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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D14 | E4 | F4 |
| 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 | |
|---|---|---|---|---|---|---|
| Mar 24, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 25, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Feb 25, 2026 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Oct 30, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Oct 30, 2024 | Health | Health Complaint, Health Standard | 3 | Potential harm | — | Open → |
| Oct 4, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Sep 18, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 28, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 20, 2023 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Sep 20, 2023 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D14 | E4 | F4 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Mar 24, 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 Mar 26, 2026 | Complaint |
| Feb 25, 2026 | 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 Mar 3, 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 35 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 |
|---|---|---|---|---|---|
| Liberty County Hospital District No 1 | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 1, 2017 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Liberty County Hospital District No 1 | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 1, 2017 |
| Touchstone Strategies-Tyler LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2017 |
| Christopher Boening | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 13, 2020 |
| Leslie Campbell | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Mesa Hills Post Acute 901 Wildrose Ln, Brownsville, TX 78520 CCN 455423 | 166 | Aug 28, 2026 | 541 IJ2 open | $5,734 | |
| Timberwood Nursing and Rehabilitation Center 4001 Hwy 59 North, Livingston, TX 77351 |
| 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 |
|---|---|---|---|---|---|---|
| Reunion Plaza Healthcare & Rehabilitation 1401 Rice Rd, Tyler, TX 75703 CCN 675888 | 2.3 km | 99 | Aug 7, 2025 | 19 | — | |
| Meadow Lake Health Center 16044 Cr 165, Tyler, TX 75703 CCN 676286 | 3.3 km | 20 | Sep 24, 2025 | 4 | — | |
| Avir at Azalea Heights 3505 Old Jacksonville Rd, Tyler, TX 75701 CCN 675289 | 4.2 km | 120 | Aug 28, 2026 | 263 IJ1 open | $15k | |
| Briarcliff Health Center 3403 Vine Ave, Tyler, TX 75701 CCN 675142 | 4.3 km | 230 | Jul 22, 2026 | 243 IJ2 harm | $51k | |
| Providence Park Rehabilitation and Skilled Nursing 5505 New Copeland Rd, Tyler, TX 75703 CCN 676184 | 4.8 km | 125 | Jun 15, 2026 | 242 IJ | $188k | |
| The Waterton Healthcare & Rehabilitation 2875 Shiloh Road, Tyler, TX 75703 CCN 676193 | 7.3 km | 92 | Aug 20, 2026 | 111 IJ1 harm | $23k | |
| The Center at Grande 3219 East Grande Boulevard, Tyler, TX 75707 CCN 676443 | 7.8 km | 96 | May 20, 2026 | 11 | — | |
| Greenbrier Nursing & Rehabilitation Center of Tyle 3526 West Erwin Street, Tyler, TX 75702 CCN 675267 | 8.3 km | 120 | Aug 18, 2026 | 392 open | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676262 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676262 | 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
| Feb 25, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 3, 2026 |
| Feb 25, 2026 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 3, 2026 |
| Feb 25, 2026 | 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 Mar 3, 2026 |
| Feb 25, 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 Mar 3, 2026 |
| Feb 25, 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 Mar 3, 2026 |
| Oct 30, 2024 | 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 Nov 1, 2024 |
| Oct 30, 2024 | F-0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 30, 2024 | Complaint |
| Oct 30, 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 | Corrected Oct 30, 2024 |
| Oct 30, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 30, 2024 |
| Oct 4, 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 | Corrected Oct 23, 2024 | Complaint |
| Oct 4, 2024 | 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 Oct 23, 2024 | Complaint |
| Sep 18, 2024 | 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 | D · Potential harm Isolated | Past non-compliance Sep 27, 2023 | Complaint |
| Aug 28, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 29, 2024 | Complaint |
| Sep 20, 2023 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 1, 2023 |
| Sep 20, 2023 | K-0352 | Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 1, 2023 |
| Sep 20, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 4, 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 Nov 1, 2023 |
| Sep 20, 2023 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 1, 2023 |
| Sep 20, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 1, 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 | F · Potential harm Widespread | Corrected Oct 1, 2023 |
| Sep 20, 2023 | F-0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Administration & records | C · Minimal Widespread | Corrected Oct 1, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.38 (case-mix index 1.40).
| Apr 1, 2020 |
| Lynnea Castillo | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2017 |
| Richard Mcguire | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 8, 2024 |
| Bryon Sehlke | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2017 |
| Stacy Sweat | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 2, 2025 |
| Darrell Zurovec | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2017 |
| Charles Stratton | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 1, 2005 |
| Capital Funding Group, Inc | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Dec 1, 2014 |
| Aegis Therapies, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2017 |
| Carvajal Pharmacy Ltc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2017 |
| Nutritious Lifestyles, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2017 |
| Plante & Moran PLLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2017 |
| Touchstone Communities Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2017 |
| Touchstone Realty - Sc LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2017 |
| Touchstone Strategies-Tyler LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 24, 2025 |
| Trident Health Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2017 |
| Christopher Boening | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 13, 2020 |
| 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 | Apr 1, 2017 |
| Ernest Fellbaum | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2017 |
| Richard Mcguire | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 8, 2024 |
| Bryon Sehlke | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2017 |
| Stanley Studer | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2017 |
| Stacy Sweat | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 2, 2025 |
| Darrell Zurovec | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2017 |
| 120 |
| Jan 14, 2026 |
181 IJ |
| $8,021 |
| Cass Valley Healthcare Center 103 Teakwood St, Centerville, TX 75833 CCN 675065Abuse icon | 74 | Apr 21, 2026 | 365 IJ1 open | $55k |
| Bremond Nursing and Rehabilitation Center 211 N Main, Bremond, TX 76629 CCN 675132 | 82 | Aug 22, 2026 | 401 IJ1 harm1 open | $24k |
| Pine Tree Lodge Nursing Center 2711 Pine Tree Rd, Longview, TX 75604 CCN 675177 | 92 | Jun 25, 2026 | 594 IJ | $233k |
| Twin Oaks Health & Rehabilitation Center 1123 North Bolton Street, Jacksonville, TX 75766 CCN 675183 | 116 | Dec 31, 2025 | 492 IJ | $174k |
| Harbor Point Skilled Nursing 1720 N Logan St, Texas City, TX 77590 CCN 675214 | 129 | Apr 17, 2026 | 20 | — |
| Avalon Place Kirbyville 700 N Herndon Ave, Kirbyville, TX 75956 CCN 675220 | 114 | Dec 3, 2025 | 231 IJ | $9,113 |
| 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 |