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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D20 | E17 | 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 | |
|---|---|---|---|---|---|---|
| Jul 9, 2026 | Health | Health Complaint | 2 | Potential harm | 2 | Open → |
| May 14, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 3, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 6, 2025 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Dec 2, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Sep 5, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Sep 5, 2025 | Health | Health Standard | 8 | Immediate jeopardy | — | Open → |
| Jan 23, 2025 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Jul 11, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jul 11, 2024 | Health | Health Complaint, Health Standard | 6 | Potential harm | — | Open → |
| Apr 20, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 11, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| May 11, 2023 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Dec 2, 2025 | Civil money penalty (fine) | $9,246 | — | 676146|Fine|136611 |
| Sep 5, 2025 | Civil money penalty (fine) | $16,427 | — | 676146|Fine|135551 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D20 | E17 | F3 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 9, 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 | D · Potential harm Isolated | No plan of correction | Complaint |
| Jul 9, 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 | · Potential harm |
“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 37 facilities.
5 facilities in 1 states. CMS chain ID 844.
Chain average overall rating (CMS): 3.4
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Dallas County Hospital District | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 23, 2017 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Dallas County Hospital District | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 23, 2017 |
| Kelly Bauder | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jun 17, 2026 |
| Madison Bauder | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jun 17, 2026 |
| Parker Bauder | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jun 17, 2026 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Windsor Gardens 2535 W Pleasant Run, Lancaster, TX 75146 CCN 455832 | 150 | Jul 20, 2026 | 342 IJ | $14k | |
| Avir at River Valley 1907 Refinery Rd, Gainesville, TX 76240 CCN 455970 | 116 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Denton Rehabilitation and Nursing Center 3345 Medpark Dr., Denton, TX 76210 CCN 675136 | 94 | Jul 16, 2026 | 32 | — | |
| Williamsburg Village Healthcare Campus 940 York Drive, Desoto, TX 75115 CCN 675756SFF Candidate | 242 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Christian Care Communities and Services Mesquite 1000 Wiggins Parkway, Mesquite, TX 75150 CCN 455617 | 2.5 km | 180 | May 21, 2026 | 314 IJ | $29k | |
| Willowbend Nursing and Rehabilitation Center 2231 Highway 80 E, Mesquite, TX 75150 CCN 675272 | 2.8 km | 162 | Aug 28, 2026 | 524 IJ1 open | $24k | |
| Palomino Place 3160 Gus Thomasson Road, Mesquite, TX 75150 CCN 676422Abuse icon | 3 km | 120 | Aug 11, 2026 | 373 IJ2 harm | $165k | |
| Edgewood Rehabilitation and Care Center 1101 Windbell Dr, Mesquite, TX 75149 CCN 676326 | 4.3 km | 142 | Apr 28, 2026 | 24 | — | |
| Mesquite Village Wellness & Rehabilitation 825 W Kearney St, Mesquite, TX 75149 CCN 676480 | 4.9 km | 149 | Jul 8, 2026 | 311 IJ | $8,021 | |
| Cheyenne Medical Lodge 750 Highway 352, Mesquite, TX 75149 CCN 676466 | 5.5 km | 139 | Jul 12, 2026 | 28 | $13k | |
| Mesquite Tree Nursing Center 434 Paza Dr., Mesquite, TX 75149 CCN 675033 | 6.7 km | 143 | Jun 24, 2026 | 41 | — | |
| Advanced Health & Rehab Center of Garland 1201 Colonel Dr., Garland, TX 75043 CCN 455731SFF Candidate | 6.9 km | 139 | Jun 4, 2026 | 584 IJ | $183k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676146 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676146 | 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
| No plan of correction |
| Complaint |
| May 14, 2026 | 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 May 30, 2026 | Complaint |
| Feb 3, 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 Feb 4, 2026 | Complaint |
| Dec 6, 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 | J · Immediate jeopardy Isolated | Corrected Dec 7, 2025 | Complaint |
| Dec 6, 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 | G · Actual harm Isolated | Corrected Dec 7, 2025 | Complaint |
| Dec 2, 2025 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 3, 2025 | Complaint |
| Dec 2, 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 | F · Potential harm Widespread | Corrected Dec 3, 2025 | Complaint |
| Sep 5, 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 | J · Immediate jeopardy Isolated | Corrected Sep 8, 2025 |
| Sep 5, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 6, 2025 |
| Sep 5, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 6, 2025 |
| Sep 5, 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 | D · Potential harm Isolated | Corrected Sep 8, 2025 |
| Sep 5, 2025 | 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 Sep 8, 2025 |
| Sep 5, 2025 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 8, 2025 |
| Sep 5, 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 Sep 8, 2025 |
| Sep 5, 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 8, 2025 |
| Sep 5, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 8, 2025 |
| Sep 5, 2025 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 8, 2025 |
| Jan 23, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 30, 2025 | Complaint |
| Jan 23, 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 | D · Potential harm Isolated | Corrected Jan 30, 2025 | Complaint |
| Jan 23, 2025 | 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 Jan 30, 2025 | Complaint |
| Jan 23, 2025 | 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 Jan 30, 2025 | Complaint |
| Jul 11, 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 19, 2024 |
| Jul 11, 2024 | K-0900 | Meet Health Care Facilities Code mechanical requirements. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 12, 2024 |
| Jul 11, 2024 | 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 Jul 27, 2024 |
| Jul 11, 2024 | 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 Jul 20, 2024 | Complaint |
| Jul 11, 2024 | 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 Jul 19, 2024 | Complaint |
| Jul 11, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 15, 2024 | Complaint |
| Jul 11, 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 Jul 30, 2024 | Complaint |
| Jul 11, 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 | E · Potential harm Pattern | Corrected Jul 20, 2024 | Complaint |
| Jul 11, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 25, 2024 | Complaint |
| Apr 20, 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 May 3, 2024 | Complaint |
| May 11, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 1, 2023 |
| May 11, 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 Jul 14, 2023 |
| May 11, 2023 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 14, 2023 |
| May 11, 2023 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 14, 2023 |
| May 11, 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 Jul 14, 2023 |
| May 11, 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 Jul 14, 2023 |
| May 11, 2023 | 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 Jul 14, 2023 |
| May 11, 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 Jul 14, 2023 |
| May 11, 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 Jul 14, 2023 |
| May 11, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 14, 2023 |
| May 11, 2023 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 14, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.91 (case-mix index 1.62).
| Douglas Boulware | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jun 17, 2026 |
| Thomas Boulware | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jun 17, 2026 |
| Katie Walker | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jun 17, 2026 |
| Pmg Opco - Mesquite LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2025 |
| William Bauder | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2025 |
| Genevy Rodriguez | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2025 |
| Edmundo Castaneda | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 10, 2022 |
| Bauder Family Investments, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2025 |
| Boulware St James LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2025 |
| Pmg Realco - Mesquite LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2025 |
| Steven Boulware Family Investments LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2025 |
| Steven Boulware | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2025 |
| Genevy Rodriguez | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2025 |
| Jul 27, 2026 |
41 |
| — |
| Denton Rehabilitation and Nursing Center 3345 Medpark Dr., Denton, TX 76210 CCN 675136 | 94 | Jul 16, 2026 | 32 | — |
| Meadowbrook Care Center 632 Windsor Way, Van Alstyne, TX 75495 CCN 675151 | 60 | May 5, 2026 | 251 IJ | $14k |
| The Manor at Seagoville 2416 Elizabeth Ln, Seagoville, TX 75159 CCN 675418 | 90 | Apr 1, 2026 | 382 IJ | $98k |
| Renaissance Care Center 1400 Blackshill Dr, Gainesville, TX 76240 CCN 675441 | 91 | Jun 4, 2026 | 42 | — |
| Beacon Hill 3515 S Park Ave, Denison, TX 75020 CCN 675503 | 150 | May 26, 2026 | 28 | — |
| Williamsburg Village Healthcare Campus 940 York Drive, Desoto, TX 75115 CCN 675756SFF Candidate | 242 | Jul 30, 2026 | 939 IJ | $150k |
| Jul 30, 2026 |
939 IJ |
| $150k |
| Prestonwood Rehabilitation & Nursing Center 2460 Marsh Ln, Plano, TX 75093 CCN 676156 | 132 | Aug 13, 2026 | 273 IJ1 harm | $29k |
| Ridgeview Rehabilitation and Skilled Nursing 206 Walls Dr, Cleburne, TX 76033 CCN 676197 | 134 | Dec 11, 2025 | 29 | — |