| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D5 | E5 | F3 |
| 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 | |
|---|---|---|---|---|---|---|
| Dec 11, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Dec 11, 2025 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Jul 24, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 19, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Sep 19, 2024 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Jul 20, 2023 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jul 20, 2023 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D5 | E5 | F3 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Dec 11, 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 | F · Potential harm Widespread | Corrected Jan 24, 2026 | |
| Dec 11, 2025 | 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 Jan 2, 2026 | |
| Dec 11, 2025 |
“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 |
|---|---|---|---|---|---|
| Timothy Jones | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2023 |
| Baptist Memorials Ministries | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2022 |
| Mcculloch County Hospital District | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2024 |
| James Barnett | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2025 |
| Daisy Toms | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2022 |
| James Barnett | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2025 |
| Timothy Jones | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 1, 2022 |
| Baptist Memorials Ministries | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2022 |
| Mcculloch County Hospital District | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 5, 2025 |
| James Barnett | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Daisy Toms | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2022 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| The Lev at San Antonio 7703 Briaridge Drive, San Antonio, TX 78230 CCN 455742 | 106 | Jul 24, 2026 | 611 IJ | $174k | |
| Avir at Converse 7700 Mesquite Pass, Converse, TX 78109 CCN 675452 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Avir at Arbor Terrace 609 Rio Concho Dr, San Angelo, TX 76903 CCN 675932 | 1.6 km | 126 | Apr 30, 2026 | 513 IJ | $122k | |
| Cedar Manor Nursing and Rehabilitation Center 1915 Greenwood Street, San Angelo, TX 76901 CCN 676068 | 4.7 km | 166 | Mar 5, 2026 | 29 | — | |
| Park Plaza Nursing and Rehabilitation Center 2210 N Howard St, San Angelo, TX 76901 CCN 675982 | 5.7 km | 90 | May 14, 2026 | 26 | — | |
| St. Juanita Retirement and Rehab 3215 YMCA Drive, San Angelo, TX 76904 CCN 745060 | 7.6 km | 90 | Not rated | Aug 17, 2026 | 9 | — |
| Avir at Meadow Creek 4343 Oak Grove Blvd, San Angelo, TX 76904 CCN 676031 | 9.5 km | 80 | Jun 11, 2026 | 256 IJ1 harm | $136k | |
| Avir at San Angelo 5455 Knickerbocker Rd, San Angelo, TX 76904 CCN 676100Abuse icon | 10 km | 125 | Aug 22, 2026 | 452 IJ2 harm | $118k | |
| Regency House 3745 Summer Crest Dr., San Angelo, TX 76901 CCN 675767 | 10.9 km | 120 | Jan 28, 2026 | 22 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676091 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676091 | 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
| Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care |
| D · Potential harm Isolated |
| Corrected Dec 31, 2025 |
| Jul 24, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 7, 2025 | Complaint |
| Sep 19, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 1, 2024 |
| Sep 19, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 1, 2024 |
| Sep 19, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 1, 2024 |
| Sep 19, 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 Oct 1, 2024 |
| Sep 19, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 3, 2024 |
| Jul 20, 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 Aug 4, 2023 |
| Jul 20, 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 Aug 4, 2023 |
| Jul 20, 2023 | 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 Aug 4, 2023 |
| Jul 20, 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 Aug 4, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.03 (case-mix index 1.29).
| 100 |
| Jun 4, 2026 |
654 IJ |
| $44k |
| Avir at Burnet 507 W Jackson St, Burnet, TX 78611 CCN 675619 | 112 | Apr 29, 2026 | 151 open | — |
| Rising Star Nursing Center 411 S Miller, Rising Star, TX 76471 CCN 675832 | 60 | Dec 5, 2025 | 16 | — |
| Focused Care at Crane 699 Campus Dr, Crane, TX 79731 CCN 675927 | 110 | Jun 26, 2025 | 501 IJ | $42k |
| Avir at Waco 9101 Panther Way, Waco, TX 76712 CCN 676343 | 120 | Apr 6, 2026 | 29 | — |