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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D21 | E5 | F1 |
| 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 28, 2026 | Health | Health Complaint | 1 | Potential harm | 1 | Open → |
| Jul 1, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jul 1, 2026 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Nov 24, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 16, 2025 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| May 16, 2025 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Mar 22, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Mar 22, 2024 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D21 | E5 | F1 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 28, 2026 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | No plan of correction | Complaint |
| Jul 1, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 2, 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 4 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 |
|---|---|---|---|---|---|
| Bexar County Hospital District | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Feb 28, 2015 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Bexar County Hospital District | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Feb 28, 2015 |
| Touchstone Strategies - Pleasanton LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2016 |
| Leslie Campbell | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2020 |
| Lynnea Castillo | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Country Care Manor 2736 Fm 775, La Vernia, TX 78121 CCN 675947 | 91 | Dec 17, 2025 | 16 | $22k | |
| Stone Oak Care Center 505 Madison Oak Drive, San Antonio, TX 78258 CCN 675968 | 152 |
| 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 |
|---|---|---|---|---|---|---|
| Pleasanton South Nursing and Rehabilitation 905 West Oaklawn Rd, Pleasanton, TX 78064 CCN 675428 | 3.1 km | 88 | Jun 18, 2026 | 453 IJ | $8,827 | |
| Pleasanton North Nursing and Rehabilitation 404 W. Goodwin St, Pleasanton, TX 78064 CCN 675502 | 3.6 km | 46 | Jun 26, 2026 | 583 IJ2 harm | $168k | |
| Jourdanton Nursing and Rehabilitation 1504 Highway 97e, Jourdanton, TX 78026 CCN 455549 | 4.9 km | 60 | Jul 27, 2026 | 542 IJ | $28k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676181 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676181 | 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
| Jul 1, 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 2, 2026 |
| Jul 1, 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 2, 2026 |
| Jul 1, 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 2, 2026 |
| Nov 24, 2025 | 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 Nov 25, 2025 | Complaint |
| May 16, 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 | D · Potential harm Isolated | Corrected May 17, 2025 |
| May 16, 2025 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 17, 2025 |
| May 16, 2025 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 17, 2025 |
| May 16, 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 | D · Potential harm Isolated | Corrected May 17, 2025 |
| May 16, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 17, 2025 |
| May 16, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 17, 2025 |
| May 16, 2025 | K-0352 | Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 17, 2025 |
| May 16, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 17, 2025 |
| May 16, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 17, 2025 |
| May 16, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 17, 2025 |
| May 16, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 17, 2025 |
| May 16, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 17, 2025 |
| May 16, 2025 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 17, 2025 |
| May 16, 2025 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 17, 2025 |
| May 16, 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 May 17, 2025 |
| May 16, 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 | D · Potential harm Isolated | Corrected May 17, 2025 |
| May 16, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 17, 2025 |
| Mar 22, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 23, 2024 |
| Mar 22, 2024 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 23, 2024 |
| Mar 22, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 23, 2024 |
| Mar 22, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 23, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.17 (case-mix index 1.49).
| Feb 28, 2015 |
| Jonathon Clayton | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2023 |
| Maria Duenes | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 17, 2020 |
| Nicole Morris | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2025 |
| Bryon Sehlke | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 16, 2016 |
| Benjamin Zertuche | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2014 |
| Darrell Zurovec | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2017 |
| Christopher Hurley | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 26, 2014 |
| Lument Real Estate Capital LLC | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | May 5, 2014 |
| Aegis Therapies, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2015 |
| Alamo Advisors LP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2015 |
| Carvajal Pharmacy Ltc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2017 |
| Nutritious Lifestyles, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2015 |
| Plante & Moran PLLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2015 |
| Touchstone Communities Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2015 |
| Touchstone Realty - Atascosa LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2015 |
| Touchstone Strategies - Pleasanton LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 10, 2025 |
| Trident Health Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2015 |
| Leslie Campbell | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2020 |
| Lynnea Castillo | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2015 |
| Jonathon Clayton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2023 |
| Maria Duenes | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 17, 2020 |
| Ernest Fellbaum | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2015 |
| Nicole Morris | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Bryon Sehlke | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 16, 2016 |
| Stanley Studer | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2015 |
| Benjamin Zertuche | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 1, 2014 |
| Darrell Zurovec | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2017 |
| Jun 4, 2026 |
421 IJ |
| $9,087 |
| The Heights on Huebner 10127 Huebner Rd, San Antonio, TX 78240 CCN 676224 | 120 | Jan 14, 2026 | 31 | — |
| 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 |