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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K1 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D14 | E12 | F2 |
| 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 | |
|---|---|---|---|---|---|---|
| Apr 23, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Apr 23, 2026 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Dec 3, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 2, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 1, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 9, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 7, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Feb 11, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Feb 11, 2025 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Oct 11, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 13, 2024 | Health | Infection Control | 0 | No citations | — | Open → |
| Jan 10, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jan 10, 2024 | Health | Health Complaint, Health Standard | 2 | Potential harm | — | Open → |
| Nov 29, 2023 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Nov 14, 2023 | Health | Infection Control | 0 | No citations | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Nov 29, 2023 | Civil money penalty (fine) | $13,565 | — | 676188|Fine|111860 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K1 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D14 | E12 | F2 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 23, 2026 | 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 Apr 24, 2026 | |
| Apr 23, 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 | D · Potential harm Isolated | Corrected Apr 24, 2026 | |
| Apr 23, 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 61 facilities.
347 facilities in 17 states. CMS chain ID 507.
Chain average overall rating (CMS): 3.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Kristen Madison | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Dec 1, 2023 |
| Neeraj Sharma | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Sep 4, 2024 |
| Bluebonnet Healthcare, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2023 |
| Kristen Madison | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2023 |
| Neeraj Sharma | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 4, 2024 |
| Soon Burnam | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Avir at the Lakes 424 N Tarpey Rd, Texas City, TX 77591 CCN 455490 | 109 | Dec 4, 2025 | 401 IJ | $8,410 | |
| Mcallen Nursing Center 600 N Cynthia St, Mcallen, TX 78501 CCN 455560 | 122 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Richland Hills Rehabilitation and Healthcare Cente 3109 Kings Ct, Fort Worth, TX 76118 CCN 455576 | 92 | May 28, 2026 | 401 harm | $8,190 | |
| Grand Terrace Rehabilitation and Healthcare 812 W. Houston Ave., Mcallen, TX 78501 CCN 455586 | 93 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Windsor Gardens 2535 W Pleasant Run, Lancaster, TX 75146 CCN 455832 | 1.2 km | 150 | Jul 20, 2026 | 342 IJ | $14k | |
| Avir at Lancaster 1241 Westridge Ave, Lancaster, TX 75146 CCN 675809 | 2.8 km | 110 | Jul 29, 2026 | 423 IJ2 harm | $43k | |
| Lancaster Nursing & Rehabilitation 1515 N Elm St, Lancaster, TX 75134 CCN 675810 | 3.2 km | 120 | Mar 6, 2026 | 433 IJ1 open | $57k | |
| Desoto Nursing & Rehabilitation Center 1101 North Hampton Road, Desoto, TX 75115 CCN 455994 | 5.5 km | 110 | May 20, 2026 | 361 IJ | $8,281 | |
| Five Points Nursing and Rehabilitation 1901 North Hampton Road, Desoto, TX 75115 CCN 745006 | 6.1 km | 120 | Mar 13, 2026 | 321 IJ | — | |
| Park Village Healthcare and Rehabilitation 207 E Parkerville Rd, Desoto, TX 75115 CCN 455727Abuse icon | 6.2 km | 150 | Aug 25, 2026 | 636 IJ2 harm2 open | $221k | |
| Methodist Transitional Care Center-Desoto LLC 109 Methodist Way, Desoto, TX 75115 CCN 676492 | 6.5 km | 100 | Dec 10, 2025 | 494 IJ | $28k | |
| Red Oak Health and Rehabilitation Center 101 Reese Dr., Red Oak, TX 75154 CCN 675431 | 8.1 km | 144 | Aug 20, 2026 | 251 IJ1 harm3 open | $30k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676188 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676188 | 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
| Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care |
| D · Potential harm Isolated |
| Corrected Apr 24, 2026 |
| Apr 23, 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 | E · Potential harm Pattern | Corrected Apr 24, 2026 |
| Apr 23, 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 | D · Potential harm Isolated | Corrected Apr 24, 2026 |
| Apr 23, 2026 | 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 Apr 24, 2026 |
| Apr 23, 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 Apr 24, 2026 |
| Apr 23, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 24, 2026 |
| Apr 23, 2026 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 24, 2026 |
| Dec 3, 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 | D · Potential harm Isolated | Corrected Dec 4, 2025 | Complaint |
| Dec 2, 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 Dec 3, 2025 | Complaint |
| Dec 2, 2025 | 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 Dec 3, 2025 | Complaint |
| Dec 1, 2025 | 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 2, 2025 | Complaint |
| Sep 9, 2025 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 26, 2025 | Complaint |
| May 7, 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 23, 2025 | Complaint |
| May 7, 2025 | 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 May 23, 2025 | Complaint |
| May 7, 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 | D · Potential harm Isolated | Corrected May 23, 2025 | Complaint |
| Feb 11, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 17, 2025 |
| Feb 11, 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 | D · Potential harm Isolated | Corrected Feb 17, 2025 |
| Feb 11, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 17, 2025 |
| Feb 11, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 17, 2025 |
| Feb 11, 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 Feb 17, 2025 |
| Feb 11, 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 Feb 17, 2025 |
| Feb 11, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 17, 2025 |
| Oct 11, 2024 | 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 Oct 14, 2024 | Complaint |
| Jan 10, 2024 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 11, 2024 |
| Jan 10, 2024 | F-0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Feb 5, 2024 |
| Jan 10, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Feb 5, 2024 | Complaint |
| Jan 10, 2024 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Jan 12, 2024 |
| Nov 29, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | K · Immediate jeopardy Pattern | Corrected Dec 29, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.96 (case-mix index 1.46).
| Corporate officer / director |
| CORPORATE OFFICER |
| not provided |
| Dec 1, 2023 |
| Grady Hooper | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 1, 2023 |
| Chad Keetch | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2011 |
| Bluebonnet Healthcare, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 27, 2025 |
| Ensign Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 18, 2022 |
| Kristen Madison | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 1, 2023 |
| Neeraj Sharma | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 4, 2024 |
| Aug 5, 2026 |
412 IJ5 open |
| $17k |
| Sulphur Springs Health and Rehabilitation 411 Airport Rd, Sulphur Springs, TX 75482 CCN 455579 | 128 | Jun 24, 2026 | 581 IJ | $44k |
| Riverside Oaks 3103 E. Airline Drive, Victoria, TX 77901 CCN 455726 | 108 | Apr 16, 2026 | 33 | — |
| Advanced Health & Rehab Center of Garland 1201 Colonel Dr., Garland, TX 75043 CCN 455731SFF Candidate | 139 | Jun 4, 2026 | 584 IJ | $183k |
| Pecan Creek Healthcare Center 910 E Pierson St, Hamilton, TX 76531 CCN 455954 | 76 | Jun 11, 2026 | 192 open | — |
| Avir at Kaufman 3001 S Houston St, Kaufman, TX 75142 CCN 455962 | 115 | Feb 9, 2026 | 491 IJ | $8,021 |
| Clarksville Nursing Center 300 East Baker St., Clarksville, TX 75426 CCN 455985 | 132 | Apr 14, 2026 | 33 | — |
| Jun 17, 2026 |
16 |
| — |
| Alta Vista Rehabilitation and Healthcare 510 Paredes Line Rd, Brownsville, TX 78521 CCN 455625 | 100 | May 1, 2026 | 281 IJ | — |
| Wellington Rehabilitation and Healthcare 1802 S 31st, Temple, TX 76504 CCN 455637 | 124 | Aug 6, 2026 | 404 IJ | $32k |
| Golden Palms Rehabilitation and Retirement 2101 Treasure Hills Boulevard, Harlingen, TX 78550 CCN 455672 | 60 | May 13, 2026 | 271 IJ1 harm | $16k |
| Park Village Healthcare and Rehabilitation 207 E Parkerville Rd, Desoto, TX 75115 CCN 455727Abuse icon | 150 | Aug 25, 2026 | 636 IJ2 harm2 open | $221k |
| Kirkwood Manor 2590 Loop 337 N, New Braunfels, TX 78130 CCN 455732 | 162 | Jun 17, 2026 | 691 IJ | $29k |
| Timberwood Nursing and Rehabilitation Center 4001 Hwy 59 North, Livingston, TX 77351 CCN 455745 | 120 | Jan 14, 2026 | 181 IJ | $8,021 |