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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J4 | K· | L· |
| Actual harm | G1 | H1 | I· |
| Potential harm | D14 | E6 | 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 | |
|---|---|---|---|---|---|---|
| Mar 6, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 27, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jun 27, 2025 | Health | Health Complaint, Health Standard | 3 | Immediate jeopardy | — | Open → |
| Jun 17, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 22, 2025 | Health | Health Complaint | 2 | Actual harm | 1 | Open → |
| Jun 14, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| May 23, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| May 23, 2024 | Health | Health Complaint, Health Standard | 3 | Potential harm | — | Open → |
| Mar 21, 2024 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Jan 22, 2024 | Health | Health Complaint | 3 | Immediate jeopardy | — | Open → |
| Apr 6, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Apr 6, 2023 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jun 27, 2025 | Civil money penalty (fine) | $8,281 | — | 676337|Fine|133950 |
| May 22, 2025 | Civil money penalty (fine) | $45,146 | — | 676337|Fine|113914 |
| Jan 22, 2024 | Denial of payment for new admissions | — | Feb 20, 2024 · 70 days | 676337|Payment Denial|2024-02-20 |
| Jan 22, 2024 | Civil money penalty (fine) | $13,900 | — | 676337|Fine|112180 |
| Jan 22, 2024 | Civil money penalty (fine) | $13,900 | — | 676337|Fine|112541 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J4 | K· | L· |
| Actual harm | G1 | H1 | I· |
| Potential harm | D14 | E6 | F2 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Mar 6, 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 9, 2026 | Complaint |
| Mar 6, 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 9, 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 35 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 |
|---|---|---|---|---|---|
| Oakbend Medical Center | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Feb 28, 2015 |
| Wellsential of Houston Heights LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 16, 2024 |
| Csv Rhea Management Holdco, LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 16, 2024 |
| Dwd Tx Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 16, 2024 |
| Jack and Nancy Dwyer Workforce Development Center Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 16, 2024 |
| Reg Leased Opco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 16, 2024 |
| Reg Operator Holdco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 16, 2024 |
| Regency Integrated Health Services LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 16, 2024 |
| Regency Texas Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 16, 2024 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Oakbend Medical Center | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Feb 28, 2015 |
| Wellsential of Houston Heights LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 16, 2024 |
| Csv Rhea Management Holdco, LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 16, 2024 |
| Dwd Tx Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Paradigm at Stevens 204 Walter St, Yoakum, TX 77995 CCN 455544 | 106 | May 15, 2026 | 541 open | — | |
| Paradigm at Bay City 1800 13th St, Bay City, TX 77414 CCN 455582 | 105 |
| 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 |
|---|---|---|---|---|---|---|
| Caraday of Houston 6534 Stuebner Airline Road, Houston, TX 77091 CCN 676470 | 4.7 km | 150 | May 29, 2026 | 243 IJ | $54k | |
| West Janisch Health Care Center 617 W Janisch St, Houston, TX 77018 CCN 675543Abuse icon | 5.6 km | 116 | Oct 7, 2025 | 274 IJ | — | |
| Ashford Gardens 7210 Northline Dr, Houston, TX 77076 CCN 675423 | 5.9 km | 202 | Aug 5, 2026 | 411 IJ2 open | $11k | |
| Avir at Veterans Memorial 1424 Fallbrook Drive, Houston, TX 77038 CCN 676252SFF CandidateAbuse icon | 6.6 km | 120 | Aug 7, 2026 | 395 IJ2 harm | $48k | |
| Paradigm at Woodwind Lakes 7215 Windfern Rd, Houston, TX 77040 CCN 675085SFF | 7.7 km | 180 | Not rated | Jun 5, 2026 | 461 IJ4 harm | $90k |
| Avir at Arden Wood 8810 Long Point Dr, Houston, TX 77055 CCN 675789SFF Candidate | 8.1 km | 174 | May 22, 2026 | 509 IJ3 harm1 open | $122k | |
| Highland Park Rehabilitation & Nursing Center 8861 Fulton St, Houston, TX 77022 CCN 675493 | 8.4 km | 120 | Jun 27, 2025 | 302 IJ | $40k | |
| Legend Oaks Healthcare and Rehabilitation Center - 8902 West Rd, Houston, TX 77064 CCN 676137 | 9.3 km | 125 | Aug 13, 2026 | 372 IJ1 harm | $53k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676337 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676337 | 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
| Jun 27, 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 Jun 21, 2025 | Complaint |
| Jun 27, 2025 | K-0352 | Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 30, 2025 |
| Jun 27, 2025 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 30, 2025 |
| Jun 27, 2025 | 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 Jun 28, 2025 |
| Jun 27, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jun 28, 2025 |
| Jun 17, 2025 | 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 Jun 18, 2025 | Complaint |
| May 22, 2025 | 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 | H · Actual harm Pattern | Corrected Jun 12, 2025 | Complaint |
| May 22, 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 | G · Actual harm Isolated | No plan of correction Jun 22, 2025 | Complaint |
| Jun 14, 2024 | 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 Jul 5, 2024 | Complaint |
| Jun 14, 2024 | F-0609 | 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 Jul 5, 2024 | Complaint |
| Jun 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 Jul 5, 2024 | Complaint |
| May 23, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 13, 2024 |
| May 23, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 13, 2024 |
| May 23, 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 | D · Potential harm Isolated | Corrected Jun 13, 2024 |
| May 23, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 13, 2024 |
| May 23, 2024 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 13, 2024 | Complaint |
| May 23, 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 Jun 13, 2024 | Complaint |
| Mar 21, 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 | Corrected Mar 23, 2024 | Complaint |
| Mar 21, 2024 | F-0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Mar 23, 2024 | Complaint |
| Jan 22, 2024 | 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 | J · Immediate jeopardy Isolated | Corrected Jan 23, 2024 | Complaint |
| Jan 22, 2024 | F-0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Jan 23, 2024 | Complaint |
| Jan 22, 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 Apr 30, 2024 | Complaint |
| Apr 6, 2023 | K-0929 | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 20, 2023 |
| Apr 6, 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 Apr 20, 2023 |
| Apr 6, 2023 | 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 Apr 20, 2023 |
| Apr 6, 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 | E · Potential harm Pattern | Corrected Apr 20, 2023 |
| Apr 6, 2023 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | C · Minimal Widespread | Corrected Apr 20, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.78 (case-mix index 1.53).
| not provided |
| Dec 16, 2024 |
| Jack and Nancy Dwyer Workforce Development Center Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 16, 2024 |
| Reg Leased Opco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 16, 2024 |
| Reg Operator Holdco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 16, 2024 |
| Regency Integrated Health Services LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 16, 2024 |
| Regency Texas Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 16, 2024 |
| Daniel Baird | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Apr 13, 2021 |
| 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 |
| Joseph Freudenberger | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 19, 2007 |
| Patricia Gibson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 1, 2021 |
| Jeff Haley | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 15, 2016 |
| Ruston Hughes | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2024 |
| Elizabeth King | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 17, 2023 |
| Elliot Mandelbaum | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2025 |
| Adam Pisani | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 15, 2019 |
| Oakbend Medical Center | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 28, 2015 |
| Regency Integrated Health Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 16, 2024 |
| Wellsential of Houston Heights LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 16, 2024 |
| Elizabeth Carter | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 24, 2025 |
| Donovan Dekowski | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 16, 2024 |
| Adrian Zaharia | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 14, 2023 |
| Joseph Freudenberger | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 19, 2007 |
| Oakbend Medical Center | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 12, 2025 |
| Regency Ihs Clinical Consulting, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 16, 2024 |
| Regency Ihs Rehab LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 16, 2024 |
| Regency Integrated Health Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 12, 2025 |
| Wellsential of Houston Heights LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 12, 2025 |
| Charles Bersola | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Elizabeth Carter | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 24, 2025 |
| Donovan Dekowski | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 16, 2024 |
| Dominique Fransaw | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Adrian Zaharia | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 14, 2023 |
| Jul 23, 2026 |
41 |
| — |
| Paradigm at Kountze 604 Fm 1293, Kountze, TX 77625 CCN 455594 | 60 | Aug 13, 2025 | 302 IJ1 open | $17k |
| Paradigm at the Creek 1405 Valhalla Dr, Wharton, TX 77488 CCN 455699Abuse icon | 120 | Aug 18, 2026 | 615 IJ3 harm | $75k |
| Paradigm Northwest 17600 Cali Dr, Houston, TX 77090 CCN 455714 | 148 | Aug 5, 2026 | 405 IJ | $51k |
| Oakbend Medical Center 1705 Jackson Street, Rosenberg, TX 77469 CCN 455770 | 36 | Jun 17, 2026 | 13 | $12k |
| The Lev at Town Park 8820 Town Park Dr, Houston, TX 77036 CCN 455800 | 180 | Nov 17, 2025 | 342 IJ1 harm | $31k |
| Paradigm at First Colony 4710 Lexington Blvd, Missouri City, TX 77459 CCN 455812 | 150 | Jul 24, 2026 | 493 IJ | $65k |
| 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 |