| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D25 | E2 | F2 |
| 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 13, 2026 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jan 13, 2026 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Dec 8, 2025 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Oct 17, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Oct 17, 2024 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Sep 26, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 18, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jun 12, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 3, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 21, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jul 21, 2023 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D25 | E2 | F2 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jan 13, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 15, 2026 | |
| Jan 13, 2026 | 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 Jan 15, 2026 | |
| Jan 13, 2026 | F-0695 |
“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 35 facilities.
67 facilities in 1 states. CMS chain ID 670.
Chain average overall rating (CMS): 2.8
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Oakbend Medical Center | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 1, 2023 |
| Regency Ihs Rgc LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Csv Rhea Management Holdco, LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Dwd Tx Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Jack and Nancy Dwyer Workforce Development Center Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Reg Bridge Opco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Reg Hg Opco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Reg Operator Holdco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Regency Integrated Health Services LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Regency Texas Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Oakbend Medical Center | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 1, 2023 |
| Regency Ihs Rgc LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Csv Rhea Management Holdco, LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Dwd Tx Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Paradigm at Stevens 204 Walter St, Yoakum, TX 77995 CCN 455544 | 106 | May 15, 2026 | 541 open | — | |
| Paradigm at Bay City 1800 13th St, Bay City, TX 77414 CCN 455582 | 105 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Laredo West Nursing and Rehabilitation Center 1200 E Lane St, Laredo, TX 78043 CCN 455528 | 188 | Jul 28, 2026 | 583 IJ | $50k | |
| Windsor Nursing and Rehabilitation Center of Morga 2322 Morgan Ave, Corpus Christi, TX 78405 CCN 455575Abuse icon |
Coordinates as published by CMS (geocoding footnote 22).
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Rio Grande City Nursing and Rehabilitation Center 2530 Central Palm Dr, Rio Grande City, TX 78582 CCN 676119 | 17.2 km | 110 | Jun 11, 2026 | 181 harm | $14k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676495 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676495 | 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
| Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care |
| D · Potential harm Isolated |
| Corrected Jan 15, 2026 |
| Jan 13, 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 Jan 15, 2026 |
| Jan 13, 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 Jan 15, 2026 |
| Jan 13, 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 Jan 15, 2026 |
| Dec 8, 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 | Corrected Dec 9, 2025 | Complaint |
| Dec 8, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Dec 9, 2025 | Complaint |
| Dec 8, 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 Dec 9, 2025 | Complaint |
| Dec 8, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 9, 2025 | Complaint |
| Oct 17, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 25, 2024 |
| Oct 17, 2024 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 25, 2024 |
| Oct 17, 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 | D · Potential harm Isolated | Corrected Oct 25, 2024 |
| Oct 17, 2024 | 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 Oct 25, 2024 |
| Oct 17, 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 Oct 25, 2024 |
| Oct 17, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 25, 2024 |
| Sep 26, 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 Oct 4, 2024 | Complaint |
| Sep 26, 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 Oct 4, 2024 | Complaint |
| Jul 18, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 19, 2024 | Complaint |
| Jul 18, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 9, 2024 | Complaint |
| Jul 18, 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 Jul 19, 2024 | Complaint |
| Jun 12, 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 Jun 19, 2024 | Complaint |
| Jun 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 | D · Potential harm Isolated | Corrected Jun 19, 2024 | Complaint |
| Apr 3, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 12, 2024 | Complaint |
| Apr 3, 2024 | 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 Apr 12, 2024 | Complaint |
| Jul 21, 2023 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 25, 2023 |
| Jul 21, 2023 | 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 Jul 22, 2023 |
| Jul 21, 2023 | 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 22, 2023 |
| Jul 21, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 22, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.33 (case-mix index 1.73).
| Mar 1, 2023 |
| Jack and Nancy Dwyer Workforce Development Center Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Reg Bridge Opco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Reg Hg Opco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Reg Operator Holdco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Regency Integrated Health Services LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Regency Texas Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Daniel Baird | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Apr 13, 2021 |
| Barbara Clapp | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2021 |
| Daren Cortese | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 10, 2021 |
| Tom Crayton | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 15, 2013 |
| John Dorman | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 18, 2022 |
| Joseph Freudenberger | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 19, 2007 |
| Patricia Gibson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 1, 2021 |
| Jeff Haley | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 15, 2016 |
| Abby King | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 23, 2018 |
| Elizabeth King | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 17, 2023 |
| Elliot Mandelbaum | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2025 |
| Adam Pisani | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 15, 2019 |
| Amirali Popatia | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Mar 17, 2020 |
| Julius Stuart | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 16, 2023 |
| Edward Uthman | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 15, 2008 |
| Oakbend Medical Center | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2023 |
| Regency Ihs Rgc LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2023 |
| Regency Integrated Health Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2023 |
| Donovan Dekowski | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2023 |
| Michellle Flores | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 17, 2023 |
| Joseph Freudenberger | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 19, 2007 |
| Oakbend Medical Center | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 29, 2025 |
| Regency Ihs Rehab LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2023 |
| Regency Ihs Rgc LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 29, 2025 |
| Regency Integrated Health Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 29, 2025 |
| Starr County SNF Project LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2022 |
| Donovan Dekowski | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2023 |
| Michellle Flores | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 17, 2023 |
| Maria Robles | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Myrna Rosa | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Mario Vasquez Aguilar | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Jul 23, 2026 |
41 |
| — |
| Paradigm at Kountze 604 Fm 1293, Kountze, TX 77625 CCN 455594 | 60 | Aug 13, 2025 | 302 IJ1 open | $17k |
| Paradigm at the Creek 1405 Valhalla Dr, Wharton, TX 77488 CCN 455699Abuse icon | 120 | Aug 18, 2026 | 615 IJ3 harm | $75k |
| Paradigm Northwest 17600 Cali Dr, Houston, TX 77090 CCN 455714 | 148 | Aug 5, 2026 | 405 IJ | $51k |
| Oakbend Medical Center 1705 Jackson Street, Rosenberg, TX 77469 CCN 455770 | 36 | Jun 17, 2026 | 13 | $12k |
| The Lev at Town Park 8820 Town Park Dr, Houston, TX 77036 CCN 455800 | 180 | Nov 17, 2025 | 342 IJ1 harm | $31k |
| Paradigm at First Colony 4710 Lexington Blvd, Missouri City, TX 77459 CCN 455812 | 150 | Jul 24, 2026 | 493 IJ | $65k |
| 176 |
| Jul 16, 2026 |
371 IJ4 harm |
| $19k |
| Heritage Park Rehabilitation and Skilled Nursing C 2806 Real St, Austin, TX 78722 CCN 455599 | 197 | Feb 20, 2026 | 523 IJ2 harm1 open | $56k |
| Windsor Nursing and Rehabilitation Center of Mcall 900 S 12th St, Mcallen, TX 78501 CCN 455662 | 110 | Dec 3, 2025 | 211 harm | $24k |
| Longview Hill Nursing and Rehabilitation Center 3201 N Fourth St, Longview, TX 75605 CCN 455684 | 198 | Mar 18, 2026 | 683 IJ1 harm | $225k |
| Monument Hill Nursing and Rehabilitation Center 120 State Loop 92, La Grange, TX 78945 CCN 455715 | 104 | Aug 6, 2026 | 311 IJ | $8,281 |
| Spindletop Hill Nursing and Rehabilitation Center 1020 S 23rd St, Beaumont, TX 77707 CCN 455757 | 148 | Aug 5, 2026 | 443 IJ | $83k |
| Town and Country Nursing and Rehabilitation Center 625 N Main St, Boerne, TX 78006 CCN 455796 | 126 | Jul 31, 2026 | 763 IJ | $151k |