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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D10 | E15 | F1 |
| Minimal | A· | B1 | 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 30, 2026 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jul 30, 2026 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Jul 18, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 15, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| May 15, 2025 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Oct 11, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 21, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Mar 21, 2024 | Health | Health Complaint, Health Standard | 7 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D10 | E15 | F1 |
| Minimal | A· | B1 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 30, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 30, 2026 | |
| Jul 30, 2026 | 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 Aug 30, 2026 | |
| Jul 30, 2026 | F-0584 |
“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.
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 |
|---|---|---|---|---|---|
| Touchstone Strategies - Mc2 LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2023 |
| Christopher Boening | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2023 |
| Marilyn Booker | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2023 |
| Leslie Campbell | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2023 |
| Felecia Carmouche | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 4, 2023 |
| Lynnea Castillo | 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 |
|---|---|---|---|---|---|
| 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 |
|---|---|---|---|---|---|---|
| Kingwood Rehabilitation and Healthcare Center 23775 Kingwood Place, Kingwood, TX 77339 CCN 676160 | 6.2 km | 194 | Aug 14, 2026 | 277 IJ | $73k | |
| Crimson Heights Health & Wellness 19279 Mckay Dr, Humble, TX 77338 CCN 676463 | 13 km | 118 | Mar 9, 2026 | 403 IJ1 harm | $34k | |
| Deerbrook Skilled Nursing and Rehab Center 9250 Humble-Westfield Rd, Humble, TX 77338 CCN 676263SFF CandidateAbuse icon | 13.1 km | 124 | Aug 19, 2026 | 417 IJ | $202k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676476 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676476 | 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
| D · Potential harm Isolated |
| Corrected Aug 30, 2026 |
| Jul 30, 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 30, 2026 |
| Jul 30, 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 | E · Potential harm Pattern | Corrected Aug 30, 2026 |
| Jul 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 Aug 30, 2026 |
| Jul 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 Aug 30, 2026 |
| Jul 30, 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 30, 2026 |
| Jul 30, 2026 | F-0925 | 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 Aug 30, 2026 |
| Jul 18, 2026 | F-0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Aug 10, 2026 | Complaint |
| Jul 18, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 10, 2026 | Complaint |
| May 15, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 15, 2025 |
| May 15, 2025 | 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 Jun 15, 2025 |
| May 15, 2025 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 15, 2025 |
| May 15, 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 Jun 15, 2025 |
| May 15, 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 Jun 15, 2025 |
| May 15, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 15, 2025 |
| May 15, 2025 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | B · Minimal Pattern | Corrected Jun 15, 2025 |
| Oct 11, 2024 | 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 Oct 28, 2024 | Complaint |
| Mar 21, 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 28, 2024 |
| Mar 21, 2024 | 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 | E · Potential harm Pattern | Corrected Apr 8, 2024 | Complaint |
| Mar 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 | E · Potential harm Pattern | Corrected Apr 8, 2024 |
| Mar 21, 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 Apr 8, 2024 | Complaint |
| Mar 21, 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 8, 2024 | Complaint |
| Mar 21, 2024 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 8, 2024 |
| Mar 21, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 8, 2024 |
| Mar 21, 2024 | 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 | E · Potential harm Pattern | Corrected Apr 8, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.82 (case-mix index 1.34).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Mar 1, 2023 |
| Bryon Sehlke | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2023 |
| Darrell Zurovec | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2023 |
| Johnny Thompson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 1, 2023 |
| Frost Bank | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Oct 25, 2024 |
| Aegis Therapies, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2023 |
| Carvajal Pharmacy Ltc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2023 |
| Nutritious Lifestyles, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2023 |
| Plante & Moran PLLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2023 |
| 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 | Mar 1, 2023 |
| Touchstone Realty - Mc1 LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2023 |
| Touchstone Strategies - Mc2 LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 14, 2025 |
| Trident Health Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2023 |
| Christopher Boening | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2023 |
| Marilyn Booker | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2023 |
| Leslie Campbell | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2023 |
| Felecia Carmouche | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 4, 2023 |
| Lynnea Castillo | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2023 |
| Ernest Fellbaum | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2023 |
| Bryon Sehlke | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2023 |
| Stanley Studer | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2023 |
| Darrell Zurovec | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2023 |
| $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 | — |
| 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 |