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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D17 | E9 | 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 | |
|---|---|---|---|---|---|---|
| May 21, 2026 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| May 21, 2026 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Mar 31, 2026 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Nov 18, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 26, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Mar 26, 2025 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Aug 8, 2024 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Jun 5, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 22, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 29, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 8, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Feb 8, 2024 | Health | Health Complaint, Health Standard | 11 | Potential harm | — | Open → |
| Oct 30, 2023 | Health | Infection Control | 0 | No citations | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| May 21, 2026 | Civil money penalty (fine) | $22,920 | — | 676267|Fine|139595 |
| Mar 31, 2026 | Civil money penalty (fine) | $17,796 | — | 676267|Fine|138211 |
| Aug 8, 2024 | Civil money penalty (fine) | $10,761 | — | 676267|Fine|113117 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D17 | E9 | F2 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 21, 2026 | E-0007 | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 10, 2026 | |
| May 21, 2026 | 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 | E · Potential harm Pattern | Corrected Jun 10, 2026 | |
| May 21, 2026 | F-0609 |
“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 |
|---|---|---|---|---|---|
| Christopher Alcala | 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 | Oct 1, 2022 |
| Mockingbird Healthcare, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2022 |
| Christopher Alcala | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2022 |
| Michael Krol | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2022 |
| 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 |
|---|---|---|---|---|---|---|
| Marbridge Villa 2504 Bliss Spillar Road, Manchaca, TX 78652 CCN 675923 | 2 km | 92 | Jul 23, 2026 | 24 | $46k | |
| West Oaks Nursing and Rehabilitation Center 3200 W. Slaughter Lane, Austin, TX 78748 CCN 676095 | 3.5 km | 125 | Feb 25, 2026 | 433 IJ2 harm | $40k | |
| Southpark Meadows Nursing and Rehabilitation Cente 9801 S 1st Street, Austin, TX 78748 CCN 676299 | 4.2 km | 120 | Jun 19, 2026 | 303 harm | $11k | |
| Onion Creek Nursing and Rehabilitation Center 1700 Onion Creek Pkwy, Austin, TX 78748 CCN 676271 | 4.4 km | 125 | Aug 11, 2026 | 312 IJ2 harm | $51k | |
| Brush Country Nursing and Rehabilitation 6500 Brush Country Rd., Austin, TX 78749 CCN 675118 | 8.4 km | 118 | Jul 30, 2026 | 532 IJ1 harm | $131k | |
| Barton Valley Rehabilitation and Healthcare Center 4501 Dudmar Dr, Austin, TX 78735 CCN 675596 | 10.1 km | 126 | Apr 16, 2026 | 31 | — | |
| Stonebridge Health Rehab 11127 Circle Dr, Austin, TX 78736 CCN 675649 | 13.6 km | 116 | Apr 23, 2026 | 231 IJ1 harm | $33k | |
| Brookdale Westlake Hills 1034 Liberty Park Dr, Austin, TX 78746 CCN 455866 | 13.9 km | 90 | Apr 9, 2026 | 414 IJ1 harm | $73k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676267 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676267 | 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
| 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 Jun 10, 2026 |
| May 21, 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 Jun 10, 2026 |
| May 21, 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 Jun 10, 2026 |
| May 21, 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 | E · Potential harm Pattern | Corrected Jun 10, 2026 |
| May 21, 2026 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 10, 2026 |
| May 21, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 10, 2026 |
| Mar 31, 2026 | F-0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Past non-compliance | Complaint |
| Mar 31, 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 | Past non-compliance | Complaint |
| Nov 18, 2025 | 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 Nov 19, 2025 | Complaint |
| Mar 26, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 25, 2025 |
| Mar 26, 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 | E · Potential harm Pattern | Corrected Apr 18, 2025 |
| Mar 26, 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 Apr 18, 2025 |
| Mar 26, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 19, 2025 |
| Aug 8, 2024 | 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 9, 2024 | Complaint |
| Aug 8, 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 | J · Immediate jeopardy Isolated | Past non-compliance Aug 4, 2024 | Complaint |
| Jun 5, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 6, 2024 | Complaint |
| May 22, 2024 | F-0660 | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 23, 2024 | Complaint |
| Mar 29, 2024 | F-0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Mar 30, 2024 | Complaint |
| Feb 8, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 27, 2024 |
| Feb 8, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 9, 2024 |
| Feb 8, 2024 | 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 Feb 9, 2024 |
| Feb 8, 2024 | F-0567 | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 9, 2024 | Complaint |
| Feb 8, 2024 | F-0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 9, 2024 |
| Feb 8, 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 Feb 9, 2024 |
| Feb 8, 2024 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 8, 2024 |
| Feb 8, 2024 | 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 Mar 8, 2024 |
| Feb 8, 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 Mar 8, 2024 | Complaint |
| Feb 8, 2024 | 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 8, 2024 |
| Feb 8, 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 Mar 8, 2024 |
| Feb 8, 2024 | F-0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect | C · Minimal Widespread | Corrected Feb 9, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.62 (case-mix index 1.35).
| 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 |
| Mockingbird Healthcare, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 3, 2025 |
| Christopher Alcala | 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 | Oct 1, 2022 |
| 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 |