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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D32 | E8 | 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 | |
|---|---|---|---|---|---|---|
| Jan 21, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 5, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Dec 5, 2025 | Health | Health Standard | 11 | Potential harm | — | Open → |
| Nov 21, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 14, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Sep 12, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Sep 5, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 12, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Aug 30, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Aug 30, 2024 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Aug 9, 2024 | Health | Health Complaint, Infection Control | 2 | Potential harm | — | Open → |
| Apr 4, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Oct 27, 2023 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Jun 16, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jun 16, 2023 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Sep 5, 2025 | Civil money penalty (fine) | $8,281 | — | 676478|Fine|135134 |
| Oct 27, 2023 | Civil money penalty (fine) | $10,708 | — | 676478|Fine|111708 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D32 | E8 | F1 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jan 21, 2026 | F-0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 3, 2026 | Complaint |
| Dec 5, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 5, 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.
5 facilities in 1 states. CMS chain ID 842.
Chain average overall rating (CMS): 3.2
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Fannin County Hospital Authority | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | May 1, 2026 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Fannin County Hospital Authority | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | May 1, 2026 |
| Justin Jones | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 1, 2026 |
| Fernando Martinez | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 1, 2026 |
| Redberry Canyon Healthcare LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided |
| 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 |
|---|---|---|---|---|---|
| Pampa Nursing Center 1321 W. Kentucky, Pampa, TX 79065 CCN 675327 | 88 | Jun 11, 2026 | 292 open | $4,085 | |
| Levelland Nursing and Rehabilitation Center 210 West Avenue, Levelland, TX 79336 CCN 675329 | 87 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| The Mission at Blue Skies of Texas East 4949 Ravenswood Drive, San Antonio, TX 78227 CCN 676041 | 5.1 km | 80 | Aug 6, 2026 | 311 IJ1 harm | $17k | |
| Avir at San Antonio 50 Briggs Ave., San Antonio, TX 78224 CCN 455713 | 6.8 km | 119 | May 8, 2026 | 512 IJ1 harm | $29k | |
| Legend Oaks Healthcare and Rehabilitation - West S 222 Bertetti Dr, San Antonio, TX 78227 CCN 676312 | 7 km | 124 | Jun 12, 2026 | 231 IJ | $8,632 | |
| Legend Oaks Healthcare and Rehabilitation Center - 2003 W Hutchins Place, San Antonio, TX 78224 CCN 676113 | 7.6 km | 126 | May 15, 2026 | 37 | — | |
| Hunters Pond Rehabilitation and Healthcare 9903 Hunters Pond, San Antonio, TX 78224 CCN 676331 | 7.7 km | 128 | Aug 19, 2026 | 463 IJ | $67k | |
| San Antonio West Nursing and Rehabilitation 636 Cupples Rd, San Antonio, TX 78237 CCN 675002SFF Candidate | 9.7 km | 135 | Aug 30, 2026 | 946 IJ1 harm | $365k | |
| Lakeside Nursing and Rehabilitation Center 8707 Lakeside Parkway, San Antonio, TX 78245 CCN 676325 | 10.5 km | 118 | Jun 5, 2026 | 233 IJ | $15k | |
| San Jose Nursing Center 406 Sharmain Pl, San Antonio, TX 78221 CCN 45E312 | 10.5 km | 54 | Jun 26, 2026 | 50 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676478 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676478 | 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
| K-0918 |
| Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Dec 5, 2025 |
| Dec 5, 2025 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Dec 8, 2025 |
| Dec 5, 2025 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 8, 2025 |
| Dec 5, 2025 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 10, 2025 |
| Dec 5, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 22, 2025 |
| Dec 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 | E · Potential harm Pattern | Corrected Dec 22, 2025 |
| Dec 5, 2025 | 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 Dec 22, 2025 |
| Dec 5, 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 10, 2025 |
| Dec 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 | D · Potential harm Isolated | Corrected Dec 8, 2025 |
| Dec 5, 2025 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 18, 2025 |
| Dec 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 | Corrected Dec 8, 2025 |
| Dec 5, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 8, 2025 |
| Nov 21, 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 Nov 22, 2025 | Complaint |
| Nov 14, 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 | F · Potential harm Widespread | Corrected Nov 15, 2025 | Complaint |
| Nov 14, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Nov 15, 2025 | Complaint |
| Sep 12, 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 | Complaint |
| Sep 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 | Corrected Sep 26, 2025 | Complaint |
| Jan 12, 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 | D · Potential harm Isolated | Corrected Jan 13, 2025 | Complaint |
| Jan 12, 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 Jan 13, 2025 | Complaint |
| Jan 12, 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 Jan 13, 2025 | Complaint |
| Aug 30, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 30, 2024 |
| Aug 30, 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 | D · Potential harm Isolated | Corrected Sep 30, 2024 |
| Aug 30, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 30, 2024 |
| Aug 30, 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 Sep 30, 2024 |
| Aug 30, 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 Sep 30, 2024 |
| Aug 30, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 30, 2024 |
| Aug 30, 2024 | F-0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Sep 30, 2024 |
| Aug 30, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 30, 2024 |
| Aug 30, 2024 | 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 Sep 30, 2024 |
| Aug 9, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 13, 2024 | ComplaintInfection control |
| Aug 9, 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 Aug 13, 2024 | ComplaintInfection control |
| Apr 4, 2024 | F-0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Apr 5, 2024 | Complaint |
| Apr 4, 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 Apr 5, 2024 | Complaint |
| Apr 4, 2024 | 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 Apr 5, 2024 | Complaint |
| Oct 27, 2023 | 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 | Corrected Oct 28, 2023 | Complaint |
| Oct 27, 2023 | 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 Oct 28, 2023 | Complaint |
| Jun 16, 2023 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 13, 2023 |
| Jun 16, 2023 | 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 | D · Potential harm Isolated | Corrected Jul 13, 2023 |
| Jun 16, 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 Jul 13, 2023 |
| Jun 16, 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 Jun 16, 2023 |
| Jun 16, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 16, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.47 (case-mix index 1.41).
| May 1, 2026 |
| Justin Jones | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2026 |
| Fernando Martinez | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2026 |
| Soon Burnam | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 1, 2026 |
| Chad Keetch | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2011 |
| Clark Sanderson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 1, 2026 |
| Ensign Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2026 |
| Pearsall Road Health Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2026 |
| Redberry Canyon Healthcare LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 9, 2026 |
| Standard Bearer Healthcare Op, LP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2026 |
| The Ensign Group Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2026 |
| Justin Jones | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2026 |
| Fernando Martinez | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2026 |
| 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 |
| Jan 16, 2026 |
302 IJ1 open |
| $19k |
| Cedar Lake Nursing Center 1611 W Royall Blvd., Malakoff, TX 75148 CCN 675898 | 90 | Sep 10, 2025 | 14 | — |
| Rockdale Estates & Rehabilitation 1350 W Highway 79, Rockdale, TX 76567 CCN 676093 | 84 | Jun 3, 2026 | 201 harm | $8,018 |