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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K1 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D19 | E12 | F· |
| 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 28, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 16, 2026 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jun 16, 2026 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Apr 17, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 4, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 25, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Apr 25, 2025 | Health | Health Standard | 7 | Immediate jeopardy | — | Open → |
| Apr 4, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 21, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 5, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Mar 5, 2024 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Oct 9, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 25, 2025 | Civil money penalty (fine) | $36,221 | — | 676180|Fine|113799 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K1 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D19 | E12 | F· |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 28, 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 Jul 30, 2026 | Complaint |
| Jun 16, 2026 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 10, 2026 | |
| Jun 16, 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 5 facilities.
67 facilities in 1 states. CMS chain ID 670.
Chain average overall rating (CMS): 2.8
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Smithville Hospital Authority | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Feb 1, 2015 |
| Regency Ihs of Elgin, LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2015 |
| Dwd Tx Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2015 |
| Jack and Nancy Dwyer Workforce Development Center Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2015 |
| Reg Leased Opco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2015 |
| Reg Operator Holdco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2015 |
| Regency Integrated Health Services LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2015 |
| Regency Texas Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2015 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Smithville Hospital Authority | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Feb 1, 2015 |
| Regency Ihs of Elgin, LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2015 |
| Dwd Tx Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2015 |
| Jack and Nancy Dwyer Workforce Development Center Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Silver Pines Nursing and Rehabilitation Center 503 Old Austin Highway, Bastrop, TX 78602 CCN 675434 | 114 | Aug 13, 2026 | 37 | — | |
| Towers Nursing Home 372 Hill Road, Smithville, TX 78957 CCN 675942 | 120 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Laredo West Nursing and Rehabilitation Center 1200 E Lane St, Laredo, TX 78043 CCN 455528 | 188 | Jul 28, 2026 | 583 IJ | $50k | |
| Windsor Nursing and Rehabilitation Center of Morga 2322 Morgan Ave, Corpus Christi, TX 78405 CCN 455575Abuse icon |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676180 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676180 | 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
| K-0372 |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Jul 10, 2026 |
| Jun 16, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 10, 2026 |
| Jun 16, 2026 | 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, 2026 |
| Jun 16, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 10, 2026 |
| Jun 16, 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 | E · Potential harm Pattern | Corrected Jul 10, 2026 |
| Jun 16, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 10, 2026 |
| Jun 16, 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 Jul 10, 2026 |
| Jun 16, 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 | D · Potential harm Isolated | Corrected Jul 10, 2026 |
| Jun 16, 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 Jul 10, 2026 |
| Jun 16, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 10, 2026 |
| Jun 16, 2026 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 10, 2026 |
| Apr 17, 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 1, 2026 | Complaint |
| Dec 4, 2025 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 5, 2025 | Complaint |
| Apr 25, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Corrected Apr 28, 2025 |
| Apr 25, 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 | E · Potential harm Pattern | Corrected Apr 28, 2025 |
| Apr 25, 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 Apr 28, 2025 |
| Apr 25, 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 Apr 28, 2025 |
| Apr 25, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 28, 2025 |
| Apr 25, 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 Apr 28, 2025 |
| Apr 25, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 28, 2025 |
| Apr 4, 2024 | 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 Apr 5, 2024 | Complaint |
| Mar 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 Apr 10, 2024 | Complaint |
| Mar 5, 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 Mar 19, 2024 |
| Mar 5, 2024 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 19, 2024 |
| Mar 5, 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 Mar 19, 2024 |
| Mar 5, 2024 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 19, 2024 |
| Mar 5, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Mar 19, 2024 |
| Mar 5, 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 Mar 19, 2024 |
| Mar 5, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 19, 2024 |
| Oct 9, 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 Oct 30, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.11 (case-mix index 1.34).
| not provided |
| Feb 1, 2015 |
| Reg Leased Opco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2015 |
| Reg Operator Holdco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2015 |
| Regency Integrated Health Services LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2015 |
| Regency Texas Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2015 |
| Daniel Baird | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Apr 13, 2021 |
| Mark Bunte | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 27, 2020 |
| Antonio Carvajal | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 16, 2024 |
| Barbara Clapp | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2021 |
| Daren Cortese | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 10, 2021 |
| Ann Fulcher | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 22, 2015 |
| Patricia Gibson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 1, 2021 |
| Nicole Kaufman | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 10, 2021 |
| Elliot Mandelbaum | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2025 |
| Linda Wilson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 19, 2023 |
| Csv Rhea Management Holdco, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2015 |
| Regency Ihs of Elgin, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2015 |
| Regency Integrated Health Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2015 |
| Smithville Hospital Authority | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2015 |
| Donovan Dekowski | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2015 |
| Travis Wheat | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 30, 2022 |
| Brad Hurta | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 16, 2025 |
| Michael Kahanek | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 19, 2023 |
| Robert Schreiner | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 9, 2019 |
| James Trousdale | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 20, 2021 |
| Linda Wilson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 19, 2023 |
| 1373 North Avenue C LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2015 |
| Regency Ihs Clinical Consulting, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 8, 2025 |
| Regency Ihs of Elgin, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 17, 2025 |
| Regency Ihs Rehab LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2015 |
| Regency Integrated Health Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 17, 2025 |
| Smithville Hospital Authority | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 17, 2025 |
| Donovan Dekowski | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2015 |
| Zahir Momin | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Loretta Rincon | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Travis Wheat | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 30, 2022 |
| Brandon Yates | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Jun 11, 2026 |
171 IJ1 harm |
| $15k |
| Bastrop Lost Pines Nursing and Rehabilitation Cent 430 Old Austin Hwy, Bastrop, TX 78602 CCN 676222Abuse icon | 120 | Mar 20, 2026 | 313 IJ | $92k |
| Southpark Meadows Nursing and Rehabilitation Cente 9801 S 1st Street, Austin, TX 78748 CCN 676299 | 120 | Jun 19, 2026 | 303 harm | $11k |
| 176 |
| Jul 16, 2026 |
371 IJ4 harm |
| $19k |
| Heritage Park Rehabilitation and Skilled Nursing C 2806 Real St, Austin, TX 78722 CCN 455599 | 197 | Feb 20, 2026 | 523 IJ2 harm1 open | $56k |
| Windsor Nursing and Rehabilitation Center of Mcall 900 S 12th St, Mcallen, TX 78501 CCN 455662 | 110 | Dec 3, 2025 | 211 harm | $24k |
| Longview Hill Nursing and Rehabilitation Center 3201 N Fourth St, Longview, TX 75605 CCN 455684 | 198 | Mar 18, 2026 | 683 IJ1 harm | $225k |
| Monument Hill Nursing and Rehabilitation Center 120 State Loop 92, La Grange, TX 78945 CCN 455715 | 104 | Aug 6, 2026 | 311 IJ | $8,281 |
| Spindletop Hill Nursing and Rehabilitation Center 1020 S 23rd St, Beaumont, TX 77707 CCN 455757 | 148 | Aug 5, 2026 | 443 IJ | $83k |
| Town and Country Nursing and Rehabilitation Center 625 N Main St, Boerne, TX 78006 CCN 455796 | 126 | Jul 31, 2026 | 763 IJ | $151k |