 CCN 675966 | 0.2 km | 106 | Jun 30, 2026 | 401 harm1 open | — | |
| Heritage Plaza Nursing Center 600 W 52nd St, Texarkana, TX 75501 CCN 675561 | 0.3 km | 95 | Jun 2, 2026 | 471 IJ2 harm | $86k | |
| Reunion Plaza Senior Care and Rehabilitation Cente 1401 Hampton Rd, Texarkana, TX 75503 CCN 675444SFF Candidate | 1.1 km | 129 | Aug 19, 2026 | 975 IJ3 harm | $292k | |
| The Cottages at Texarkana 4701 Jefferson Avenue, Texarkana, AR 71854 CCN 045194 | 1.9 km | 140 | Jul 23, 2026 | 201 harm2 open | $28k | |
| Bailey Creek Health and Rehab 1621 East 42nd St, Texarkana, AR 71854 CCN 045241 | 2.3 km | 74 | Apr 9, 2026 | 19 | — | |
| Avir at Cowhorn Creek 5524 Cowhorn Creek, Texarkana, TX 75503 CCN 675949 | 2.6 km | 76 | Aug 14, 2026 | 732 IJ | $31k | |
| Cornerstone Retirement Community 4100 Moores Lane, Texarkana, TX 75503 CCN 676359 | 4 km | 40 | Jul 13, 2026 | 221 IJ | $40k | |
| Avir at Citizens Trail 1008 Citizens Trail, Texarkana, TX 75501 CCN 675958 | 5.1 km | 114 | Nov 20, 2025 | 616 IJ1 harm | $121k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676069 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676069 | 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
| Apr 30, 2026 | 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 Apr 27, 2026 | Complaint |
| Mar 6, 2026 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Mar 7, 2026 | Complaint |
| Mar 6, 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 | J · Immediate jeopardy Isolated | Corrected Mar 7, 2026 | Complaint |
| Dec 4, 2025 | 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 26, 2025 | Complaint |
| Dec 4, 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 Dec 26, 2025 | Complaint |
| Nov 21, 2025 | 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 Nov 22, 2025 | Complaint |
| Nov 21, 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 Nov 22, 2025 | Complaint |
| Jun 11, 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 | D · Potential harm Isolated | Corrected Jul 10, 2025 |
| Jun 11, 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 Jul 10, 2025 |
| Jun 11, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 10, 2025 |
| Jun 11, 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 Jul 10, 2025 |
| Jun 11, 2025 | K-0929 | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 10, 2025 |
| Jun 11, 2025 | 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 Jul 10, 2025 |
| Jun 11, 2025 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 10, 2025 |
| Jun 11, 2025 | 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 Jul 10, 2025 |
| Jun 11, 2025 | 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 | D · Potential harm Isolated | Past non-compliance May 27, 2025 | Complaint |
| Jun 11, 2025 | 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 Jul 10, 2025 |
| Jun 11, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 10, 2025 |
| Jun 11, 2025 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 10, 2025 |
| Jun 11, 2025 | 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 | E · Potential harm Pattern | Corrected Jul 10, 2025 |
| Jun 11, 2025 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 10, 2025 |
| Jun 11, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jul 10, 2025 |
| Jun 11, 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 | F · Potential harm Widespread | Corrected Jul 10, 2025 |
| Jun 11, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 10, 2025 |
| Jun 11, 2025 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 10, 2025 |
| Feb 25, 2025 | 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 | E · Potential harm Pattern | Corrected Feb 26, 2025 | Complaint |
| May 15, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 12, 2024 |
| May 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 Jul 12, 2024 |
| May 15, 2024 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 12, 2024 |
| May 15, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 10, 2024 |
| May 15, 2024 | 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 Jun 10, 2024 |
| May 15, 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 | E · Potential harm Pattern | Corrected Jun 10, 2024 |
| May 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 | F · Potential harm Widespread | Corrected Jun 10, 2024 |
| May 15, 2024 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 10, 2024 |
| May 15, 2024 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 10, 2024 | Complaint |
| Apr 9, 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 | D · Potential harm Isolated | Corrected Apr 26, 2024 | Complaint |
| Apr 9, 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 Apr 26, 2024 | Complaint |
| Mar 29, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 22, 2023 |
| Mar 29, 2023 | 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 Jun 22, 2023 |
| Mar 29, 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 Mar 30, 2023 |
| Mar 29, 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 | D · Potential harm Isolated | Corrected Mar 30, 2023 |
| Mar 29, 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 | D · Potential harm Isolated | Corrected Mar 30, 2023 |
| Mar 29, 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 | F · Potential harm Widespread | Corrected Mar 30, 2023 |
| Mar 29, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Jun 27, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.84 (case-mix index 1.24).
| Faigy Goldberger | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Sep 11, 2025 |
| 4925 Elizabeth Street Opco, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2025 |
| Aaron Travitsky | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2025 |
| Kody Gann | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 1, 2025 |
| 4925 Elizabeth Street Property Owner, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |
| Welltower Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |
| Welltower Nnn Group, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |
| Welltower Op LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |
| Clay Ferguson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |
| Mary Huntsman-Hartfield | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |
| May 1, 2026 |
432 IJ |
| $45k |
| Avir at Bay City 700 12th St, Bay City, TX 77414 CCN 455643 | 120 | Feb 26, 2026 | 341 IJ | $14k |
| Avir at Longview 301 Hollybrook Dr., Longview, TX 75605 CCN 455678 | 115 | Aug 13, 2026 | 654 IJ3 harm | $263k |
| Arbor View Nursing & Rehabilitation 1213 Water St, Kerrville, TX 78028 CCN 455724 | 179 | Sep 4, 2026 | 1095 IJ1 harm22 open | $155k |
| Northeast Rehabilitation and Healthcare Center 603 Corinne Drive, San Antonio, TX 78218 CCN 455754 | 120 | Jul 9, 2026 | 651 IJ1 harm | $16k |
| Hays Nursing and Rehabilitation Center 1900 Medical Parkway, San Marcos, TX 78666 CCN 455960 | 116 | Mar 5, 2026 | 312 IJ | $8,226 |
| Parklane West Healthcare Center 2 Towers Park Lane, San Antonio, TX 78209 CCN 675509 | 124 | Jul 17, 2026 | 91 | — |
| 154 |
| Jul 10, 2026 |
755 IJ |
| $158k |
| Avir at Rose Trail 930 S Baxter, Tyler, TX 75701 CCN 455429SFF Candidate | 172 | Aug 14, 2026 | 639 IJ3 harm | $484k |
| Avir at Petal Hill 900 S Baxter Ave, Tyler, TX 75701 CCN 455485Abuse icon | 120 | May 13, 2026 | 352 IJ | $26k |
| Avir at Jeffrey Place 820 Jeffrey Dr, Waco, TX 76710 CCN 455489 | 95 | Apr 9, 2026 | 452 IJ | $22k |
| Avir at Temple West 1700 Marlandwood Rd, Temple, TX 76502 CCN 455522 | 104 | Dec 18, 2025 | 312 IJ1 open | $7,257 |
| Avir at Center 280 Moffitt Dr, Center, TX 75935 CCN 455550 | 137 | Jul 23, 2025 | 271 IJ | $9,113 |
| Avir at Graham 1224 Corvadura St, Graham, TX 76450 CCN 455555 | 116 | Aug 14, 2025 | 33 | — |