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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D14 | E14 | 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 | |
|---|---|---|---|---|---|---|
| Mar 5, 2026 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Mar 5, 2026 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Jan 16, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jan 16, 2025 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Jul 9, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 2, 2024 | Health | Health Complaint | 3 | Immediate jeopardy | — | Open → |
| Feb 28, 2024 | Health | Infection Control | 0 | No citations | — | Open → |
| Dec 14, 2023 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Dec 14, 2023 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Nov 20, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| May 2, 2024 | Civil money penalty (fine) | $8,226 | — | 455960|Fine|112815 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D14 | E14 | F1 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Mar 5, 2026 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 31, 2026 | |
| Mar 5, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 10, 2026 | |
| Mar 5, 2026 | K-0355 |
“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 27 facilities.
347 facilities in 17 states. CMS chain ID 507.
Chain average overall rating (CMS): 3.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Guadalupe County Hospital Board | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Dec 1, 2020 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Guadalupe County Hospital Board | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Dec 1, 2020 |
| James Chudleigh | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Feb 1, 2024 |
| Nelson Phelps | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Dec 1, 2020 |
| Willow Springs Creek Healthcare, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Morningside Manor 602 Babcock Rd, San Antonio, TX 78201 CCN 455523 | 147 | Apr 11, 2026 | 37 | $5,000 | |
| Eden Home 631 Lakeview Blvd, New Braunfels, TX 78130 CCN 455618 | 122 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Richland Hills Rehabilitation and Healthcare Cente 3109 Kings Ct, Fort Worth, TX 76118 CCN 455576 | 92 | May 28, 2026 | 401 harm | $8,190 | |
| Grand Terrace Rehabilitation and Healthcare 812 W. Houston Ave., Mcallen, TX 78501 CCN 455586 | 93 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Cypress Healthcare and Rehabilitation Center 1351 Sadler, San Marcos, TX 78666 CCN 676226 | 0.9 km | 174 | Jun 25, 2026 | 474 IJ1 harm | $192k | |
| San Marcos Rehabilitation and Healthcare Center 1600 N I H 35, San Marcos, TX 78666 CCN 675651 | 3.1 km | 129 | Dec 30, 2025 | 252 IJ1 harm | $34k | |
| Legend Oaks Healthcare and Rehabilitation - New Br 2468 Fm 1101, New Braunfels, TX 78130 CCN 676392 | 18.6 km | 126 | May 20, 2026 | 42 | — | |
| Sundance Inn Health Center 2034 Sundance Parkway, New Braunfels, TX 78130 CCN 676472 | 19.7 km | 128 | Aug 21, 2026 | 422 IJ | $6,364 | |
| Avir at New Braunfels 821 US Hwy 81 W, New Braunfels, TX 78130 CCN 455020Abuse icon | 19.9 km | 154 | Jul 10, 2026 | 755 IJ | $158k | |
| Deer Creek Nursing and Rehabilitation 555 Ranch Rd 3237, Wimberley, TX 78676 CCN 455917 | 21.1 km | 122 | Aug 20, 2026 | 544 IJ1 harm | $50k | |
| Eden Home 631 Lakeview Blvd, New Braunfels, TX 78130 CCN 455618 | 22.9 km | 122 | May 1, 2026 | 432 IJ | $45k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 455960 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 455960 | 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
| Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Mar 18, 2026 |
| Mar 5, 2026 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 3, 2026 |
| Mar 5, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 28, 2026 |
| Mar 5, 2026 | 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 Mar 20, 2026 |
| Mar 5, 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 | E · Potential harm Pattern | Corrected Mar 22, 2026 |
| Mar 5, 2026 | F-0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Mar 28, 2026 |
| Mar 5, 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 Mar 28, 2026 |
| Mar 5, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 27, 2026 |
| Jan 16, 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 | E · Potential harm Pattern | Corrected Jan 23, 2025 |
| Jan 16, 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 Jan 31, 2025 |
| Jan 16, 2025 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 23, 2025 |
| Jan 16, 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 | E · Potential harm Pattern | Corrected Jan 17, 2025 |
| Jan 16, 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 | E · Potential harm Pattern | Corrected Jan 31, 2025 |
| Jan 16, 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 Jan 17, 2025 |
| Jul 9, 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 16, 2024 | Complaint |
| Jul 9, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 16, 2024 | Complaint |
| May 2, 2024 | 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 May 3, 2024 | Complaint |
| May 2, 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 | J · Immediate jeopardy Isolated | Corrected May 3, 2024 | Complaint |
| May 2, 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 May 3, 2024 | Complaint |
| Dec 14, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 11, 2024 |
| Dec 14, 2023 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 19, 2024 |
| Dec 14, 2023 | 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 Jan 5, 2024 |
| Dec 14, 2023 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 11, 2024 |
| Dec 14, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 18, 2024 |
| Dec 14, 2023 | 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 | E · Potential harm Pattern | Corrected Dec 15, 2023 |
| Dec 14, 2023 | 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 Jan 18, 2024 |
| Dec 14, 2023 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 21, 2023 |
| Dec 14, 2023 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 19, 2024 |
| Nov 20, 2023 | 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 Nov 27, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.57 (case-mix index 1.28).
| Dec 1, 2020 |
| James Chudleigh | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2024 |
| Nelson Phelps | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2020 |
| Soon Burnam | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 1, 2020 |
| Kody Gann | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 3, 2021 |
| Chad Keetch | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2011 |
| Ensign Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 13, 2020 |
| San Marcos Tx Propco LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 1, 2020 |
| Willow Springs Creek Healthcare, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 25, 2025 |
| James Chudleigh | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2024 |
| Nelson Phelps | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 1, 2020 |
| May 1, 2026 |
432 IJ |
| $45k |
| Avir at Bay City 700 12th St, Bay City, TX 77414 CCN 455643 | 120 | Feb 26, 2026 | 341 IJ | $14k |
| Avir at Longview 301 Hollybrook Dr., Longview, TX 75605 CCN 455678 | 115 | Aug 13, 2026 | 654 IJ3 harm | $263k |
| Arbor View Nursing & Rehabilitation 1213 Water St, Kerrville, TX 78028 CCN 455724 | 179 | Sep 4, 2026 | 1095 IJ1 harm22 open | $155k |
| Northeast Rehabilitation and Healthcare Center 603 Corinne Drive, San Antonio, TX 78218 CCN 455754 | 120 | Jul 9, 2026 | 651 IJ1 harm | $16k |
| Parklane West Healthcare Center 2 Towers Park Lane, San Antonio, TX 78209 CCN 675509 | 124 | Jul 17, 2026 | 91 | — |
| Avir at Seguin 1215 Ashby, Seguin, TX 78155 CCN 675641Abuse icon | 134 | Jul 22, 2026 | 632 IJ1 harm | $14k |
| Jun 17, 2026 |
16 |
| — |
| Alta Vista Rehabilitation and Healthcare 510 Paredes Line Rd, Brownsville, TX 78521 CCN 455625 | 100 | May 1, 2026 | 281 IJ | — |
| Wellington Rehabilitation and Healthcare 1802 S 31st, Temple, TX 76504 CCN 455637 | 124 | Aug 6, 2026 | 404 IJ | $32k |
| Golden Palms Rehabilitation and Retirement 2101 Treasure Hills Boulevard, Harlingen, TX 78550 CCN 455672 | 60 | May 13, 2026 | 271 IJ1 harm | $16k |
| Park Village Healthcare and Rehabilitation 207 E Parkerville Rd, Desoto, TX 75115 CCN 455727Abuse icon | 150 | Aug 25, 2026 | 636 IJ2 harm2 open | $221k |
| Kirkwood Manor 2590 Loop 337 N, New Braunfels, TX 78130 CCN 455732 | 162 | Jun 17, 2026 | 691 IJ | $29k |
| Timberwood Nursing and Rehabilitation Center 4001 Hwy 59 North, Livingston, TX 77351 CCN 455745 | 120 | Jan 14, 2026 | 181 IJ | $8,021 |