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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K5 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D19 | E10 | F3 |
| 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 | |
|---|---|---|---|---|---|---|
| Aug 5, 2026 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| May 20, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 8, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Apr 8, 2026 | Health | Health Complaint, Health Standard | 5 | Potential harm | — | Open → |
| Jan 30, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jan 30, 2025 | Health | Health Complaint, Health Standard | 7 | Potential harm | — | Open → |
| Dec 31, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Nov 21, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 25, 2024 | Health | Health Complaint | 8 | Immediate jeopardy | — | Open → |
| Mar 11, 2024 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Dec 7, 2023 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Dec 7, 2023 | Health | Health Complaint, Health Standard | 4 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Oct 25, 2024 | Denial of payment for new admissions | — | Dec 4, 2024 · 9 days | 676381|Payment Denial|2024-12-04 |
| Oct 25, 2024 | Civil money penalty (fine) | $182,988 | — | 676381|Fine|113365 |
| Mar 11, 2024 | Civil money penalty (fine) | $22,205 | — | 676381|Fine|112504 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K5 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D19 | E10 | F3 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 5, 2026 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 6, 2026 | Complaint |
| Aug 5, 2026 | 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 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 101 facilities.
9 facilities in 1 states. CMS chain ID 360.
Chain average overall rating (CMS): 2.1
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Michael Reed | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Apr 2, 2025 |
| Stacie Reed | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Apr 2, 2025 |
| Forrest Threadgill | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Mar 26, 2025 |
| Morgan Threadgill | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Mar 26, 2025 |
| Ltc of West Houston LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2021 |
| Sharlyn Threadgill | Individual |
| 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 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Park Bend Rehabilitation and Healthcare Center 301 Huguley Blvd., Burleson, TX 76028 CCN 455763 | 178 | Mar 11, 2026 | 317 IJ | $66k | |
| Ridgewood at the Woodlands 10450 Gosling Rd, The Woodlands, TX 77381 CCN 675739 | 126 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Focused Care at Beechnut 12777 Beechnut St, Houston, TX 77072 CCN 675000 | 1.4 km | 146 | Apr 17, 2026 | 3910 IJ | $90k | |
| Focused Care at Westwood 8702 Course Drive, Houston, TX 77099 CCN 676116 | 5.2 km | 125 | Aug 12, 2026 | 42 | — | |
| Park Manor of Westchase 11910 Richmond Ave, Houston, TX 77082 CCN 676059 | 6.1 km | 125 | Jun 13, 2026 | 332 IJ | $33k | |
| West Oaks Nursing & Rehabilitation 3625 Green Crest Dr, Houston, TX 77082 CCN 675454 | 6.1 km | 136 | Jul 29, 2026 | 261 harm | — | |
| Avir at Houston 2310 S Eldridge Pkwy., Houston, TX 77077 CCN 676066 | 6.7 km | 148 | Jul 10, 2026 | 546 IJ | $180k | |
| Sugar Land Health Care Center 333 Matlage Way, Sugar Land, TX 77478 CCN 675538 | 7.4 km | 150 | Jul 30, 2026 | 271 IJ | $15k | |
| The Crescent 11353 Sugar Park Lane, Sugar Land, TX 77478 CCN 676323 | 7.6 km | 112 | Jul 30, 2026 | 467 IJ | $106k | |
| Continuing Care at Eagles Trace 14703 Eagle Vista Drive Bldg 601b, Houston, TX 77077 CCN 676336 | 7.7 km | 44 | Sep 18, 2025 | 222 IJ | $22k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676381 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676381 | 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
| Aug 5, 2026 | 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 Aug 6, 2026 | Complaint |
| Aug 5, 2026 | 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 Aug 6, 2026 | Complaint |
| May 20, 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 May 25, 2026 | Complaint |
| Apr 8, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 10, 2026 |
| Apr 8, 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 | E · Potential harm Pattern | Corrected Apr 10, 2026 |
| Apr 8, 2026 | 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 Apr 10, 2026 |
| Apr 8, 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 Apr 10, 2026 | Complaint |
| Apr 8, 2026 | F-0790 | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 10, 2026 |
| Jan 30, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 1, 2025 |
| Jan 30, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 1, 2025 |
| Jan 30, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 31, 2025 |
| Jan 30, 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 Jan 31, 2025 |
| Jan 30, 2025 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 31, 2025 |
| Jan 30, 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 Jan 31, 2025 |
| Jan 30, 2025 | 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 Jan 31, 2025 |
| Jan 30, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 31, 2025 | Complaint |
| Jan 30, 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 Jan 31, 2025 |
| Dec 31, 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 | E · Potential harm Pattern | Corrected Jan 1, 2025 | Complaint |
| Dec 31, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 1, 2025 | Complaint |
| Dec 31, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 1, 2025 | Complaint |
| Nov 21, 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 | D · Potential harm Isolated | Corrected Dec 13, 2024 | Complaint |
| Oct 25, 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 Oct 26, 2024 | Complaint |
| Oct 25, 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 | K · Immediate jeopardy Pattern | Corrected Oct 26, 2024 | Complaint |
| Oct 25, 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 | K · Immediate jeopardy Pattern | Corrected Oct 26, 2024 | Complaint |
| Oct 25, 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 | K · Immediate jeopardy Pattern | Corrected Oct 26, 2024 | Complaint |
| Oct 25, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | K · Immediate jeopardy Pattern | Corrected Oct 26, 2024 | Complaint |
| Oct 25, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Corrected Oct 26, 2024 | Complaint |
| Oct 25, 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 Oct 26, 2024 | Complaint |
| Oct 25, 2024 | F-0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Oct 26, 2024 | Complaint |
| Mar 11, 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 Mar 28, 2024 | Complaint |
| Dec 7, 2023 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 29, 2023 |
| Dec 7, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 29, 2023 |
| Dec 7, 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 Dec 29, 2023 |
| Dec 7, 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 | D · Potential harm Isolated | Corrected Dec 29, 2023 |
| Dec 7, 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 Dec 29, 2023 |
| Dec 7, 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 Dec 29, 2023 | Complaint |
| Dec 7, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 29, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.03 (case-mix index 1.41).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| May 1, 2021 |
| Johnny Thompson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2024 |
| Compton3 Holdings, LLC | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | May 1, 2021 |
| Martel Healthcare Management LLC | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | May 1, 2021 |
| Mission Bend Healthcare Investments, LLC | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | May 1, 2021 |
| The Smithers Management Trust | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | May 1, 2021 |
| Charles Compton | Individual | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Sep 17, 2024 |
| James Compton | Individual | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Sep 17, 2024 |
| Kris Compton | Individual | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Sep 17, 2024 |
| Michael Martel | Individual | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Sep 17, 2024 |
| Compton3 Holdings, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2021 |
| Martel Healthcare Management LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2021 |
| Mission Bend Healthcare Investments, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2021 |
| The Smithers Management Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2021 |
| Charles Compton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 17, 2024 |
| James Compton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 17, 2024 |
| Kris Compton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 17, 2024 |
| Justus Koch | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 15, 2021 |
| Michael Martel | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 17, 2024 |
| Cynthia Tanguilig-Robinson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 9, 2016 |
| $198k |
| Avir at Rose Trail 930 S Baxter, Tyler, TX 75701 CCN 455429SFF Candidate | 172 | Aug 14, 2026 | 639 IJ3 harm | $484k |
| Mesa Vista Inn Health Center 5756 North Knoll Drive, San Antonio, TX 78240 CCN 455444 | 144 | Jul 2, 2026 | 531 IJ | $8,160 |
| Avir at Petal Hill 900 S Baxter Ave, Tyler, TX 75701 CCN 455485Abuse icon | 120 | May 13, 2026 | 352 IJ | $26k |
| Sterling Hills Rehabilitation and Healthcare Cente 705 NE Georgia Ave, Sweetwater, TX 79556 CCN 455509 | 96 | Mar 26, 2026 | 17 | — |
| Amistad Nursing and Rehabilitation Center 200 Riverside Drive, Uvalde, TX 78801 CCN 455536 | 200 | Aug 7, 2026 | 44 | — |
| Mineral Wells Nursing & Rehabilitation 316 Southwest 25th Avenue, Mineral Wells, TX 76067 CCN 455570 | 109 | Jun 24, 2026 | 19 | — |
| Concho Health & Rehabilitation Center 613 Eaker St, Eden, TX 76837 CCN 455737 | 66 | Aug 11, 2026 | 28 | — |
| Nov 25, 2025 |
261 IJ1 harm |
| $14k |
| Woodway Rehabilitation and Healthcare Center 7801 Woodway Dr, Waco, TX 76712 CCN 675924 | 144 | Aug 26, 2026 | 405 IJ1 harm | $31k |
| Kingwood Rehabilitation and Healthcare Center 23775 Kingwood Place, Kingwood, TX 77339 CCN 676160 | 194 | Aug 14, 2026 | 277 IJ | $73k |
| Lakewest Rehabilitation and Skilled Care 2450 Bickers St, Dallas, TX 75212 CCN 676276Abuse icon | 118 | Aug 12, 2026 | 582 IJ1 open | $26k |
| Rollingbrook Rehabilitation and Health Care Center 750 Rollingbrook Dr., Baytown, TX 77521 CCN 676442 | 130 | Mar 26, 2026 | 131 IJ | $24k |
| Cypress Creek Rehabilitation and Healthcare Center 13600 Birdcall Lane, Cypress, TX 77429 CCN 676467 | 122 | Jul 2, 2026 | 182 IJ | $74k |
| Sun Valley Rehabilitation and Healthcare Center 2902 S. 77 Sunshine Strip, Harlingen, TX 78550 CCN 676493 | 124 | Jul 9, 2025 | 5 | — |