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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D28 | E10 | F2 |
| Minimal | A· | B· | C3 |
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 19, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 4, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 9, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 13, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Aug 13, 2025 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Jan 10, 2025 | Health | Health Complaint | 4 | Immediate jeopardy | — | Open → |
| Oct 23, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 12, 2024 | Fire safety | Fire Safety Standard | 2 | Minimal | — | Open → |
| Jul 12, 2024 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Mar 22, 2024 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Feb 9, 2024 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Jan 19, 2024 | Health | Health Complaint, Infection Control | 4 | Immediate jeopardy | — | Open → |
| Jan 5, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 4, 2023 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Oct 18, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 19, 2023 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| May 19, 2023 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jan 10, 2025 | Civil money penalty (fine) | $36,553 | — | 676331|Fine|113508 |
| Feb 9, 2024 | Civil money penalty (fine) | $22,382 | — | 676331|Fine|112384 |
| Dec 4, 2023 | Civil money penalty (fine) | $7,596 | — | 676331|Fine|112170 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D28 | E10 | F2 |
| Minimal | A· | B· | C3 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 19, 2026 | 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 Sep 11, 2026 | Complaint |
| Aug 19, 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 Sep 11, 2026 |
“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% | Nov 1, 2019 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Guadalupe County Hospital Board | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 1, 2019 |
| Shane Brady | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Dec 1, 2019 |
| Laura Givens | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Nov 1, 2020 |
| Canary Bend 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 |
|---|---|---|---|---|---|---|
| Legend Oaks Healthcare and Rehabilitation Center - 2003 W Hutchins Place, San Antonio, TX 78224 CCN 676113 | 2.9 km | 126 | May 15, 2026 | 37 | — | |
| Avir at San Antonio 50 Briggs Ave., San Antonio, TX 78224 CCN 455713 | 4 km | 119 | May 8, 2026 | 512 IJ1 harm | $29k | |
| San Jose Nursing Center 406 Sharmain Pl, San Antonio, TX 78221 CCN 45E312 | 5 km | 54 | Jun 26, 2026 | 50 | — | |
| Harbor Valley Health and Rehabilitation 6211 Old Pearsall Rd, San Antonio, TX 78242 CCN 676478 | 7.7 km | 120 | Jan 21, 2026 | 432 IJ | $19k | |
| Windsor Mission Oaks 3030 S Roosevelt Ave, San Antonio, TX 78214 CCN 675409 | 8.1 km | 150 | Jun 12, 2026 | 521 IJ | $11k | |
| The Rio at Mission Trails 6211 S New Braunfels Avenue, San Antonio, TX 78223 CCN 676297 | 9.7 km | 124 | Aug 4, 2026 | 423 IJ | $154k | |
| San Antonio West Nursing and Rehabilitation 636 Cupples Rd, San Antonio, TX 78237 CCN 675002SFF Candidate | 9.8 km | 135 | Aug 30, 2026 | 946 IJ1 harm | $365k | |
| Highland Nursing Center 5819 Pecan Valley Dr, San Antonio, TX 78223 CCN 45E341 | 11.7 km | 51 | Mar 27, 2026 | 601 IJ | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676331 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676331 | 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
| Jun 4, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 19, 2026 | Complaint |
| Feb 9, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 4, 2026 | Complaint |
| Aug 13, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 8, 2025 |
| Aug 13, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 8, 2025 |
| Aug 13, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 8, 2025 |
| Aug 13, 2025 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 8, 2025 |
| Aug 13, 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 Sep 8, 2025 |
| Aug 13, 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 Sep 8, 2025 |
| Aug 13, 2025 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Sep 8, 2025 |
| Aug 13, 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 | E · Potential harm Pattern | Corrected Sep 8, 2025 |
| Aug 13, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 8, 2025 |
| Jan 10, 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 Jan 31, 2025 | Complaint |
| Jan 10, 2025 | 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 Jan 31, 2025 | Complaint |
| Jan 10, 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 Jan 31, 2025 | Complaint |
| Jan 10, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 31, 2025 | Complaint |
| Oct 23, 2024 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 14, 2024 | Complaint |
| Jul 12, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 5, 2024 |
| Jul 12, 2024 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 5, 2024 |
| Jul 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 Aug 5, 2024 |
| Jul 12, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 5, 2024 |
| Jul 12, 2024 | 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 Aug 5, 2024 |
| Jul 12, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 5, 2024 |
| Jul 12, 2024 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Aug 16, 2024 |
| Jul 12, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Aug 16, 2024 |
| Mar 22, 2024 | 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 Mar 25, 2024 | Complaint |
| Mar 22, 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 Mar 25, 2024 | Complaint |
| Mar 22, 2024 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Mar 25, 2024 | Complaint |
| Mar 22, 2024 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | C · Minimal Widespread | Corrected Mar 25, 2024 | Complaint |
| Feb 9, 2024 | F-0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Feb 10, 2024 | Complaint |
| Jan 19, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | J · Immediate jeopardy Isolated | Corrected Jan 20, 2024 | ComplaintInfection control |
| Jan 19, 2024 | F-0567 | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 20, 2024 | ComplaintInfection control |
| Jan 19, 2024 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jan 20, 2024 | Complaint |
| Jan 19, 2024 | 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 20, 2024 | Complaint |
| Jan 5, 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 Jan 9, 2024 | Complaint |
| Dec 4, 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 Dec 7, 2023 | Complaint |
| Dec 4, 2023 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Dec 7, 2023 | Complaint |
| Dec 4, 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 Dec 7, 2023 | Complaint |
| Oct 18, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Oct 23, 2023 | Complaint |
| May 19, 2023 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 30, 2023 |
| May 19, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 30, 2023 |
| May 19, 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 Jun 30, 2023 |
| May 19, 2023 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 30, 2023 |
| May 19, 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 30, 2023 |
| May 19, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 30, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.19 (case-mix index 1.45).
| Nov 1, 2019 |
| Shane Brady | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2019 |
| Laura Givens | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2020 |
| Soon Burnam | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 1, 2019 |
| Kody Gann | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 1, 2021 |
| Chad Keetch | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2011 |
| Canary Bend Healthcare, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 3, 2025 |
| Ensign Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 19, 2019 |
| Padua Health Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2019 |
| Standard Bearer Healthcare Op, LP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2019 |
| The Ensign Group Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2019 |
| Shane Brady | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 1, 2019 |
| Laura Givens | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 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 |
| Hays Nursing and Rehabilitation Center 1900 Medical Parkway, San Marcos, TX 78666 CCN 455960 | 116 | Mar 5, 2026 | 312 IJ | $8,226 |
| Parklane West Healthcare Center 2 Towers Park Lane, San Antonio, TX 78209 CCN 675509 | 124 | Jul 17, 2026 | 91 | — |
| 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 |