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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K6 | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D18 | E16 | 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 | |
|---|---|---|---|---|---|---|
| Aug 28, 2026 | Health | Health Complaint | 2 | Potential harm | 2 | Open → |
| Jun 11, 2026 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jun 11, 2026 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Jan 14, 2026 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Nov 21, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Oct 27, 2025 | Health | Health Complaint | 10 | Immediate jeopardy | — | Open → |
| Jul 11, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Apr 9, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Apr 9, 2025 | Health | Health Complaint, Health Standard | 8 | Potential harm | — | Open → |
| Apr 1, 2025 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Mar 13, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 27, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 14, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 7, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Feb 7, 2024 | Health | Health Standard | 0 | No citations | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jan 14, 2026 | Civil money penalty (fine) | $14,722 | — | 455682|Fine|136735 |
| Oct 27, 2025 | Civil money penalty (fine) | $46,587 | — | 455682|Fine|135798 |
| Jul 11, 2025 | Civil money penalty (fine) | $10,529 | — | 455682|Fine|134705 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K6 | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D18 | E16 | F2 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 28, 2026 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | No plan of correction | Complaint |
| Aug 28, 2026 | 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” 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 77 facilities.
150 facilities in 1 states. CMS chain ID 169.
Chain average overall rating (CMS): 2.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Diversicare Afton Oaks, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2024 |
| Journey Medical PLLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 20, 2025 |
| Winnie-Stowell Hospital District | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2024 |
| Rebecca Bodie | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2024 |
| Chandra Garrett | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2024 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Copperas Cove Nursing & Rehabilitation 607 W. Ave. B, Copperas Cove, TX 76522 CCN 455515 | 123 | Aug 19, 2026 | 472 IJ | $24k | |
| Beaumont Health Care Center 795 Lindbergh Dr, Beaumont, TX 77707 CCN 455561 |
| 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 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Avir at Courtyard 7499 Stanwick Dr, Houston, TX 77087 CCN 455613 | 1.2 km | 120 | Jul 18, 2026 | 271 IJ | — | |
| Avir at Golfcrest 7633 Bellfort Street, Houston, TX 77061 CCN 675791 | 1.8 km | 200 | Jul 3, 2026 | 466 IJ | $34k | |
| Golfcrest Nursing and Rehabilitation 6150 S Loop East, Houston, TX 77087 CCN 675233 | 2.5 km | 120 | Jul 14, 2026 | 354 IJ2 harm1 open | $50k | |
| Paradigm at Faith Memorial 811 Garner Rd, Pasadena, TX 77502 CCN 675321 | 8.8 km | 112 | Apr 23, 2026 | 322 IJ | $19k | |
| St Dominic Village Rehabilitation and Nursing Cent 2409 E Holcombe Blvd, Houston, TX 77021 CCN 676170Abuse icon | 8.9 km | 158 | Aug 11, 2026 | 191 harm1 open | $42k | |
| Garden Terrace Healthcare Center of Houston 7887 Cambridge St, Houston, TX 77054 CCN 675671 | 9.7 km | 120 | Jul 21, 2026 | 302 IJ2 harm | $87k | |
| Richard a. Anderson (State of Texas Veterans Land 14041 Cottingham Road, Houston, TX 77048 CCN 676479 | 10.1 km | 120 | Aug 12, 2026 | 211 IJ | $15k | |
| Jacinto Nursing and Rehabilitation Center 1405 Holland Ave, Houston, TX 77029 CCN 675231Abuse icon | 10.5 km | 148 | Aug 31, 2026 | 533 IJ1 harm2 open | $12k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 455682 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 455682 | 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
| Complaint |
| Jun 11, 2026 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 12, 2026 |
| Jun 11, 2026 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 12, 2026 |
| Jun 11, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 12, 2026 |
| Jun 11, 2026 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 12, 2026 |
| Jun 11, 2026 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 12, 2026 |
| Jun 11, 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 | E · Potential harm Pattern | Corrected Jun 12, 2026 |
| Jun 11, 2026 | 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 Jun 12, 2026 |
| Jun 11, 2026 | F-0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 15, 2026 |
| Jun 11, 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 | E · Potential harm Pattern | Corrected Jun 12, 2026 |
| Jun 11, 2026 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jun 12, 2026 |
| Jun 11, 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 Jun 12, 2026 |
| Jun 11, 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 | E · Potential harm Pattern | Corrected Jun 12, 2026 |
| Jan 14, 2026 | 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 | G · Actual harm Isolated | Past non-compliance | Complaint |
| Nov 21, 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 | J · Immediate jeopardy Isolated | Corrected Nov 22, 2025 | Complaint |
| Oct 27, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | K · Immediate jeopardy Pattern | Corrected Oct 28, 2025 | Complaint |
| Oct 27, 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 | K · Immediate jeopardy Pattern | Corrected Oct 28, 2025 | Complaint |
| Oct 27, 2025 | 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 Oct 28, 2025 | Complaint |
| Oct 27, 2025 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Corrected Oct 28, 2025 | Complaint |
| Oct 27, 2025 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Corrected Oct 28, 2025 | Complaint |
| Oct 27, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | K · Immediate jeopardy Pattern | Corrected Oct 28, 2025 | Complaint |
| Oct 27, 2025 | F-0551 | Give the resident's representative the ability to exercise the resident's rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 28, 2025 | Complaint |
| Oct 27, 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 | E · Potential harm Pattern | Corrected Oct 28, 2025 | Complaint |
| Oct 27, 2025 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 28, 2025 | Complaint |
| Oct 27, 2025 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 28, 2025 | Complaint |
| Jul 11, 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 | J · Immediate jeopardy Isolated | Past non-compliance | Complaint |
| Apr 9, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 30, 2025 |
| Apr 9, 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 May 9, 2025 |
| Apr 9, 2025 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 9, 2025 | Complaint |
| Apr 9, 2025 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 9, 2025 |
| Apr 9, 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 May 9, 2025 |
| Apr 9, 2025 | 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 May 9, 2025 |
| Apr 9, 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 May 9, 2025 |
| Apr 9, 2025 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 9, 2025 | Complaint |
| Apr 9, 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 May 9, 2025 |
| Apr 1, 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 | G · Actual harm Isolated | Corrected Apr 7, 2025 | Complaint |
| Apr 1, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 7, 2025 | Complaint |
| Apr 1, 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 | E · Potential harm Pattern | Corrected Apr 7, 2025 | Complaint |
| Mar 13, 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 Apr 7, 2025 | Complaint |
| Mar 13, 2025 | 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 Apr 7, 2025 | Complaint |
| Nov 27, 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 | D · Potential harm Isolated | Corrected Dec 6, 2024 | Complaint |
| Nov 27, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 6, 2024 | Complaint |
| Nov 14, 2024 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 4, 2024 | Complaint |
| Feb 7, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 23, 2024 |
| Feb 7, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 23, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.31 (case-mix index 1.41).
| Peter Jian |
| Individual |
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Jan 20, 2025 |
| Stephen Nee | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2024 |
| Matthew Weishaar | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2024 |
| Edward Murrell | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 1, 2024 |
| Jeffery Rollo | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 1, 2024 |
| Anthony Stramecki | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 1, 2024 |
| Kacey Vratis | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 1, 2024 |
| George Way | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 1, 2024 |
| Chandra Garrett | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 29, 2025 |
| Peter Jian | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 29, 2025 |
| 82 |
| Jul 8, 2026 |
24 |
| — |
| Avir at Town Creek 1816 Tile Factory Rd, Palestine, TX 75801 CCN 455565 | 102 | Feb 18, 2026 | 302 harm | $49k |
| Marshall Manor Nursing & Rehabilitation Center 1007 S Washington Ave, Marshall, TX 75670 CCN 455646 | 179 | Jul 29, 2026 | 31 | — |
| Willowbrook Nursing Center 227 Russell Blvd, Nacogdoches, TX 75965 CCN 455700 | 166 | Jul 9, 2025 | 271 IJ | $153k |
| Monument Hill Nursing and Rehabilitation Center 120 State Loop 92, La Grange, TX 78945 CCN 455715 | 104 | Aug 6, 2026 | 311 IJ | $8,281 |
| Oak Brook Health Care Center 107 Stacy Dr., Whitehouse, TX 75791 CCN 455753 | 120 | Jun 17, 2026 | 24 | — |
| Spindletop Hill Nursing and Rehabilitation Center 1020 S 23rd St, Beaumont, TX 77707 CCN 455757 | 148 | Aug 5, 2026 | 443 IJ | $83k |
| $198k |
| Mesa Vista Inn Health Center 5756 North Knoll Drive, San Antonio, TX 78240 CCN 455444 | 144 | Jul 2, 2026 | 531 IJ | $8,160 |
| Mountain View Health & Rehabilitation 1600 Muchison Rd, El Paso, TX 79902 CCN 455471 | 187 | Jul 2, 2026 | 836 IJ | $123k |
| Vista Hills Health Care Center 1599 Lomaland Drive, El Paso, TX 79935 CCN 455493 | 120 | Aug 24, 2026 | 832 IJ | $40k |
| Pleasant Springs Healthcare Center 2003 North Edwards Avenue, Mount Pleasant, TX 75455 CCN 455532SFF CandidateAbuse icon | 90 | Aug 7, 2026 | 774 IJ2 harm | $66k |
| Amistad Nursing and Rehabilitation Center 200 Riverside Drive, Uvalde, TX 78801 CCN 455536 | 200 | Aug 7, 2026 | 44 | — |
| Heritage at Longview Healthcare Center 112 Ruthlynn Dr, Longview, TX 75605 CCN 455569 | 140 | Apr 28, 2026 | 401 IJ1 harm1 open | $82k |
| Mineral Wells Nursing & Rehabilitation 316 Southwest 25th Avenue, Mineral Wells, TX 76067 CCN 455570 | 109 | Jun 24, 2026 | 19 | — |