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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D22 | E10 | F5 |
| 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 | |
|---|---|---|---|---|---|---|
| May 1, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 4, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Dec 4, 2025 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Sep 3, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Nov 20, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 10, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Sep 10, 2024 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Jun 20, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 24, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 12, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 26, 2023 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Jul 26, 2023 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D22 | E10 | F5 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 1, 2026 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 4, 2026 | Complaint |
| Dec 4, 2025 | 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 Dec 11, 2025 | |
| Dec 4, 2025 |
“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 58 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 |
|---|---|---|---|---|---|
| Fannin County Hospital Authority | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Oct 1, 2024 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Fannin County Hospital Authority | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Oct 1, 2024 |
| Erin Holt | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2024 |
| Wendy Keeton | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2024 |
| Monica Kissling | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2024 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Avir at the Meadow 8383 Meadow Road, Dallas, TX 75231 CCN 455463 | 184 | Jul 27, 2026 | 693 IJ2 harm | $36k | |
| Ennis Care Center 1200 S Hall St, Ennis, TX 75119 CCN 455486 |
| 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.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676385 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676385 | 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
| F-0558 |
| Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect |
| D · Potential harm Isolated |
| Corrected Dec 5, 2025 |
| Dec 4, 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 Dec 5, 2025 |
| Dec 4, 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 Dec 5, 2025 |
| Dec 4, 2025 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 5, 2025 |
| Dec 4, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Dec 5, 2025 |
| Dec 4, 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 Dec 5, 2025 |
| Dec 4, 2025 | 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 Dec 5, 2025 |
| Dec 4, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 5, 2025 |
| Sep 3, 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 Sep 4, 2025 | Complaint |
| Sep 3, 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 Sep 4, 2025 | Complaint |
| Sep 3, 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 | D · Potential harm Isolated | Corrected Sep 4, 2025 | Complaint |
| Nov 20, 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 |
| Sep 10, 2024 | 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 Oct 18, 2024 |
| Sep 10, 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 Oct 18, 2024 |
| Sep 10, 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 Oct 18, 2024 |
| Sep 10, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 18, 2024 |
| Jun 20, 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 Jun 21, 2024 | Complaint |
| May 24, 2024 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 25, 2024 | Complaint |
| May 24, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 25, 2024 | Complaint |
| Mar 12, 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 Mar 14, 2024 | Complaint |
| Mar 12, 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 14, 2024 | Complaint |
| Jul 26, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 22, 2024 |
| Jul 26, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 22, 2024 |
| Jul 26, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 22, 2024 |
| Jul 26, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 22, 2024 |
| Jul 26, 2023 | 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 | F · Potential harm Widespread | Corrected May 22, 2024 |
| Jul 26, 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 May 22, 2024 |
| Jul 26, 2023 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Sep 9, 2023 |
| Jul 26, 2023 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 9, 2023 |
| Jul 26, 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 | D · Potential harm Isolated | Corrected Sep 9, 2023 |
| Jul 26, 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 | E · Potential harm Pattern | Corrected Sep 9, 2023 |
| Jul 26, 2023 | 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 Sep 9, 2023 |
| Jul 26, 2023 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 9, 2023 |
| Jul 26, 2023 | 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 Sep 9, 2023 |
| Jul 26, 2023 | 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 Sep 9, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.79 (case-mix index 1.61).
| Patricia Mcbean | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2024 |
| Clark Sanderson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2024 |
| Kelly Trompler | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2024 |
| Hearne I Enterprises LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2024 |
| Gary Blake | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2024 |
| Malisa Blake | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2024 |
| Linda Huggins | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2024 |
| Harold Pennington | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2024 |
| Zachary Willig | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2024 |
| Linda Huggins | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2024 |
| Erin Holt | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2024 |
| Wendy Keeton | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2024 |
| Monica Kissling | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 4, 2024 |
| Patricia Mcbean | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2024 |
| Clark Sanderson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2024 |
| Kelly Trompler | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2024 |
| Hearne I Enterprises LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Honor X Enterprises, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 16, 2025 |
| Gary Blake | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Malisa Blake | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Kelly Grillo | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Linda Huggins | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Harold Pennington | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Zachary Willig | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| 155 |
| May 20, 2026 |
502 IJ |
| $37k |
| Pleasant Springs Healthcare Center 2003 North Edwards Avenue, Mount Pleasant, TX 75455 CCN 455532SFF CandidateAbuse icon | 90 | Aug 7, 2026 | 774 IJ2 harm | $66k |
| Avir at Center 280 Moffitt Dr, Center, TX 75935 CCN 455550 | 137 | Jul 23, 2025 | 271 IJ | $9,113 |
| Texoma Healthcare Center 1000 US Highway 82 East, Sherman, TX 75090 CCN 455573 | 179 | Aug 19, 2026 | 602 IJ6 open | $16k |
| Avir at Weatherford 521 W. 7th Street, Weatherford, TX 76086 CCN 455574Abuse icon | 122 | Feb 12, 2026 | 262 IJ | $22k |
| Grand Terrace Rehabilitation and Healthcare 812 W. Houston Ave., Mcallen, TX 78501 CCN 455586 | 93 | Jun 17, 2026 | 16 | — |
| Christian Care Communities and Services Mesquite 1000 Wiggins Parkway, Mesquite, TX 75150 CCN 455617 | 180 | May 21, 2026 | 314 IJ | $29k |
| $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 | — |