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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D12 | E16 | F8 |
| 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 | |
|---|---|---|---|---|---|---|
| Apr 12, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 10, 2026 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jan 15, 2026 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Jan 15, 2026 | Health | Health Standard | 2 | Potential harm | — | Open → |
| May 28, 2025 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Mar 26, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Jan 7, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Oct 30, 2024 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Oct 30, 2024 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Sep 25, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Sep 11, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 1, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 10, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 12, 2023 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Sep 12, 2023 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Mar 26, 2025 | Civil money penalty (fine) | $10,820 | — | 676246|Fine|113702 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D12 | E16 | F8 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 12, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 13, 2026 | Complaint |
| Mar 10, 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 | G · Actual harm Isolated | Past non-compliance Mar 3, 2026 | 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.
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.
10 facilities in 1 states. CMS chain ID 589.
Chain average overall rating (CMS): 2.7
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Bobby Breeden | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2022 |
| Michael Krol | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 2, 2025 |
| Songbird Healthcare, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2022 |
| Bobby Breeden | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2022 |
| Michael Krol | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 2, 2025 |
| 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 |
|---|---|---|---|---|---|
| Avir at the Lakes 424 N Tarpey Rd, Texas City, TX 77591 CCN 455490 | 109 | Dec 4, 2025 | 401 IJ | $8,410 | |
| Lake Hills Healthcare Center 1514 Indian Creek Rd., Brownwood, TX 76801 CCN 675017 | 94 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Heritage Park Rehabilitation and Skilled Nursing C 2806 Real St, Austin, TX 78722 CCN 455599 | 6.7 km | 197 | Feb 20, 2026 | 523 IJ2 harm1 open | $56k | |
| Brookdale Westlake Hills 1034 Liberty Park Dr, Austin, TX 78746 CCN 455866 | 9.8 km | 90 | Apr 9, 2026 | 414 IJ1 harm | $73k | |
| Barton Valley Rehabilitation and Healthcare Center 4501 Dudmar Dr, Austin, TX 78735 CCN 675596 | 10.4 km | 126 | Apr 16, 2026 | 31 | — | |
| The Arbour at Westminster Manor 4200 Jackson Ave, Austin, TX 78731 CCN 676099 | 11.7 km | 90 | Dec 3, 2025 | 14 | $19k | |
| Southpark Meadows Nursing and Rehabilitation Cente 9801 S 1st Street, Austin, TX 78748 CCN 676299 | 11.8 km | 120 | Jun 19, 2026 | 303 harm | $11k | |
| Sedona Trace Health and Wellness Center 8324 Cameron Rd., Austin, TX 78754 CCN 676459 | 13.1 km | 119 | May 12, 2026 | 251 IJ | $11k | |
| Onion Creek Nursing and Rehabilitation Center 1700 Onion Creek Pkwy, Austin, TX 78748 CCN 676271 | 13.5 km | 125 | Aug 11, 2026 | 312 IJ2 harm | $51k | |
| Brush Country Nursing and Rehabilitation 6500 Brush Country Rd., Austin, TX 78749 CCN 675118 | 13.6 km | 118 | Jul 30, 2026 | 532 IJ1 harm | $131k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676246 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676246 | 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
| Jan 15, 2026 | E-0007 | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Feb 20, 2026 |
| Jan 15, 2026 | E-0009 | Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Feb 20, 2026 |
| Jan 15, 2026 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 15, 2026 |
| Jan 15, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 15, 2026 |
| Jan 15, 2026 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 15, 2026 |
| Jan 15, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 15, 2026 |
| Jan 15, 2026 | 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 Mar 15, 2026 |
| Jan 15, 2026 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 15, 2026 |
| Jan 15, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 16, 2026 |
| Jan 15, 2026 | 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 Jan 16, 2026 |
| May 28, 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 | G · Actual harm Isolated | Corrected May 29, 2025 | Complaint |
| May 28, 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 29, 2025 | Complaint |
| Mar 26, 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 Mar 25, 2025 | Complaint |
| Jan 7, 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 Jan 8, 2025 | Complaint |
| Jan 7, 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 Jan 8, 2025 | Complaint |
| Jan 7, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 8, 2025 | Complaint |
| Oct 30, 2024 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Feb 25, 2025 |
| Oct 30, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 25, 2025 |
| Oct 30, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 25, 2025 |
| Oct 30, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 24, 2025 |
| Oct 30, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 21, 2025 |
| Oct 30, 2024 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 31, 2024 |
| Oct 30, 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 | E · Potential harm Pattern | Corrected Oct 31, 2024 |
| Oct 30, 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 Oct 31, 2024 |
| Oct 30, 2024 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 31, 2024 |
| Oct 30, 2024 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 31, 2024 |
| Oct 30, 2024 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Oct 31, 2024 |
| Oct 30, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Oct 31, 2024 |
| Oct 30, 2024 | 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 Oct 31, 2024 |
| Sep 25, 2024 | F-0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Resident Rights Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Oct 18, 2024 | Complaint |
| Sep 11, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Sep 12, 2024 | Complaint |
| Sep 1, 2024 | 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 Sep 2, 2024 | Complaint |
| Apr 10, 2024 | F-0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 13, 2024 | Complaint |
| Sep 12, 2023 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 16, 2023 |
| Sep 12, 2023 | 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 Nov 16, 2023 |
| Sep 12, 2023 | 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 Nov 16, 2023 |
| Sep 12, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 16, 2023 |
| Sep 12, 2023 | 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 | F · Potential harm Widespread | Corrected Nov 16, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.57 (case-mix index 1.39).
| Corporate officer / director |
| CORPORATE OFFICER |
| not provided |
| Jan 18, 2022 |
| Grady Hooper | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 1, 2015 |
| Chad Keetch | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2011 |
| Ensign Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 18, 2022 |
| Songbird Healthcare, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 27, 2025 |
| Bobby Breeden | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2022 |
| Michael Krol | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 2, 2025 |
| 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 | — |
| Jul 10, 2026 |
291 IJ1 harm |
| $22k |
| Colonial Manor Advanced Rehab & Healthcare 1100 W Minnesota Rd, Pharr, TX 78577 CCN 675044 | 123 | Aug 12, 2026 | 441 IJ1 harm2 open | $55k |
| Rosenberg Health & Rehabilitation Center 1419 Mahlmann St., Rosenberg, TX 77471 CCN 675046 | 124 | Jun 10, 2026 | 397 IJ1 harm | $97k |
| Avir at Hillview 1110 Rice St, Goldthwaite, TX 76844 CCN 675388 | 52 | Jan 15, 2026 | 14 | — |
| Avante Rehabilitation Center 225 N Sowers Rd, Irving, TX 75061 CCN 675908 | 120 | Aug 25, 2026 | 266 IJ | $17k |
| Goldthwaite Health & Rehab Center 1207 S Reynolds St, Goldthwaite, TX 76844 CCN 676086 | 94 | May 14, 2026 | 273 IJ1 open | $33k |
| The Reserve at Richardson 1610 Richardson Dr, Richardson, TX 75080 CCN 676448 | 129 | May 21, 2026 | 451 IJ | $14k |