Trucare Living Centers-Columbus — nursing home in Columbus, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 104 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 68.8 CMS, MDS-derived
CMS Certification Number: 676229
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jul 30, 2009
Ownership type: For profit - Individual
Operator (legal business name): Fannin County Hospital Authority
CMS chain: Not part of a CMS-reported chain
Phone: (979) 733-0500
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

8

latest Jul 31, 2026

Citations

20

14 health · 6 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D14	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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 676229
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 104
First approved: Jul 30, 2009
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Texas.

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.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Jul 31, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Apr 24, 2026	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Apr 24, 2026	Health	Health Standard	6	Potential harm	—	Open →
Mar 19, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Feb 6, 2025	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Feb 6, 2025	Health	Health Standard	4	Potential harm	—	Open →
Jan 19, 2024	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Jan 19, 2024	Health	Health Complaint, Health Standard	2	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D14	E5	F1
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 31, 2026	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 17, 2026	Complaint
Apr 24, 2026	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 28, 2026
Apr 24, 2026	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 24, 2026
Apr 24, 2026	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 28, 2026
Apr 24, 2026	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 28, 2026
Apr 24, 2026	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 28, 2026
Apr 24, 2026	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 28, 2026
Apr 24, 2026	F-0770	Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Apr 27, 2026
Apr 24, 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 27, 2026
Mar 19, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Apr 23, 2026	Complaint
Feb 6, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 28, 2025
Feb 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	D · Potential harm Isolated	Corrected Mar 6, 2025
Feb 6, 2025	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 6, 2025
Feb 6, 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 Mar 6, 2025
Feb 6, 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 Mar 6, 2025
Jan 19, 2024	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 6, 2024
Jan 19, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 6, 2024
Jan 19, 2024	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 6, 2024
Jan 19, 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 Feb 6, 2024	Complaint
Jan 19, 2024	F-0814	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Feb 6, 2024	Complaint

“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.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QM

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.

Nurse staffing · hours per resident per day

Total nurse staffing3.31

State avg 3.42US avg 3.90

Registered nurse (RN)0.34

State avg 0.44US avg 0.69

Licensed practical nurse0.73

State avg 0.94US avg 0.86

Nurse aide2.23

State avg 2.03US avg 2.35

Weekend total nurse2.73

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.53 (case-mix index 1.31).

Staff turnover

Total nursing staff turnover45.0%

State avg 50.8%US avg 45.3%

Registered nurse turnoverNot reported

State avg 49.8%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Apr 24, 2026
Cycle 1 health score: 36
Total weighted score: 33

Operating entity

Fannin County Hospital Authority

CMS legal business name of the certified provider. Operates 58 facilities.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

17

Organizations

6

Individuals

10

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Fannin County Hospital Authority	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	May 1, 2026

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Fannin County Hospital Authority	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	May 1, 2026
Sandy Anderson	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	May 1, 2026
Bart Klaus	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	May 1, 2026
Rolling Prairie Healthcare LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2026
Sandy Anderson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2026
Soon Burnam	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2026
Bart Klaus	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2026
Soon Burnam	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 1, 2026
Chad Keetch	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 1, 2011
Clark Sanderson	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 1, 2026
Ensign Services Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Feb 13, 2026
Montezuma Street Health Holdings LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2026
Rolling Prairie Healthcare LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 16, 2026
Standard Bearer Healthcare Op, LP	Organization	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2026
The Ensign Group Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2026
Sandy Anderson	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2026
Bart Klaus	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2026

Other facilities operated by Fannin County Hospital Authority

All 57 →

Facility	Beds	Last inspection	Citations (window)	Fines
Avir at the Meadow 8383 Meadow Road, Dallas, TX 75231 CCN 455463	184	Jul 27, 2026	693 IJ2 harm	$36k
Ennis Care Center 1200 S Hall St, Ennis, TX 75119 CCN 455486	155	May 20, 2026	502 IJ	$37k
Pleasant Springs Healthcare Center 2003 North Edwards Avenue, Mount Pleasant, TX 75455 CCN 455532SFF CandidateAbuse icon	90	Aug 7, 2026	774 IJ2 harm	$66k
Avir at Center 280 Moffitt Dr, Center, TX 75935 CCN 455550	137	Jul 23, 2025	271 IJ	$9,113
Texoma Healthcare Center 1000 US Highway 82 East, Sherman, TX 75090 CCN 455573	179	Aug 19, 2026	602 IJ6 open	$16k
Avir at Weatherford 521 W. 7th Street, Weatherford, TX 76086 CCN 455574Abuse icon	122	Feb 12, 2026	262 IJ	$22k
Grand Terrace Rehabilitation and Healthcare 812 W. Houston Ave., Mcallen, TX 78501 CCN 455586	93	Jun 17, 2026	16	—
Christian Care Communities and Services Mesquite 1000 Wiggins Parkway, Mesquite, TX 75150 CCN 455617	180	May 21, 2026	314 IJ	$29k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 1511 Montezuma Street, Columbus, TX 78934
ZIP: 78934
County: Colorado County FIPS 48089
State: Texas
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Columbus Oaks Healthcare Community 300 North St, Columbus, TX 78934 CCN 675996	2.7 km	137		Apr 1, 2026	422 harm	$8,412

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	676229	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	676229	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

Record-level source links for CCN 676229

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction