Staffing
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.46 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 0.46 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Apr 30, 2025 cited 6 deficiencies.
View inspection evidenceCMS-published records list 23 ownership or control parties.
View ownership evidenceCMS groups this facility with a chain covering 6 facilities across 1 states or territories.
View chain evidenceCMS records show a $36,875 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:
24 currently connected nursing homes share this CMS organization identity with FRIO HOSPITAL DISTRICT.
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 · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Dec 15, 2024
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · 5% OR GREATER MORTGAGE INTEREST
Association date reported to CMS: Dec 15, 2024
Organization · 5% OR GREATER MORTGAGE INTEREST
Association date reported to CMS: Dec 15, 2024
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · 5% OR GREATER MORTGAGE INTEREST
Association date reported to CMS: Dec 15, 2024
Organization · 5% OR GREATER MORTGAGE INTEREST
Association date reported to CMS: Dec 15, 2024
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · 5% OR GREATER MORTGAGE INTEREST
Association date reported to CMS: Dec 15, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 15, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 19, 2024
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 15, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 19, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 19, 2024
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 19, 2024
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 19, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Dec 15, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 15, 2024
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 15, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 19, 2024
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 15, 2024
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 15, 2024
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 19, 2024
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 23 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 740 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 6 | 2 | 1.8 |
| Mon Jun | 6 | 2 | 1.4 |
| Fri May | 6 | 2 | 1.4 |
| Wed Apr | 6 | 1.8 | 1.4 |
| Sun Mar | 6 | 1.8 | 1.4 |
| Sun Feb | 6 | 1.6 | 1.4 |
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.
Assure that each resident’s assessment is updated at least once every 3 months.
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 2, 2025)
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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 1, 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 (May 1, 2025)
Provide safe and appropriate respiratory care for a resident when needed.
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 1, 2025)
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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 1, 2025)
Ensure that residents are free from significant medication errors.
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 1, 2025)
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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 (Apr 25, 2025)
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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 (Apr 25, 2025)
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 30, 2024)
No health-deficiency rows were deterministically linked to this inspection.
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 (Mar 18, 2024)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 (Mar 18, 2024)
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
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 (Mar 18, 2024)
No health-deficiency rows were deterministically linked to this inspection.
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 (Nov 23, 2023)
Respond appropriately to all alleged violations.
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 23, 2023)
No health-deficiency rows were deterministically linked to this inspection.
Ensure the activities program is directed by a qualified professional.
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 (Mar 10, 2023)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 (Mar 10, 2023)
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
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 (Mar 10, 2023)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with 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 (Mar 10, 2023)
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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 (Mar 31, 2023)
Penalties & enforcement
Published fine amount: $36,875.00
Questions to ask
Facility history
11 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
RN staffing decreased from 0.65 to 0.36 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.
0.65 → 0.36
CMS · Reported in a source release · View related evidence
RN staffing increased from 0.47 to 0.65 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
0.47 → 0.65
CMS · Reported in a source release · View related evidence
Total nurse staffing increased from 3.08 to 3.48 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
3.08 → 3.48
CMS · Reported in a source release · View related evidence
CMS recorded a $36,875 civil monetary penalty.
CMS · Recorded event date · View related evidence
6 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
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
5 deficiencies were 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 | 4.126 | 2.603 |
| RN categories | 0.519 | 0.306 |
Contract staff accounted for 2.9% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.100 higher 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 | 3.084 | 0.468 | 1.094 | 1.518 | 0.8% | 91 |
| 2025Q3 | 3.476 | 0.648 | 1.042 | 1.786 | 1.1% | 92 |
| 2025Q4 | 3.553 | 0.358 | 1.082 | 2.113 | 7.9% | 92 |
| 2026Q1 | 3.685 | 0.457 | 1.01 | 2.136 | 2.9% | 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.