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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H3 | I· |
| Potential harm | D11 | E12 | F4 |
| 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 | |
|---|---|---|---|---|---|---|
| Jun 19, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 8, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Dec 8, 2025 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Jun 13, 2025 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Jun 6, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 22, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Aug 22, 2024 | Health | Health Standard | 6 | Potential harm | — | Open → |
| May 26, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Dec 20, 2023 | Health | Infection Control | 0 | No citations | — | Open → |
| Jun 15, 2023 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jun 15, 2023 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jun 6, 2025 | Civil money penalty (fine) | $10,998 | — | 676299|Fine|113962 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H3 | I· |
| Potential harm | D11 | E12 | F4 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 19, 2026 | F-0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 26, 2026 | Complaint |
| Jun 19, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 26, 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 5 facilities.
67 facilities in 1 states. CMS chain ID 670.
Chain average overall rating (CMS): 2.8
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Smithville Hospital Authority | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Feb 1, 2015 |
| Regency Ihs of Southpark Meadows, LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2015 |
| Csv Rhea Management Holdco, LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2015 |
| Dwd Tx Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2015 |
| Jack and Nancy Dwyer Workforce Development Center Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2015 |
| Reg Bridge Opco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2015 |
| Reg Hg Opco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2015 |
| Reg Operator Holdco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2015 |
| Regency Integrated Health Services LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2015 |
| Regency Texas Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2015 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Smithville Hospital Authority | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Feb 1, 2015 |
| Regency Ihs of Southpark Meadows, LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2015 |
| Csv Rhea Management Holdco, LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2015 |
| Dwd Tx Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Silver Pines Nursing and Rehabilitation Center 503 Old Austin Highway, Bastrop, TX 78602 CCN 675434 | 114 | Aug 13, 2026 | 37 | — | |
| Towers Nursing Home 372 Hill Road, Smithville, TX 78957 CCN 675942 | 120 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Laredo West Nursing and Rehabilitation Center 1200 E Lane St, Laredo, TX 78043 CCN 455528 | 188 | Jul 28, 2026 | 583 IJ | $50k | |
| Windsor Nursing and Rehabilitation Center of Morga 2322 Morgan Ave, Corpus Christi, TX 78405 CCN 455575Abuse icon |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Onion Creek Nursing and Rehabilitation Center 1700 Onion Creek Pkwy, Austin, TX 78748 CCN 676271 | 2.9 km | 125 | Aug 11, 2026 | 312 IJ2 harm | $51k | |
| Brodie Ranch Nursing and Rehabilitation Center 2101 Frate Barker Rd, Austin, TX 78748 CCN 676267 | 4.2 km | 120 | May 21, 2026 | 323 IJ | $51k | |
| West Oaks Nursing and Rehabilitation Center 3200 W. Slaughter Lane, Austin, TX 78748 CCN 676095 | 4.6 km | 125 | Feb 25, 2026 | 433 IJ2 harm | $40k | |
| Marbridge Villa 2504 Bliss Spillar Road, Manchaca, TX 78652 CCN 675923 | 6.2 km | 92 | Jul 23, 2026 | 24 | $46k | |
| Brush Country Nursing and Rehabilitation 6500 Brush Country Rd., Austin, TX 78749 CCN 675118 | 7.9 km | 118 | Jul 30, 2026 | 532 IJ1 harm | $131k | |
| Barton Valley Rehabilitation and Healthcare Center 4501 Dudmar Dr, Austin, TX 78735 CCN 675596 | 8 km | 126 | Apr 16, 2026 | 31 | — | |
| Brookdale Westlake Hills 1034 Liberty Park Dr, Austin, TX 78746 CCN 455866 | 11.5 km | 90 | Apr 9, 2026 | 414 IJ1 harm | $73k | |
| Riverside Nursing and Rehabilitation Center 6801 E Riverside Dr, Austin, TX 78741 CCN 676246Abuse icon | 11.8 km | 122 | Apr 12, 2026 | 401 IJ3 harm | $11k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676299 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676299 | 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
| Dec 8, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 9, 2025 |
| Dec 8, 2025 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 9, 2025 |
| Dec 8, 2025 | F-0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Dec 9, 2025 |
| Dec 8, 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 Dec 9, 2025 |
| Dec 8, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 9, 2025 |
| Jun 13, 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 | H · Actual harm Pattern | Corrected Jun 14, 2025 | Complaint |
| Jun 13, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | H · Actual harm Pattern | Corrected Jun 14, 2025 | Complaint |
| Jun 6, 2025 | 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 20, 2025 | Complaint |
| Aug 22, 2024 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Feb 27, 2025 |
| Aug 22, 2024 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 27, 2025 |
| Aug 22, 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 Feb 27, 2025 |
| Aug 22, 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 20, 2024 |
| Aug 22, 2024 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Sep 20, 2024 |
| Aug 22, 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 Sep 20, 2024 |
| Aug 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 | Corrected Sep 20, 2024 |
| Aug 22, 2024 | 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 Sep 20, 2024 |
| Aug 22, 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 Sep 20, 2024 |
| May 26, 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 | H · Actual harm Pattern | Corrected Jun 19, 2024 | Complaint |
| Jun 15, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 17, 2024 |
| Jun 15, 2023 | 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 Apr 17, 2024 |
| Jun 15, 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 Apr 17, 2024 |
| Jun 15, 2023 | 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 Jul 19, 2023 |
| Jun 15, 2023 | 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 | E · Potential harm Pattern | Corrected Jul 19, 2023 |
| Jun 15, 2023 | 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 | E · Potential harm Pattern | Corrected Jul 19, 2023 |
| Jun 15, 2023 | 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 | D · Potential harm Isolated | Corrected Jul 19, 2023 |
| Jun 15, 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 Jul 19, 2023 |
| Jun 15, 2023 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 19, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.72 (case-mix index 1.47).
| not provided |
| Feb 1, 2015 |
| Jack and Nancy Dwyer Workforce Development Center Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2015 |
| Reg Bridge Opco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2015 |
| Reg Hg Opco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2015 |
| Reg Operator Holdco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2015 |
| Regency Integrated Health Services LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2015 |
| Regency Texas Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2015 |
| Daniel Baird | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Apr 13, 2021 |
| Mark Bunte | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 27, 2020 |
| Barbara Clapp | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2021 |
| Daren Cortese | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 10, 2021 |
| Ann Fulcher | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 22, 2015 |
| Patricia Gibson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 1, 2021 |
| Elliot Mandelbaum | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2025 |
| Linda Wilson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 19, 2023 |
| Regency Integrated Health Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2015 |
| Smithville Hospital Authority | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2015 |
| Donovan Dekowski | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2015 |
| Tyler Strong | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 21, 2019 |
| Linda Wilson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 19, 2023 |
| 9801 South First Street LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2015 |
| Regency Ihs Clinical Consulting, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2015 |
| Regency Ihs of Southpark Meadows, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 23, 2025 |
| Regency Ihs Rehab LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2015 |
| Regency Integrated Health Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 28, 2025 |
| Smithville Hospital Authority | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 23, 2025 |
| Donovan Dekowski | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2015 |
| Raquel Flores | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Michael Gutierrez | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2015 |
| Kimberly Niitzel | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Tyler Strong | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 21, 2019 |
| Jun 11, 2026 |
171 IJ1 harm |
| $15k |
| Elgin Nursing and Rehabilitation Center 1373 North Avenue C, Elgin, TX 78621 CCN 676180 | 114 | Jul 28, 2026 | 321 IJ | $36k |
| Bastrop Lost Pines Nursing and Rehabilitation Cent 430 Old Austin Hwy, Bastrop, TX 78602 CCN 676222Abuse icon | 120 | Mar 20, 2026 | 313 IJ | $92k |
| 176 |
| Jul 16, 2026 |
371 IJ4 harm |
| $19k |
| Heritage Park Rehabilitation and Skilled Nursing C 2806 Real St, Austin, TX 78722 CCN 455599 | 197 | Feb 20, 2026 | 523 IJ2 harm1 open | $56k |
| Windsor Nursing and Rehabilitation Center of Mcall 900 S 12th St, Mcallen, TX 78501 CCN 455662 | 110 | Dec 3, 2025 | 211 harm | $24k |
| Longview Hill Nursing and Rehabilitation Center 3201 N Fourth St, Longview, TX 75605 CCN 455684 | 198 | Mar 18, 2026 | 683 IJ1 harm | $225k |
| Monument Hill Nursing and Rehabilitation Center 120 State Loop 92, La Grange, TX 78945 CCN 455715 | 104 | Aug 6, 2026 | 311 IJ | $8,281 |
| Spindletop Hill Nursing and Rehabilitation Center 1020 S 23rd St, Beaumont, TX 77707 CCN 455757 | 148 | Aug 5, 2026 | 443 IJ | $83k |
| Town and Country Nursing and Rehabilitation Center 625 N Main St, Boerne, TX 78006 CCN 455796 | 126 | Jul 31, 2026 | 763 IJ | $151k |