Staffing
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.36 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
State regulatory evidence
Texas Health and Human Services Commission is the state source for this license record. It does not replace CMS federal certification, ratings, or certified-bed counts.
Texas Health and Human Services Commission
State regulatory data · checked Aug 2026
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.36 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on May 13, 2026 cited 9 deficiencies.
View inspection evidenceCMS-published records list 59 ownership or control parties.
View ownership evidenceCMS groups this facility with a chain covering 68 facilities across 1 states or territories.
View chain evidenceCMS records show a $14,508 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
39 currently connected nursing homes share this CMS organization identity with UVALDE COUNTY HOSPITAL AUTHORITY.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: May 16, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: May 19, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: May 19, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 16, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · CORPORATE OFFICER
Association date reported to CMS: Jul 13, 2025
Individual · CORPORATE OFFICER
Association date reported to CMS: Apr 29, 2019
Individual · CORPORATE OFFICER
Association date reported to CMS: Jan 13, 2016
Individual · CORPORATE OFFICER
Association date reported to CMS: Mar 31, 2017
Individual · CORPORATE OFFICER
Association date reported to CMS: Feb 28, 2006
Individual · CORPORATE OFFICER
Association date reported to CMS: Mar 27, 2001
Individual · CORPORATE OFFICER
Association date reported to CMS: Jan 13, 2016
Individual · CORPORATE OFFICER
Association date reported to CMS: Feb 27, 1973
Individual · CORPORATE OFFICER
Association date reported to CMS: Dec 30, 1980
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2025
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Oct 1, 2018
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2025
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: May 16, 2025
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2025
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Apr 13, 2021
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: May 16, 2024
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 1, 2021
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 10, 2021
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 1, 2021
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: May 16, 2024
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 10, 2021
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2025
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2018
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 16, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 38 across TX.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 670 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 68 | 2.6 | 1.6 |
| Mon Jun | 68 | 2.6 | 1.4 |
| Fri May | 68 | 2.6 | 1.4 |
| Wed Apr | 69 | 2.7 | 1.4 |
| Sun Mar | 67 | 2.8 | 1.6 |
| Sun Feb | 67 | 2.9 | 1.6 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 23, 2026)
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 23, 2026)
Keep residents' personal and medical records private and confidential.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 23, 2026)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 23, 2026)
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 23, 2026)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 23, 2026)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 23, 2026)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 23, 2026)
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 23, 2026)
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 12, 2026)
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 12, 2026)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 10, 2025)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 10, 2025)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 10, 2025)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 11, 2025)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 11, 2025)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 11, 2025)
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 11, 2025)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 11, 2025)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 17, 2025)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Past Non-Compliance (Nov 22, 2024)
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 3, 2025)
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 31, 2025)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 7, 2025)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 16, 2024)
Provide appropriate foot care.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 16, 2024)
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 31, 2024)
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 15, 2024)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 29, 2023)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 29, 2023)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 29, 2023)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 9, 2023)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 9, 2023)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 15, 2023)
Penalties & enforcement
Published fine amount: $14,508.00
Published fine amount: $10,361.00
Published fine amount: $7,596.00
Published fine amount: $30,664.00
Questions to ask
Facility history
18 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
9 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
CMS recorded a $14,508 civil monetary penalty.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
5 deficiencies were recorded.
CMS · Recorded event date · View related evidence
4 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
CMS recorded a $10,361 civil monetary penalty.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 1 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.414 | 2.844 |
| RN categories | 0.377 | 0.319 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.043 lower than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.122 | 0.455 | 0.758 | 1.645 | 0% | 91 |
| 2025Q3 | 3.275 | 0.419 | 0.77 | 1.801 | 0% | 92 |
| 2025Q4 | 3.179 | 0.403 | 0.775 | 1.736 | 0% | 92 |
| 2026Q1 | 3.249 | 0.36 | 0.856 | 1.798 | 0% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.