Loading facility…
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K1 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D11 | E5 | F· |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 2, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jul 2, 2026 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Apr 30, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 30, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| May 29, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| May 29, 2025 | Health | Health Complaint, Health Standard | 4 | Immediate jeopardy | — | Open → |
| May 9, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 7, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Mar 7, 2024 | Health | Health Complaint, Health Standard | 5 | Immediate jeopardy | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| May 9, 2025 | Civil money penalty (fine) | $10,361 | — | 676467|Fine|113917 |
| Mar 7, 2024 | Civil money penalty (fine) | $63,902 | — | 676467|Fine|112500 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K1 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D11 | E5 | F· |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 2, 2026 | 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 Jul 3, 2026 | |
| Jul 2, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 3, 2026 | |
| Jul 2, 2026 | F-0925 |
“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 |
|---|---|---|---|---|---|
| Jeffrey Smithers | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Mar 26, 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 |
| Nwh Rehab LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2022 |
| Sharlyn Threadgill | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2022 |
| Johnny Thompson | 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 |
|---|---|---|---|---|---|---|
| Eagle Crest Rapid Recovery 9602 Huffmeister Rd, Houston, TX 77095 CCN 676208SFF CandidateAbuse icon | 4.1 km | 125 | Apr 2, 2026 | 385 IJ3 harm | $34k | |
| Fallbrook Rehabilitation and Care Center 10851 Crescent Moon Dr., Houston, TX 77064 CCN 455815SFF Candidate | 5.2 km | 202 | Aug 18, 2026 | 695 IJ3 harm1 open | $70k | |
| Park Manor of Cyfair 11001 Crescent Moon Dr, Houston, TX 77064 CCN 675818 | 5.2 km | 120 | May 1, 2026 | 13 | — | |
| Cypress Pointe Health & Wellness 8561 Easton Commons Dr., Houston, TX 77095 CCN 676482 | 5.6 km | 124 | Mar 6, 2026 | 152 harm | $8,018 | |
| North Houston Transitional Care 9814 Grant Rd, Houston, TX 77070 CCN 676434 | 6.4 km | 70 | Aug 19, 2026 | 182 IJ | $12k | |
| Misty Willow Healthcare and Rehabilitation Center 12921 Misty Willow Dr, Houston, TX 77070 CCN 676251 | 6.9 km | 124 | Mar 9, 2026 | 338 IJ | $64k | |
| Copperfield Healthcare and Rehabilitation 7107 Queenston Blvd, Houston, TX 77095 CCN 676230 | 7.9 km | 124 | Apr 7, 2026 | 293 IJ | $23k | |
| Champions Healthcare at Willowbrook 13500 Breton Ridge, Houston, TX 77070 CCN 676236Abuse icon | 8.4 km | 98 | Jul 28, 2026 | 301 IJ2 harm1 open | $40k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676467 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676467 | 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
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Jul 3, 2026 |
| Apr 30, 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 | D · Potential harm Isolated | Corrected May 1, 2026 | Complaint |
| Jan 30, 2026 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 2, 2026 | Complaint |
| Jan 30, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 2, 2026 | Complaint |
| Jan 30, 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 | D · Potential harm Isolated | Corrected Feb 2, 2026 | Complaint |
| May 29, 2025 | 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 | J · Immediate jeopardy Isolated | Past non-compliance Apr 22, 2025 | Complaint |
| May 29, 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 | E · Potential harm Pattern | Corrected Aug 6, 2025 | Complaint |
| May 29, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 6, 2025 |
| May 29, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 6, 2025 |
| May 9, 2025 | 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 | Corrected May 10, 2025 | Complaint |
| Mar 7, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Corrected Mar 26, 2024 |
| Mar 7, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 26, 2024 |
| Mar 7, 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 Mar 26, 2024 | Complaint |
| Mar 7, 2024 | 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 | E · Potential harm Pattern | Corrected Mar 26, 2024 |
| Mar 7, 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 Mar 26, 2024 | Complaint |
| Mar 7, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 26, 2024 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.19 (case-mix index 1.35).
| Corporate officer / director |
| CORPORATE OFFICER |
| not provided |
| Jul 1, 2024 |
| Broad River Healthcare, LLC | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | May 1, 2022 |
| Clover Modern Investments, LLC | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | May 1, 2022 |
| Clover Parent, LLC | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | May 1, 2022 |
| Martel Financial Investments, LLC | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | May 1, 2022 |
| The Smithers Management Trust | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | May 1, 2022 |
| Charles Compton | Individual | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | May 1, 2022 |
| James Compton | Individual | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | May 1, 2022 |
| Kris Compton | Individual | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | May 1, 2022 |
| Michael Martel | Individual | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | May 1, 2022 |
| Broad River Healthcare, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2022 |
| Clover Modern Investments, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2022 |
| Clover Parent, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2022 |
| Martel Financial Investments, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2022 |
| The Smithers Management Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2022 |
| Charles Compton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2022 |
| James Compton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2022 |
| Kris Compton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2022 |
| Michael Martel | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2022 |
| Rachel Suter | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 27, 2016 |
| Kara White | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 17, 2024 |
| $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 |
| West Houston Rehabilitation and Healthcare Center 13428 Bissonnet, Houston, TX 77083 CCN 676381Abuse icon | 124 | Aug 5, 2026 | 397 IJ | $205k |
| Rollingbrook Rehabilitation and Health Care Center 750 Rollingbrook Dr., Baytown, TX 77521 CCN 676442 | 130 | Mar 26, 2026 | 131 IJ | $24k |
| Sun Valley Rehabilitation and Healthcare Center 2902 S. 77 Sunshine Strip, Harlingen, TX 78550 CCN 676493 | 124 | Jul 9, 2025 | 5 | — |