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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D20 | E2 | 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 | |
|---|---|---|---|---|---|---|
| Aug 5, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Aug 5, 2026 | Health | Health Complaint, Health Standard | 9 | Potential harm | — | Open → |
| Nov 13, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 5, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jun 5, 2025 | Health | Health Standard | 7 | Potential harm | 7 | Open → |
| May 5, 2025 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Apr 11, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Apr 11, 2024 | Health | Health Standard | 0 | No citations | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| May 5, 2025 | Civil money penalty (fine) | $8,414 | — | 676441|Fine|113807 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D20 | E2 | F1 |
| 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 24, 2026 | |
| Aug 5, 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 | D · Potential harm Isolated | Corrected Aug 24, 2026 | |
| Aug 5, 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 38 facilities.
25 facilities in 1 states. CMS chain ID 521.
Chain average overall rating (CMS): 2.8
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Charles Carvajal | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jul 11, 2025 |
| Mark Carvajal | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jul 11, 2025 |
| Raymond Carvajal | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jul 11, 2025 |
| Jessica Mcgarity | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jul 11, 2025 |
| Janet Mckee | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jul 11, 2025 |
| Daniel Peterson | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Rosewood Heights 5700 E Central Texas Expwy, Killeen, TX 76543 CCN 455503 | 64 | Apr 17, 2026 | 193 IJ2 harm | $37k | |
| Laredo West Nursing and Rehabilitation Center 1200 E Lane St, Laredo, TX 78043 CCN 455528 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Rosewood Heights 5700 E Central Texas Expwy, Killeen, TX 76543 CCN 455503 | 64 | Apr 17, 2026 | 193 IJ2 harm | $37k | |
| La Frontera Nursing & Rehabilitation 7001 Mcpherson Rd., Laredo, TX 78041 CCN 675030 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| San Juan Nursing Home, Inc. 300 N Nebraska Ave., San Juan, TX 78589 CCN 455484 | 4.3 km | 114 | Jun 18, 2026 | 18 | — | |
| Windsor Las Palmas Nursing and Rehabilitation Cent 1301 E Quebec Ave, Mcallen, TX 78503 CCN 675415 | 8.5 km | 120 | May 7, 2026 | 13 | $38k | |
| Mcallen Transitional Care Center 2109 South K Street, Mcallen, TX 78503 CCN 676042 | 8.7 km | 100 | Jul 15, 2026 | 201 IJ | $8,827 | |
| Alfredo Gonzalez Texas State Veterans Home 301 E Yuma Ave, Mcallen, TX 78503 CCN 676063Abuse icon | 9.5 km | 160 | Jul 10, 2026 | 333 IJ | $15k | |
| Mcallen Nursing Center 600 N Cynthia St, Mcallen, TX 78501 CCN 455560 | 10.1 km | 122 | Aug 5, 2026 | 412 IJ5 open | $17k | |
| Grand Terrace Rehabilitation and Healthcare 812 W. Houston Ave., Mcallen, TX 78501 CCN 455586 | 10.8 km | 93 | Jun 17, 2026 | 16 | — | |
| Colonial Manor Advanced Rehab & Healthcare 1100 W Minnesota Rd, Pharr, TX 78577 CCN 675044 | 10.9 km | 123 | Aug 12, 2026 | 441 IJ1 harm2 open | $55k | |
| Windsor Nursing and Rehabilitation Center of Mcall 900 S 12th St, Mcallen, TX 78501 CCN 455662 | 11.3 km | 110 | Dec 3, 2025 | 211 harm | $24k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676441 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676441 | 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
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect |
| D · Potential harm Isolated |
| Corrected Aug 24, 2026 |
| Aug 5, 2026 | 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 Aug 24, 2026 | Complaint |
| Aug 5, 2026 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 24, 2026 | Complaint |
| Aug 5, 2026 | 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 Aug 24, 2026 |
| Aug 5, 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 | D · Potential harm Isolated | Corrected Aug 24, 2026 |
| Aug 5, 2026 | F-0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Aug 24, 2026 |
| Aug 5, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 24, 2026 |
| Nov 13, 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 Nov 14, 2025 | Complaint |
| Nov 13, 2025 | 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 14, 2025 | Complaint |
| Jun 5, 2025 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Plan of correction, not yet verified Jun 9, 2025 |
| Jun 5, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Plan of correction, not yet verified Jun 9, 2025 |
| Jun 5, 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 | Plan of correction, not yet verified Jun 9, 2025 |
| Jun 5, 2025 | 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 | Plan of correction, not yet verified Jun 9, 2025 |
| Jun 5, 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 | Plan of correction, not yet verified Jun 9, 2025 |
| Jun 5, 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 | D · Potential harm Isolated | Plan of correction, not yet verified Jun 9, 2025 |
| Jun 5, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Plan of correction, not yet verified Jun 9, 2025 |
| May 5, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected May 6, 2025 | Complaint |
| May 5, 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 May 6, 2025 | Complaint |
| May 5, 2025 | 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 May 6, 2025 | Complaint |
| Apr 11, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 15, 2024 |
| Apr 11, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 15, 2024 |
| Apr 11, 2024 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 15, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.45 (case-mix index 1.38).
| Partner |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF |
| not provided |
| Jul 11, 2025 |
| Touchstone Strategies - Alamo LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2021 |
| Leslie Campbell | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2021 |
| Lynnea Castillo | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2021 |
| Cynthia Gilcrease | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2021 |
| Monica Salinas Rodriguez | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2021 |
| Bryon Sehlke | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2021 |
| Federico Stutzner | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 20, 2021 |
| Darrell Zurovec | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2021 |
| Adam Apolinar | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 1, 2015 |
| Capital Funding Group, Inc | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Oct 15, 2020 |
| Aegis Therapies, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2021 |
| Carvajal Pharmacy Ltc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2021 |
| Nutritious Lifestyles, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2021 |
| Plante & Moran PLLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2021 |
| The Bryon and Rena Sehlke Living Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Touchstone Communities Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2021 |
| Touchstone Realty - Alamo LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2021 |
| Touchstone Strategies - Alamo LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2021 |
| Trident Health Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2021 |
| Leslie Campbell | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2021 |
| Ismael Cantu Garcia | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2023 |
| Lynnea Castillo | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2021 |
| Ernest Fellbaum | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2021 |
| Cynthia Gilcrease | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2021 |
| Monica Salinas Rodriguez | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2021 |
| Bryon Sehlke | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2021 |
| Stanley Studer | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2021 |
| Federico Stutzner | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 20, 2021 |
| Darrell Zurovec | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2021 |
| 188 |
| Jul 28, 2026 |
583 IJ |
| $50k |
| Memorial Medical Nursing and Rehabilitation 307 W Cypress St, San Antonio, TX 78212 CCN 455597 | 135 | Aug 5, 2026 | 872 IJ11 open | $35k |
| Hilltop Village Nursing and Rehabilitation 1400 Hilltop Rd, Kerrville, TX 78028 CCN 455628 | 150 | Aug 20, 2026 | 601 IJ | — |
| Silver Creek Nursing and Rehabilitation 9014 Timber Path, San Antonio, TX 78250 CCN 455652 | 120 | Jul 2, 2025 | 28 | — |
| Kirkwood Manor 2590 Loop 337 N, New Braunfels, TX 78130 CCN 455732 | 162 | Jun 17, 2026 | 691 IJ | $29k |
| Avir at San Knoll 5757 N. Knoll, San Antonio, TX 78240 CCN 455804 | 120 | Jul 24, 2026 | 711 IJ | $28k |
| San Antonio North Nursing and Rehabilitation 501 Ogden, San Antonio, TX 78212 CCN 455817 | 118 | Aug 6, 2026 | 762 IJ | $17k |
| 186 |
| Aug 14, 2026 |
272 IJ |
| $32k |
| West Oaks Nursing & Rehabilitation 3625 Green Crest Dr, Houston, TX 77082 CCN 675454 | 136 | Jul 29, 2026 | 261 harm | — |
| Hill Country Heights 810 Industrial Ave, Copperas Cove, TX 76522 CCN 675536 | 96 | May 21, 2026 | 241 IJ | $12k |
| Del Rio Nursing and Rehabilitation Center 301 W. Martin Street, Del Rio, TX 78840 CCN 675677Abuse icon | 60 | Aug 6, 2026 | 411 IJ1 harm | $22k |
| The Heights at Medical Center 3935 Medical Drive, San Antonio, TX 78229 CCN 675890 | 134 | Aug 15, 2025 | 633 IJ | $22k |
| Harker Heights Nursing & Rehabilitation 415 Indian Oaks Dr, Harker Heights, TX 76548 CCN 675909 | 199 | Aug 26, 2026 | 613 IJ | $65k |
| Country Care Manor 2736 Fm 775, La Vernia, TX 78121 CCN 675947 | 91 | Dec 17, 2025 | 16 | $22k |