| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D4 | E3 | F1 |
| Minimal | A· | B· | C1 |
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 17, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jul 12, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 27, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 29, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 23, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Dec 23, 2025 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D4 | E3 | F1 |
| Minimal | A· | B· | C1 |
“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.
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: — (case-mix index 1.30).
CMS legal business name of the certified provider. Operates 38 facilities.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Jesse Watt | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Oct 15, 2025 |
| Vitals Health Ventures LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2025 |
| Steven Robinson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2025 |
| Adam Apolinar | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2025 |
| Janie Fsh LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Axel Martinez Irizarry | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Steven Robinson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Raymond Watt | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| 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 | 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 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Avir at San Angelo 5455 Knickerbocker Rd, San Angelo, TX 76904 CCN 676100Abuse icon | 2.5 km | 125 | Aug 22, 2026 | 452 IJ2 harm | $118k | |
| Avir at Meadow Creek 4343 Oak Grove Blvd, San Angelo, TX 76904 CCN 676031 | 3.9 km | 80 | Jun 11, 2026 | 256 IJ1 harm | $136k | |
| Regency House 3745 Summer Crest Dr., San Angelo, TX 76901 CCN 675767 | 5.8 km | 120 | Jan 28, 2026 | 22 | — | |
| Avir at Arbor Terrace 609 Rio Concho Dr, San Angelo, TX 76903 CCN 675932 | 6.3 km | 126 | Apr 30, 2026 | 513 IJ | $122k | |
| Cedar Manor Nursing and Rehabilitation Center 1915 Greenwood Street, San Angelo, TX 76901 CCN 676068 | 6.5 km | 166 | Mar 5, 2026 | 29 | — | |
| Park Plaza Nursing and Rehabilitation Center 2210 N Howard St, San Angelo, TX 76901 CCN 675982 | 6.5 km | 90 | May 14, 2026 | 26 | — | |
| Sagecrest Alzheimers Care Center 438 E. Houston Harte Expressway, San Angelo, TX 76903 CCN 676091 | 7.6 km | 72 | Dec 11, 2025 | 13 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 745060 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 745060 | 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