| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K1 | L· |
| Actual harm | G· | H2 | I· |
| Potential harm | D12 | E19 | F10 |
| 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 | |
|---|---|---|---|---|---|---|
| Aug 22, 2026 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| May 7, 2026 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| May 7, 2026 | Health | Health Complaint, Health Standard | 9 | Potential harm | — | Open → |
| Feb 17, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 19, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 14, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 6, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Mar 6, 2025 | Health | Health Standard | 4 | Actual harm | — | Open → |
| Oct 3, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Dec 22, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Dec 22, 2023 | Health | Health Complaint, Health Standard | 13 | Immediate jeopardy | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Aug 22, 2026 | Civil money penalty (fine) | $19,615 | — | 676100|Fine|144611 |
| Aug 22, 2026 | Civil money penalty (fine) | $19,352 | — | 676100|Fine|144614 |
| Mar 6, 2025 | Civil money penalty (fine) | $54,919 | — | 676100|Fine|113643 |
| Dec 22, 2023 | Civil money penalty (fine) | $23,941 | — | 676100|Fine|112042 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K1 | L· |
| Actual harm | G· | H2 | I· |
| Potential harm | D12 | E19 | F10 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 22, 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 | Corrected Aug 23, 2026 | Complaint |
| May 7, 2026 | 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 Jul 12, 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 38 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 |
|---|---|---|---|---|---|
| Amitai Dagan | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Apr 23, 2025 |
| Abraham Goldberger | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Apr 23, 2025 |
| 5455 Knickerbocker Road Opco, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2025 |
| Peter Chang | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2025 |
| Nochum Freund | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2025 |
| Aaron Travitsky | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Rosewood Heights 5700 E Central Texas Expwy, Killeen, TX 76543 CCN 455503 | 64 | Apr 17, 2026 | 193 IJ2 harm | $37k | |
| Laredo West Nursing and Rehabilitation Center 1200 E Lane St, Laredo, TX 78043 CCN 455528 |
| 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 |
|---|---|---|---|---|---|---|
| St. Juanita Retirement and Rehab 3215 YMCA Drive, San Angelo, TX 76904 CCN 745060 | 2.5 km | 90 | Not rated | Aug 17, 2026 | 9 | — |
| Avir at Meadow Creek 4343 Oak Grove Blvd, San Angelo, TX 76904 CCN 676031 | 3.1 km | 80 | Jun 11, 2026 | 256 IJ1 harm | $136k | |
| Regency House 3745 Summer Crest Dr., San Angelo, TX 76901 CCN 675767 | 4.7 km | 120 | Jan 28, 2026 | 22 | — | |
| Park Plaza Nursing and Rehabilitation Center 2210 N Howard St, San Angelo, TX 76901 CCN 675982 | 7.8 km | 90 | May 14, 2026 | 26 | — | |
| Cedar Manor Nursing and Rehabilitation Center 1915 Greenwood Street, San Angelo, TX 76901 CCN 676068 | 8 km | 166 | Mar 5, 2026 | 29 | — | |
| Avir at Arbor Terrace 609 Rio Concho Dr, San Angelo, TX 76903 CCN 675932 | 8.7 km | 126 | Apr 30, 2026 | 513 IJ | $122k | |
| Sagecrest Alzheimers Care Center 438 E. Houston Harte Expressway, San Angelo, TX 76903 CCN 676091 | 10 km | 72 | Dec 11, 2025 | 13 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676100 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676100 | 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
| May 7, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 12, 2026 |
| May 7, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 12, 2026 |
| May 7, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 12, 2026 |
| May 7, 2026 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 12, 2026 |
| May 7, 2026 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 12, 2026 |
| May 7, 2026 | 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, 2026 |
| May 7, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 12, 2026 |
| May 7, 2026 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 31, 2026 |
| May 7, 2026 | 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 May 31, 2026 |
| May 7, 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 | E · Potential harm Pattern | Corrected May 31, 2026 |
| May 7, 2026 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 31, 2026 | Complaint |
| May 7, 2026 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 31, 2026 |
| May 7, 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 31, 2026 |
| May 7, 2026 | 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 May 31, 2026 |
| May 7, 2026 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 31, 2026 |
| May 7, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 31, 2026 |
| Feb 17, 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 13, 2026 | Complaint |
| Nov 19, 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 Nov 20, 2025 | Complaint |
| Jun 14, 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 Jul 8, 2025 | Complaint |
| Mar 6, 2025 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | H · Actual harm Pattern | Corrected Mar 7, 2025 |
| Mar 6, 2025 | F-0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Clinical care | H · Actual harm Pattern | Corrected Mar 7, 2025 |
| Mar 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 Mar 7, 2025 |
| Mar 6, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 7, 2025 |
| Mar 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 Mar 7, 2025 |
| Mar 6, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 7, 2025 |
| Mar 6, 2025 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 7, 2025 |
| Oct 3, 2024 | F-0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 16, 2024 | Complaint |
| Oct 3, 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 Oct 16, 2024 | Complaint |
| Oct 3, 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 Oct 16, 2024 | Complaint |
| Dec 22, 2023 | 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 | K · Immediate jeopardy Pattern | Corrected Dec 23, 2023 | Complaint |
| Dec 22, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 29, 2024 |
| Dec 22, 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 | E · Potential harm Pattern | Corrected Dec 23, 2023 |
| Dec 22, 2023 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Dec 23, 2023 |
| Dec 22, 2023 | 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 23, 2023 |
| Dec 22, 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 Dec 23, 2023 |
| Dec 22, 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 Dec 23, 2023 |
| Dec 22, 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 Dec 23, 2023 | Complaint |
| Dec 22, 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 Dec 23, 2023 | Complaint |
| Dec 22, 2023 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Dec 23, 2023 | Complaint |
| Dec 22, 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 Dec 23, 2023 |
| Dec 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 Dec 23, 2023 |
| Dec 22, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 23, 2023 |
| Dec 22, 2023 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Dec 23, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.37 (case-mix index 1.30).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Mar 1, 2025 |
| Adam Apolinar | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 1, 2024 |
| 5455 Knickerbocker Rd LLC | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Jun 1, 2024 |
| 5455 Knickerbocker Road Property Owner, LLC | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Mar 1, 2025 |
| Welltower Inc | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Mar 1, 2025 |
| Welltower Nnn Group, LLC | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Mar 1, 2025 |
| Welltower Op LLC | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Mar 1, 2025 |
| 5455 Knickerbocker Road Opco, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 23, 2025 |
| 5455 Knickerbocker Road Property Owner, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| Welltower Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| Welltower Nnn Group, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| Welltower Op LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| Peter Chang | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| Clay Kofron | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| 188 |
| Jul 28, 2026 |
583 IJ |
| $50k |
| Memorial Medical Nursing and Rehabilitation 307 W Cypress St, San Antonio, TX 78212 CCN 455597 | 135 | Aug 5, 2026 | 872 IJ11 open | $35k |
| Hilltop Village Nursing and Rehabilitation 1400 Hilltop Rd, Kerrville, TX 78028 CCN 455628 | 150 | Aug 20, 2026 | 601 IJ | — |
| Silver Creek Nursing and Rehabilitation 9014 Timber Path, San Antonio, TX 78250 CCN 455652 | 120 | Jul 2, 2025 | 28 | — |
| Kirkwood Manor 2590 Loop 337 N, New Braunfels, TX 78130 CCN 455732 | 162 | Jun 17, 2026 | 691 IJ | $29k |
| Avir at San Knoll 5757 N. Knoll, San Antonio, TX 78240 CCN 455804 | 120 | Jul 24, 2026 | 711 IJ | $28k |
| San Antonio North Nursing and Rehabilitation 501 Ogden, San Antonio, TX 78212 CCN 455817 | 118 | Aug 6, 2026 | 762 IJ | $17k |
| 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 | — |