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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J4 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D44 | E46 | F18 |
| 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 10, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 6, 2026 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| May 6, 2026 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Apr 21, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 2, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 18, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Jul 1, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| May 22, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 10, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 6, 2025 | Fire safety | Fire Safety Standard | 18 | Potential harm | — | Open → |
| Mar 6, 2025 | Health | Health Complaint, Health Standard | 8 | Potential harm | — | Open → |
| Nov 8, 2024 | Health | Health Complaint | 7 | Immediate jeopardy | — | Open → |
| Aug 14, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 27, 2024 | Health | Health Complaint | 15 | Immediate jeopardy | — | Open → |
| May 9, 2024 | Health | Health Complaint | 7 | Potential harm | — | Open → |
| Apr 24, 2024 | Health | Health Complaint | 7 | Potential harm | — | Open → |
| Apr 2, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 29, 2024 | Health | Health Complaint | 7 | Potential harm | — | Open → |
| Jan 12, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jan 12, 2024 | Health | Health Complaint, Health Standard | 15 | Potential harm | — | Open → |
| Dec 1, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Aug 18, 2025 | Civil money penalty (fine) | $16,153 | — | 676431|Fine|135091 |
| Nov 8, 2024 | Civil money penalty (fine) | $155,988 | — | 676431|Fine|113356 |
| Jul 27, 2024 | Civil money penalty (fine) | $20,540 | — | 676431|Fine|113107 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J4 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D44 | E46 | F18 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 10, 2026 | 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 Jun 11, 2026 | Complaint |
| Jun 10, 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 Jun 11, 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 101 facilities.
118 facilities in 1 states. CMS chain ID 719.
Chain average overall rating (CMS): 2.2
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Amitai Dagan | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Apr 24, 2025 |
| Abraham Goldberger | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Apr 24, 2025 |
| 7441 Paseo Del Norte Opco, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2025 |
| Nochum Freund | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2025 |
| Jaime Square | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2025 |
| Aaron Travitsky | 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 |
|---|---|---|---|---|---|
| Avir at Beaumont 4195 Milam Street, Beaumont, TX 77707 CCN 455001Abuse icon | 214 | Aug 24, 2026 | 582 IJ2 open | $40k | |
| Avir at New Braunfels |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| White Acres Wellness & Rehabilitation 7304 Good Samaritan Court, El Paso, TX 79912 CCN 675025 | 4.7 km | 74 | Jun 16, 2026 | 49 | — | |
| The Bartlett Skilled Nursing and Assisted Living 221 Bartlett Drive, El Paso, TX 79912 CCN 676457 | 4.9 km | 58 | Jun 17, 2026 | 492 harm | $30k | |
| Franklin Heights Nursing & Rehabilitation 223 S Resler Dr, El Paso, TX 79912 CCN 675479 | 6.3 km | 132 | Jul 1, 2026 | 865 IJ | $192k | |
| Mountain View Health & Rehabilitation 1600 Muchison Rd, El Paso, TX 79902 CCN 455471 | 12.7 km | 187 | Jul 2, 2026 | 836 IJ | $123k | |
| Grace Pointe Wellness Center 2301 N Oregan St, El Paso, TX 79902 CCN 675106 | 12.7 km | 154 | Jun 17, 2026 | 755 IJ | $77k | |
| Mountain Villa Nursing Home 2729 Porter Ave, El Paso, TX 79930 CCN 675768 | 13.8 km | 48 | Dec 4, 2025 | 52 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676431 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676431 | 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
| May 6, 2026 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 5, 2026 |
| May 6, 2026 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 5, 2026 |
| May 6, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 5, 2026 |
| May 6, 2026 | 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 Jun 5, 2026 |
| May 6, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 7, 2026 |
| May 6, 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 | E · Potential harm Pattern | Corrected May 7, 2026 |
| May 6, 2026 | 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 May 7, 2026 |
| May 6, 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 May 7, 2026 |
| May 6, 2026 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 7, 2026 |
| May 6, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 7, 2026 |
| May 6, 2026 | F-0914 | Provide bedrooms that don't allow residents to see each other when privacy is needed. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 7, 2026 |
| May 6, 2026 | F-0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected May 7, 2026 |
| Apr 21, 2026 | 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 May 21, 2026 | Complaint |
| Apr 2, 2026 | 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 | E · Potential harm Pattern | Corrected May 1, 2026 | Complaint |
| Aug 18, 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 Aug 12, 2025 | Complaint |
| Jul 1, 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 Aug 1, 2025 | Complaint |
| Jul 1, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 1, 2025 | Complaint |
| Jul 1, 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 Aug 1, 2025 | Complaint |
| May 22, 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 Jun 22, 2025 | Complaint |
| May 22, 2025 | F-0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jun 22, 2025 | Complaint |
| Apr 10, 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 May 10, 2025 | Complaint |
| Mar 6, 2025 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 29, 2025 |
| Mar 6, 2025 | E-0026 | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 29, 2025 |
| Mar 6, 2025 | E-0029 | Develop a communication plan. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 29, 2025 |
| Mar 6, 2025 | E-0031 | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 29, 2025 |
| Mar 6, 2025 | E-0032 | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 29, 2025 |
| Mar 6, 2025 | E-0033 | Establish methods for sharing information. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 29, 2025 |
| Mar 6, 2025 | E-0034 | Provide a means of sharing information on occupancy/needs. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 29, 2025 |
| Mar 6, 2025 | E-0035 | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 29, 2025 |
| Mar 6, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 29, 2025 |
| Mar 6, 2025 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 29, 2025 |
| Mar 6, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 29, 2025 |
| Mar 6, 2025 | 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 May 29, 2025 |
| Mar 6, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 29, 2025 |
| Mar 6, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 29, 2025 |
| Mar 6, 2025 | 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 May 29, 2025 |
| Mar 6, 2025 | K-0751 | Have restrictions on the use of flammable curtains. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 29, 2025 |
| Mar 6, 2025 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 29, 2025 |
| Mar 6, 2025 | K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 29, 2025 |
| Mar 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 | E · Potential harm Pattern | Corrected Apr 6, 2025 |
| Mar 6, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 6, 2025 |
| Mar 6, 2025 | F-0687 | Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 6, 2025 |
| Mar 6, 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 Apr 6, 2025 |
| Mar 6, 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 Apr 6, 2025 |
| Mar 6, 2025 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Apr 6, 2025 |
| Mar 6, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 6, 2025 |
| Mar 6, 2025 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 6, 2025 | Complaint |
| Nov 8, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Nov 9, 2024 | Complaint |
| Nov 8, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Nov 9, 2024 | Complaint |
| Nov 8, 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 Nov 9, 2024 | Complaint |
| Nov 8, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 9, 2024 | Complaint |
| Nov 8, 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 Nov 9, 2024 | Complaint |
| Nov 8, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 9, 2024 | Complaint |
| Nov 8, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Nov 9, 2024 | Complaint |
| Aug 14, 2024 | 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 Aug 15, 2024 | Complaint |
| Aug 14, 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 Aug 15, 2024 | Complaint |
| Jul 27, 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 Jul 28, 2024 | Complaint |
| Jul 27, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 28, 2024 | Complaint |
| Jul 27, 2024 | F-0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 28, 2024 | Complaint |
| Jul 27, 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 | E · Potential harm Pattern | Corrected Jul 28, 2024 | Complaint |
| Jul 27, 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 Jul 28, 2024 | Complaint |
| Jul 27, 2024 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 28, 2024 | Complaint |
| Jul 27, 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 | D · Potential harm Isolated | Corrected Jul 28, 2024 | Complaint |
| Jul 27, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 28, 2024 | Complaint |
| Jul 27, 2024 | 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 | E · Potential harm Pattern | Corrected Jul 28, 2024 | Complaint |
| Jul 27, 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 Jul 28, 2024 | Complaint |
| Jul 27, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 28, 2024 | Complaint |
| Jul 27, 2024 | 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 28, 2024 | Complaint |
| Jul 27, 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 | E · Potential harm Pattern | Corrected Jul 28, 2024 | Complaint |
| Jul 27, 2024 | F-0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Jul 28, 2024 | Complaint |
| Jul 27, 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 Jul 28, 2024 | Complaint |
| May 9, 2024 | 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 May 13, 2024 | Complaint |
| May 9, 2024 | F-0660 | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 13, 2024 | Complaint |
| May 9, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 13, 2024 | Complaint |
| May 9, 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 May 13, 2024 | Complaint |
| May 9, 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 May 13, 2024 | Complaint |
| May 9, 2024 | F-0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected May 13, 2024 | Complaint |
| May 9, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 14, 2024 | Complaint |
| Apr 24, 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 Apr 25, 2024 | Complaint |
| Apr 24, 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 | D · Potential harm Isolated | Corrected Apr 25, 2024 | Complaint |
| Apr 24, 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 Apr 25, 2024 | Complaint |
| Apr 24, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 25, 2024 | Complaint |
| Apr 24, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 25, 2024 | Complaint |
| Apr 24, 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 25, 2024 | Complaint |
| Apr 24, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 25, 2024 | Complaint |
| Apr 2, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 4, 2024 | Complaint |
| Apr 2, 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 Apr 4, 2024 | Complaint |
| Feb 29, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 20, 2024 | Complaint |
| Feb 29, 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 Mar 20, 2024 | Complaint |
| Feb 29, 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 Mar 20, 2024 | Complaint |
| Feb 29, 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 Mar 20, 2024 | Complaint |
| Feb 29, 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 Mar 20, 2024 | Complaint |
| Feb 29, 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 | D · Potential harm Isolated | Corrected Mar 20, 2024 | Complaint |
| Feb 29, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 20, 2024 | Complaint |
| Jan 12, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 8, 2024 | Complaint |
| Jan 12, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 8, 2024 |
| Jan 12, 2024 | 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 Feb 8, 2024 |
| Jan 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 | E · Potential harm Pattern | Corrected Feb 8, 2024 |
| Jan 12, 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 | D · Potential harm Isolated | Corrected Feb 8, 2024 |
| Jan 12, 2024 | F-0687 | Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 8, 2024 |
| Jan 12, 2024 | F-0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 8, 2024 |
| Jan 12, 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 | E · Potential harm Pattern | Corrected Feb 8, 2024 |
| Jan 12, 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 Feb 8, 2024 |
| Jan 12, 2024 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 8, 2024 |
| Jan 12, 2024 | F-0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 8, 2024 |
| Jan 12, 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 | D · Potential harm Isolated | Corrected Feb 8, 2024 |
| Jan 12, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 8, 2024 |
| Jan 12, 2024 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 8, 2024 |
| Dec 1, 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 Dec 15, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.16 (case-mix index 1.37).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Mar 1, 2025 |
| Johnny Thompson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 15, 2024 |
| 7441 Paseo Del Norte Property Owner, LLC | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Mar 1, 2025 |
| Welltower Inc | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Mar 1, 2025 |
| Welltower Nnn Group, LLC | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Mar 1, 2025 |
| Welltower Op LLC | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Mar 1, 2025 |
| 7441 Paseo Del Norte Opco, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 3, 2025 |
| 7441 Paseo Del Norte Property Owner, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| Welltower Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| Welltower Nnn Group, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| Welltower Op LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| Jaime Square | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| Kenneth Welch | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| $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 | — |
| 154 |
| Jul 10, 2026 |
755 IJ |
| $158k |
| Avir at Rose Trail 930 S Baxter, Tyler, TX 75701 CCN 455429SFF Candidate | 172 | Aug 14, 2026 | 639 IJ3 harm | $484k |
| Avir at Petal Hill 900 S Baxter Ave, Tyler, TX 75701 CCN 455485Abuse icon | 120 | May 13, 2026 | 352 IJ | $26k |
| Avir at Jeffrey Place 820 Jeffrey Dr, Waco, TX 76710 CCN 455489 | 95 | Apr 9, 2026 | 452 IJ | $22k |
| Avir at Temple West 1700 Marlandwood Rd, Temple, TX 76502 CCN 455522 | 104 | Dec 18, 2025 | 312 IJ1 open | $7,257 |
| Avir at Center 280 Moffitt Dr, Center, TX 75935 CCN 455550 | 137 | Jul 23, 2025 | 271 IJ | $9,113 |
| Avir at Graham 1224 Corvadura St, Graham, TX 76450 CCN 455555 | 116 | Aug 14, 2025 | 33 | — |