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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D22 | E17 | F6 |
| Minimal | A· | B· | C2 |
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 6, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 23, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 12, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 8, 2026 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jan 8, 2026 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Dec 1, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 22, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Jun 24, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 21, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 3, 2024 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Oct 3, 2024 | Health | Health Complaint, Health Standard | 4 | Potential harm | — | Open → |
| Sep 5, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 22, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 14, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 14, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 22, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 21, 2023 | Health | Infection Control | 0 | No citations | — | Open → |
| Oct 19, 2023 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Sep 20, 2023 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Sep 20, 2023 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Aug 22, 2025 | Civil money penalty (fine) | $113,246 | — | 676249|Fine|135262 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D22 | E17 | F6 |
| Minimal | A· | B· | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 6, 2026 | F-0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Aug 15, 2026 | Complaint |
| Jul 23, 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 Aug 7, 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 37 facilities.
37 facilities in 1 states. CMS chain ID 100.
Chain average overall rating (CMS): 3.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Dallas County Hospital District | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Sep 1, 2019 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Dallas County Hospital District | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Sep 1, 2019 |
| Carlyle Health Care Center Ltd Co | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2019 |
| Michael Washington | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 6, 2024 |
| Edmundo Castaneda | Individual | Corporate officer / director | CORPORATE OFFICER | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Windsor Gardens 2535 W Pleasant Run, Lancaster, TX 75146 CCN 455832 | 150 | Jul 20, 2026 | 342 IJ | $14k | |
| Avir at River Valley 1907 Refinery Rd, Gainesville, TX 76240 CCN 455970 | 116 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Magnolia Manor 4400 Gulf St, Groves, TX 77619 CCN 455538 | 126 | Jun 17, 2026 | 372 IJ2 harm | $230k | |
| Riverside Oaks 3103 E. Airline Drive, Victoria, TX 77901 CCN 455726 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Discovery Village at Southlake 201 Watermere Drive, Southlake, TX 76092 CCN 676351 | 0.8 km | 41 | Jun 4, 2026 | 29 | — | |
| Keller Oaks Healthcare Center 8703 Davis Blvd, Keller, TX 76248 CCN 676023 | 2.8 km | 146 | Jul 16, 2026 | 27 | — | |
| Bear Creek Nursing and Rehabilitation 3729 Ira E Woods Avenue, Grapevine, TX 76051 CCN 676408SFF Candidate | 6.2 km | 100 | Jul 28, 2026 | 546 IJ3 open | $123k | |
| Avir at Keller 1150 Whitley Road, Keller, TX 76248 CCN 675153 | 6.7 km | 120 | Aug 25, 2026 | 332 IJ2 open | $23k | |
| Oakmont Guest Care Center 2712 Hurstview Dr, Hurst, TX 76054 CCN 455626 | 8 km | 161 | Jun 10, 2026 | 492 harm | $29k | |
| Green Valley Healthcare and Rehabilitation Center 6850 Rufe Snow Dr, Fort Worth, TX 76148 CCN 676161 | 8.7 km | 124 | Jun 17, 2026 | 426 IJ | $97k | |
| Avir at Grapevine 1500 Autumn Drive, Grapevine, TX 76051 CCN 675905 | 9 km | 126 | Nov 20, 2025 | 504 IJ | $30k | |
| Legend Oaks Healthcare and Rehabilitation - Fort W 4240 Golden Triangle Boulevard, Keller, TX 76244 CCN 676426 | 9.5 km | 132 | Jun 30, 2026 | 303 IJ3 harm | $72k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676249 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676249 | 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
| May 12, 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 Jun 1, 2026 | Complaint |
| Jan 8, 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 Feb 20, 2026 |
| Jan 8, 2026 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 20, 2026 |
| Jan 8, 2026 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 20, 2026 |
| Jan 8, 2026 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 20, 2026 |
| Jan 8, 2026 | 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 Mar 5, 2026 |
| Jan 8, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 20, 2026 |
| Jan 8, 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 Feb 20, 2026 |
| Jan 8, 2026 | F-0687 | Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 20, 2026 |
| Jan 8, 2026 | 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 | E · Potential harm Pattern | Corrected Feb 20, 2026 |
| Jan 8, 2026 | 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 Feb 20, 2026 |
| Jan 8, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Feb 20, 2026 |
| Dec 1, 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 2, 2025 | Complaint |
| Aug 22, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Aug 23, 2025 | Complaint |
| Jun 24, 2025 | 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 | Past non-compliance May 25, 2025 | Complaint |
| Jun 24, 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 | E · Potential harm Pattern | Corrected Jul 21, 2025 | Complaint |
| Jan 21, 2025 | F-0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 22, 2025 | Complaint |
| Oct 3, 2024 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Nov 5, 2024 |
| Oct 3, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 5, 2024 |
| Oct 3, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 5, 2024 |
| Oct 3, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 5, 2024 |
| Oct 3, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 5, 2024 |
| Oct 3, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 5, 2024 |
| Oct 3, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 5, 2024 |
| Oct 3, 2024 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 5, 2024 |
| Oct 3, 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 Nov 5, 2024 |
| Oct 3, 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 Nov 5, 2024 |
| Oct 3, 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 | D · Potential harm Isolated | Past non-compliance Aug 8, 2024 | Complaint |
| Sep 5, 2024 | 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 Oct 26, 2024 | Complaint |
| May 22, 2024 | 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 | Past non-compliance Mar 27, 2024 | Complaint |
| May 22, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Past non-compliance Mar 27, 2024 | Complaint |
| Mar 14, 2024 | F-0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 15, 2024 | Complaint |
| Mar 14, 2024 | 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 Mar 15, 2024 | Complaint |
| Dec 14, 2023 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 15, 2023 | Complaint |
| Nov 22, 2023 | 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 Nov 25, 2023 | Complaint |
| Oct 19, 2023 | F-0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Oct 20, 2023 | Complaint |
| Oct 19, 2023 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 23, 2023 | Complaint |
| Sep 20, 2023 | 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 | E · Potential harm Pattern | Corrected Sep 21, 2023 |
| Sep 20, 2023 | 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 Sep 21, 2023 |
| Sep 20, 2023 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 21, 2023 |
| Sep 20, 2023 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Sep 21, 2023 |
| Sep 20, 2023 | 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 Sep 21, 2023 |
| Sep 20, 2023 | F-0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Sep 21, 2023 |
| Sep 20, 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 | E · Potential harm Pattern | Corrected Sep 21, 2023 |
| Sep 20, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Sep 21, 2023 |
| Sep 20, 2023 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Sep 21, 2023 |
| Sep 20, 2023 | F-0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Administration & records | C · Minimal Widespread | Corrected Sep 21, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.76 (case-mix index 1.40).
| Jan 10, 2022 |
| Frederick Cerise | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 24, 2014 |
| Carlyle Health Care Center Ltd Co | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2019 |
| Bernadine Megwa | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2024 |
| Michael Washington | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 6, 2024 |
| Jul 27, 2026 |
41 |
| — |
| Denton Rehabilitation and Nursing Center 3345 Medpark Dr., Denton, TX 76210 CCN 675136 | 94 | Jul 16, 2026 | 32 | — |
| Meadowbrook Care Center 632 Windsor Way, Van Alstyne, TX 75495 CCN 675151 | 60 | May 5, 2026 | 251 IJ | $14k |
| The Manor at Seagoville 2416 Elizabeth Ln, Seagoville, TX 75159 CCN 675418 | 90 | Apr 1, 2026 | 382 IJ | $98k |
| Renaissance Care Center 1400 Blackshill Dr, Gainesville, TX 76240 CCN 675441 | 91 | Jun 4, 2026 | 42 | — |
| Beacon Hill 3515 S Park Ave, Denison, TX 75020 CCN 675503 | 150 | May 26, 2026 | 28 | — |
| Williamsburg Village Healthcare Campus 940 York Drive, Desoto, TX 75115 CCN 675756SFF Candidate | 242 | Jul 30, 2026 | 939 IJ | $150k |
| 108 |
| Apr 16, 2026 |
33 |
| — |
| Windsor Gardens 2535 W Pleasant Run, Lancaster, TX 75146 CCN 455832 | 150 | Jul 20, 2026 | 342 IJ | $14k |
| Woodville Health and Rehabilitation Center 102 N Beech St, Woodville, TX 75979 CCN 675120 | 89 | May 6, 2026 | 30 | — |
| Palma Real 1220 Loop 459, Mathis, TX 78368 CCN 675312 | 90 | Jun 9, 2026 | 19 | — |
| Mill Creek 1105 W Hwy 418, Silsbee, TX 77656 CCN 675338 | 67 | Dec 10, 2025 | 283 IJ | — |
| Oakwood Manor Nursing Home 225 S Main St, Vidor, TX 77662 CCN 675394 | 100 | Mar 31, 2026 | 22 | — |
| The Manor at Seagoville 2416 Elizabeth Ln, Seagoville, TX 75159 CCN 675418 | 90 | Apr 1, 2026 | 382 IJ | $98k |