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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J5 | K3 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D15 | E11 | F1 |
| 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 18, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 23, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 24, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 19, 2026 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Dec 19, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 17, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Sep 17, 2025 | Health | Health Standard | 0 | No citations | — | Open → |
| Jul 10, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Mar 7, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Jan 13, 2025 | Health | Health Complaint | 4 | Immediate jeopardy | — | Open → |
| Aug 21, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Aug 21, 2024 | Health | Health Complaint, Health Standard | 8 | Potential harm | — | Open → |
| May 30, 2024 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| May 9, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 25, 2023 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| May 25, 2023 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Mar 19, 2026 | Civil money penalty (fine) | $14,047 | — | 676153|Fine|137975 |
| Jul 10, 2025 | Civil money penalty (fine) | $17,345 | — | 676153|Fine|134818 |
| Mar 7, 2025 | Civil money penalty (fine) | $24,622 | — | 676153|Fine|113659 |
| Jan 13, 2025 | Civil money penalty (fine) | $18,353 | — | 676153|Fine|113518 |
| May 30, 2024 | Civil money penalty (fine) | $55,278 | — | 676153|Fine|112880 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J5 | K3 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D15 | E11 | F1 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 18, 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 | Corrected Sep 14, 2026 | Complaint |
| Jul 23, 2026 | 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 Aug 14, 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.
25 facilities in 1 states. CMS chain ID 521.
Chain average overall rating (CMS): 2.8
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Ernest Fellbaum | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Apr 15, 2026 |
| Kelly Fellbaum | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Apr 15, 2026 |
| Rena Sehlke | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Apr 15, 2026 |
| Laura Studer | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Apr 15, 2026 |
| Stanley Studer | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Apr 15, 2026 |
| Touchstone Strategies - League City LLC | Organization |
| 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 |
|---|---|---|---|---|---|
| Rosewood Heights 5700 E Central Texas Expwy, Killeen, TX 76543 CCN 455503 | 64 | Apr 17, 2026 | 193 IJ2 harm | $37k | |
| La Frontera Nursing & Rehabilitation 7001 Mcpherson Rd., Laredo, TX 78041 CCN 675030 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Baywind Village Skilled Nursing & Rehab 411 Alabama Ave, League City, TX 77573 CCN 675323 | 4.9 km | 107 | May 22, 2026 | 20 | $4,139 | |
| Mrc the Crossings 255 N Egret Bay Blvd, League City, TX 77573 CCN 676400 | 5.1 km | 48 | Mar 13, 2026 | 10 | — | |
| Regency Village 409 Greene St, Webster, TX 77598 CCN 675961Abuse icon | 6.4 km | 122 | Jul 4, 2026 | 373 IJ2 harm | $23k | |
| Focused Care at Webster 17231 Mill Forest Rd., Webster, TX 77598 CCN 675848Abuse icon | 7.9 km | 120 | Jun 5, 2026 | 412 IJ3 harm | $28k | |
| Ignite Medical Resort Webster, LLC 16130 Galveston Rd, Webster, TX 77598 CCN 676460 | 9.6 km | 70 | Apr 24, 2026 | 192 harm | — | |
| Friendship Haven Healthcare and Rehabilitation Cen 1500 Sunset Dr, Friendswood, TX 77546 CCN 675744 | 9.9 km | 150 | Feb 20, 2026 | 171 harm | $8,018 | |
| Avir at the Lakes 424 N Tarpey Rd, Texas City, TX 77591 CCN 455490 | 13.4 km | 109 | Dec 4, 2025 | 401 IJ | $8,410 | |
| Bayou Pines Care Center 4905 Fleming Street, La Marque, TX 77568 CCN 676223 | 13.8 km | 120 | Aug 20, 2026 | 241 IJ | $14k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676153 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676153 | 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 24, 2026 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 15, 2026 | Complaint |
| Mar 19, 2026 | 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 | J · Immediate jeopardy Isolated | Corrected Mar 20, 2026 | Complaint |
| Mar 19, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Mar 20, 2026 | Complaint |
| Dec 19, 2025 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 20, 2025 | Complaint |
| Sep 17, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 17, 2025 |
| Sep 17, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 17, 2025 |
| Sep 17, 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 Sep 17, 2025 |
| Jul 10, 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 | Past non-compliance Jul 10, 2025 | Complaint |
| Mar 7, 2025 | F-0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Mar 8, 2025 | Complaint |
| Jan 13, 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 | K · Immediate jeopardy Pattern | Corrected Jan 18, 2025 | Complaint |
| Jan 13, 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 Jan 18, 2025 | Complaint |
| Jan 13, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Corrected Jan 18, 2025 | Complaint |
| Jan 13, 2025 | F-0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jan 18, 2025 | Complaint |
| Aug 21, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 11, 2024 |
| Aug 21, 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 Sep 15, 2024 |
| Aug 21, 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 Sep 17, 2024 |
| Aug 21, 2024 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 15, 2024 |
| Aug 21, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 15, 2024 |
| Aug 21, 2024 | 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 Sep 15, 2024 | Complaint |
| Aug 21, 2024 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 15, 2024 | Complaint |
| Aug 21, 2024 | 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 Sep 15, 2024 |
| Aug 21, 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 | E · Potential harm Pattern | Corrected Sep 15, 2024 | Complaint |
| Aug 21, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 15, 2024 | Complaint |
| Aug 21, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 15, 2024 |
| May 30, 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 | K · Immediate jeopardy Pattern | Corrected Jun 21, 2024 | Complaint |
| May 9, 2024 | 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 May 31, 2024 | Complaint |
| May 25, 2023 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 1, 2023 |
| May 25, 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 Jul 1, 2023 |
| May 25, 2023 | 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 1, 2023 |
| May 25, 2023 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 1, 2023 |
| May 25, 2023 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 1, 2023 |
| May 25, 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 | D · Potential harm Isolated | Corrected Jul 1, 2023 |
| May 25, 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 Jul 1, 2023 |
| May 25, 2023 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | C · Minimal Widespread | Corrected Jul 1, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.28 (case-mix index 1.37).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Sep 17, 2024 |
| Amanda Black | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 10, 2026 |
| Christopher Boening | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 17, 2024 |
| Leslie Campbell | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 17, 2024 |
| Lynnea Castillo | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 17, 2024 |
| Otis Gordy | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 6, 2026 |
| Bryon Sehlke | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 17, 2024 |
| Darrell Zurovec | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 17, 2024 |
| Adam Apolinar | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 1, 2015 |
| Frost Bank | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Sep 17, 2024 |
| Aegis Therapies, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 17, 2024 |
| Alamo Advisors LP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 17, 2024 |
| Carvajal Pharmacy Ltc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 17, 2024 |
| Fellbaum 2023 Descendants Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 17, 2024 |
| Jan Studer 2023 Spousal Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 17, 2024 |
| Kelly Fellbaum 2023 Spousal Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 17, 2024 |
| Plante & Moran PLLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 17, 2024 |
| Studer 2023 Descendants Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 17, 2024 |
| The Bryon and Rena Sehlke Living Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 17, 2024 |
| Touchstone Communities Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 17, 2024 |
| Touchstone Realty - League City LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 17, 2024 |
| Touchstone Strategies - League City LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 14, 2026 |
| Trident Health Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 17, 2024 |
| Robin Armstrong | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Amanda Black | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 10, 2026 |
| Christopher Boening | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 17, 2024 |
| Leslie Campbell | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 17, 2024 |
| Lynnea Castillo | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 17, 2024 |
| Otis Gordy | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 6, 2026 |
| Bryon Sehlke | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 17, 2024 |
| Darrell Zurovec | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 17, 2024 |
| 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 |
| 186 |
| Aug 14, 2026 |
272 IJ |
| $32k |
| West Oaks Nursing & Rehabilitation 3625 Green Crest Dr, Houston, TX 77082 CCN 675454 | 136 | Jul 29, 2026 | 261 harm | — |
| Hill Country Heights 810 Industrial Ave, Copperas Cove, TX 76522 CCN 675536 | 96 | May 21, 2026 | 241 IJ | $12k |
| Del Rio Nursing and Rehabilitation Center 301 W. Martin Street, Del Rio, TX 78840 CCN 675677Abuse icon | 60 | Aug 6, 2026 | 411 IJ1 harm | $22k |
| The Heights at Medical Center 3935 Medical Drive, San Antonio, TX 78229 CCN 675890 | 134 | Aug 15, 2025 | 633 IJ | $22k |
| Harker Heights Nursing & Rehabilitation 415 Indian Oaks Dr, Harker Heights, TX 76548 CCN 675909 | 199 | Aug 26, 2026 | 613 IJ | $65k |
| Country Care Manor 2736 Fm 775, La Vernia, TX 78121 CCN 675947 | 91 | Dec 17, 2025 | 16 | $22k |