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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D21 | E7 | F1 |
| 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 | |
|---|---|---|---|---|---|---|
| Jul 16, 2026 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jul 16, 2026 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Jan 20, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 24, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 6, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 21, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| May 21, 2025 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Apr 25, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 18, 2024 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Jul 24, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 26, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Mar 26, 2024 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Oct 26, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Oct 18, 2024 | Civil money penalty (fine) | $10,145 | — | 676341|Fine|113305 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D21 | E7 | F1 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 16, 2026 | 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 | D · Potential harm Isolated | Corrected Aug 12, 2026 | |
| Jul 16, 2026 | F-0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 19, 2026 | |
| Jul 16, 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.
150 facilities in 1 states. CMS chain ID 169.
Chain average overall rating (CMS): 2.3
| 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% | Jun 1, 2022 |
| 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% | Jun 1, 2022 |
| Milton Fregia | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 7, 2022 |
| Shannon Gardner | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 22, 2022 |
| Margaret Gardzina | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Feb 26, 2024 |
| 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 |
|---|---|---|---|---|---|
| Buena Vida Nursing and Rehab-San Antonio 5027 Pecan Grove, San Antonio, TX 78222 CCN 455390SFF CandidateAbuse icon | 222 | Jul 24, 2026 | 595 IJ1 harm |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Avir at Borger 1316 S Florida, Borger, TX 79007 CCN 455989 | 1.2 km | 110 | Sep 12, 2025 | 351 IJ1 harm1 open | $40k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676341 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676341 | 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
| D · Potential harm Isolated |
| Corrected Jul 19, 2026 |
| Jul 16, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 19, 2026 |
| Jul 16, 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 Jul 19, 2026 |
| Jul 16, 2026 | 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 Jul 19, 2026 |
| Jul 16, 2026 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jul 19, 2026 |
| Jul 16, 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 Jul 19, 2026 |
| Jul 16, 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 Jul 19, 2026 |
| Jul 16, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 19, 2026 |
| Jan 20, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 21, 2026 | Complaint |
| Nov 24, 2025 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 25, 2025 | Complaint |
| Aug 6, 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 | D · Potential harm Isolated | Corrected Aug 30, 2025 | Complaint |
| May 21, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 22, 2025 |
| May 21, 2025 | 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 May 22, 2025 |
| May 21, 2025 | 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 May 22, 2025 |
| May 21, 2025 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected May 22, 2025 |
| May 21, 2025 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 22, 2025 |
| Apr 25, 2025 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 27, 2025 | Complaint |
| Oct 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 | G · Actual harm Isolated | Past non-compliance Sep 26, 2024 | Complaint |
| Oct 18, 2024 | 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 | G · Actual harm Isolated | Past non-compliance Sep 26, 2024 | Complaint |
| Oct 18, 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 | G · Actual harm Isolated | Past non-compliance Sep 26, 2024 | Complaint |
| Jul 24, 2024 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 6, 2024 | Complaint |
| Mar 26, 2024 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 6, 2024 |
| Mar 26, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 6, 2024 |
| Mar 26, 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 May 6, 2024 |
| Mar 26, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 6, 2024 |
| Mar 26, 2024 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 6, 2024 |
| Mar 26, 2024 | 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 May 6, 2024 |
| Mar 26, 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 | D · Potential harm Isolated | Corrected May 6, 2024 |
| Mar 26, 2024 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 6, 2024 |
| Oct 26, 2023 | 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 Nov 30, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.90 (case-mix index 1.43).
| Paul Henry | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 9, 2009 |
| Charles Stratton | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 1, 2005 |
| Borger I Enterprises LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2022 |
| Gary Blake | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2022 |
| Malisa Blake | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2022 |
| Linda Huggins | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 1, 2022 |
| Zachary Willig | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2025 |
| Charles Stratton | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 1, 2005 |
| Borger I Enterprises LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2022 |
| Gary Blake | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2022 |
| Ron Rankin | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 11, 2025 |
| Steven Schmidt | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 11, 2025 |
| 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 |
| $198k |
| Mesa Vista Inn Health Center 5756 North Knoll Drive, San Antonio, TX 78240 CCN 455444 | 144 | Jul 2, 2026 | 531 IJ | $8,160 |
| Mountain View Health & Rehabilitation 1600 Muchison Rd, El Paso, TX 79902 CCN 455471 | 187 | Jul 2, 2026 | 836 IJ | $123k |
| Vista Hills Health Care Center 1599 Lomaland Drive, El Paso, TX 79935 CCN 455493 | 120 | Aug 24, 2026 | 832 IJ | $40k |
| Pleasant Springs Healthcare Center 2003 North Edwards Avenue, Mount Pleasant, TX 75455 CCN 455532SFF CandidateAbuse icon | 90 | Aug 7, 2026 | 774 IJ2 harm | $66k |
| Amistad Nursing and Rehabilitation Center 200 Riverside Drive, Uvalde, TX 78801 CCN 455536 | 200 | Aug 7, 2026 | 44 | — |
| Heritage at Longview Healthcare Center 112 Ruthlynn Dr, Longview, TX 75605 CCN 455569 | 140 | Apr 28, 2026 | 401 IJ1 harm1 open | $82k |
| Mineral Wells Nursing & Rehabilitation 316 Southwest 25th Avenue, Mineral Wells, TX 76067 CCN 455570 | 109 | Jun 24, 2026 | 19 | — |