Staffing
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 0.57 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 4-star staffing rating for this facility.
RN staffing was 0.57 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Jun 11, 2025 cited 12 deficiencies.
View inspection evidenceCMS-published records list 454 ownership or control parties.
CMS records show an ownership change effective September 2025.
View ownership evidenceCMS groups this facility with a chain covering 119 facilities across 1 states or territories.
View chain evidenceCMS records show a $14,385 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:
26 currently connected nursing homes share this CMS organization identity with GUADALUPE COUNTY HOSPITAL BOARD.
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: Sep 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · CORPORATE OFFICER
Association date reported to CMS: Sep 1, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Sep 11, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Sep 11, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Sep 11, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Sep 11, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2025
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Apr 1, 2017
Other facilities connected through this exact CMS organization identity: 25 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Nov 1, 2019
Other facilities connected through this exact CMS organization identity: 25 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Apr 1, 2022
Other facilities connected through this exact CMS organization identity: 25 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Nov 1, 2022
Other facilities connected through this exact CMS organization identity: 25 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: May 1, 2021
Other facilities connected through this exact CMS organization identity: 25 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Sep 1, 2025
Other facilities connected through this exact CMS organization identity: 25 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Sep 1, 2025
Other facilities connected through this exact CMS organization identity: 25 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 1, 2021
Other facilities connected through this exact CMS organization identity: 25 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Apr 1, 2017
Other facilities connected through this exact CMS organization identity: 25 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Dec 1, 2020
Other facilities connected through this exact CMS organization identity: 25 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 1, 2022
Other facilities connected through this exact CMS organization identity: 25 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 25 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Apr 1, 2017
Other facilities connected through this exact CMS organization identity: 25 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Apr 1, 2017
Other facilities connected through this exact CMS organization identity: 25 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Sep 1, 2025
Other facilities connected through this exact CMS organization identity: 25 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Apr 1, 2017
Other facilities connected through this exact CMS organization identity: 25 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jun 1, 2022
Other facilities connected through this exact CMS organization identity: 25 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2022
Other facilities connected through this exact CMS organization identity: 25 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Apr 1, 2017
Other facilities connected through this exact CMS organization identity: 25 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Apr 1, 2017
Other facilities connected through this exact CMS organization identity: 25 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Apr 1, 2017
Other facilities connected through this exact CMS organization identity: 25 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Apr 1, 2019
Other facilities connected through this exact CMS organization identity: 25 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 3, 2017
Other facilities connected through this exact CMS organization identity: 25 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Feb 1, 2015
Other facilities connected through this exact CMS organization identity: 25 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 3, 2017
Other facilities connected through this exact CMS organization identity: 25 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Dec 1, 2023
Other facilities connected through this exact CMS organization identity: 25 across TX.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 2 across TX.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
CMS classifications: Real estate investment trust (REIT)
Other facilities connected through this exact CMS organization identity: 89 across IL, IN, MD, MI, NJ, NM, OH, PA, TX, VA, WA, WV.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
CMS classifications: Real estate investment trust (REIT)
Other facilities connected through this exact CMS organization identity: 89 across IL, IN, MD, MI, NJ, NM, OH, PA, TX, VA, WA, WV.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
CMS classifications: Real estate investment trust (REIT)
Other facilities connected through this exact CMS organization identity: 89 across IL, IN, MD, MI, NJ, NM, OH, PA, TX, VA, WA, WV.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
CMS classifications: Real estate investment trust (REIT)
Other facilities connected through this exact CMS organization identity: 89 across IL, IN, MD, MI, NJ, NM, OH, PA, TX, VA, WA, WV.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
CMS classifications: Real estate investment trust (REIT)
Other facilities connected through this exact CMS organization identity: 89 across IL, IN, MD, MI, NJ, NM, OH, PA, TX, VA, WA, WV.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
CMS classifications: Real estate investment trust (REIT)
Other facilities connected through this exact CMS organization identity: 89 across IL, IN, MD, MI, NJ, NM, OH, PA, TX, VA, WA, WV.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
CMS classifications: Real estate investment trust (REIT)
Other facilities connected through this exact CMS organization identity: 89 across IL, IN, MD, MI, NJ, NM, OH, PA, TX, VA, WA, WV.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 42 across TX.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 42 across TX.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 42 across TX.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 42 across TX.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 42 across TX.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 42 across TX.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 42 across TX.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 194 across CA, KS, MA, MD, ME, MI, NC, NH, NJ, NM, NV, OH, PA, RI, TN, TX, VA, VT, WA, WV.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 194 across CA, KS, MA, MD, ME, MI, NC, NH, NJ, NM, NV, OH, PA, RI, TN, TX, VA, VT, WA, WV.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 194 across CA, KS, MA, MD, ME, MI, NC, NH, NJ, NM, NV, OH, PA, RI, TN, TX, VA, VT, WA, WV.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 194 across CA, KS, MA, MD, ME, MI, NC, NH, NJ, NM, NV, OH, PA, RI, TN, TX, VA, VT, WA, WV.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 194 across CA, KS, MA, MD, ME, MI, NC, NH, NJ, NM, NV, OH, PA, RI, TN, TX, VA, VT, WA, WV.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 194 across CA, KS, MA, MD, ME, MI, NC, NH, NJ, NM, NV, OH, PA, RI, TN, TX, VA, VT, WA, WV.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 194 across CA, KS, MA, MD, ME, MI, NC, NH, NJ, NM, NV, OH, PA, RI, TN, TX, VA, VT, WA, WV.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 14, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 22, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 17, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: May 28, 2025
Other facilities connected through this exact CMS organization identity: 0 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 719 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 119 | 2.3 | 1.7 |
| Mon Jun | 118 | 2.3 | 1.6 |
| Fri May | 117 | 2.2 | 1.6 |
| Wed Apr | 110 | 2.2 | 1.7 |
| Sun Mar | 90 | 2.3 | 1.7 |
| Sun Feb | 71 | 2.2 | 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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Past Non-Compliance
Provide safe, appropriate pain management for a resident who requires such services.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Mar 7, 2026)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Mar 7, 2026)
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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 26, 2025)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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 26, 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 (Nov 22, 2025)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with 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 (Nov 22, 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 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 (Jul 10, 2025)
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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 (Jul 10, 2025)
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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 (Jul 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 (Jul 10, 2025)
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 (Jul 10, 2025)
Provide activities to meet all resident's needs.
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 (Jul 10, 2025)
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 (Jul 10, 2025)
Ensure each resident’s drug regimen must be free from unnecessary 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 (Jul 10, 2025)
Ensure medication error rates are not 5 percent or greater.
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 (Jul 10, 2025)
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 (Jul 10, 2025)
Provide and implement an infection prevention and control program.
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 (Jul 10, 2025)
Keep all essential equipment working 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 (Jul 10, 2025)
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 (Feb 26, 2025)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Reasonably accommodate the needs and preferences of each resident.
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 (Jun 10, 2024)
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 (Jun 10, 2024)
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 (Jun 10, 2024)
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 (Jun 10, 2024)
Keep all essential equipment working 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 (Jun 10, 2024)
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 (Apr 26, 2024)
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 (Apr 26, 2024)
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 (Mar 30, 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 (Mar 30, 2023)
Provide care and assistance to perform activities of daily living for any resident who is unable.
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 30, 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 30, 2023)
Penalties & enforcement
Published fine amount: $14,385.00
Published fine amount: $132,475.00
Questions to ask
Facility history
18 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
CMS recorded a $14,385 civil monetary penalty.
CMS · Recorded event date · View related evidence
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
RN staffing increased from 0.46 to 0.57 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
0.46 → 0.57
CMS · Reported in a source release · View related evidence
Total nurse staffing increased from 4.09 to 4.56 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
4.09 → 4.56
CMS · Reported in a source release · View related evidence
CMS recorded a $132,475 civil monetary penalty.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded. That includes 2 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
Total nurse staffing increased from 3.13 to 4.09 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
3.13 → 4.09
CMS · Reported in a source release · 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
Total nurse staffing decreased from 3.85 to 3.13 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
3.85 → 3.13
CMS · Reported in a source release · View related evidence
An ownership change was recorded. New organization: GUADALUPE COUNTY HOSPITAL BOARD.
CITY OF ENNIS → GUADALUPE COUNTY HOSPITAL BOARD
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 4 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 | 4.684 | 4.254 |
| RN categories | 0.673 | 0.302 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.102 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 | 3.847 | 0.426 | 1.005 | 2.416 | 0% | 91 |
| 2025Q3 | 3.131 | 0.461 | 0.788 | 1.871 | 0% | 92 |
| 2025Q4 | 4.094 | 0.464 | 0.961 | 2.191 | 12.5% | 92 |
| 2026Q1 | 4.561 | 0.566 | 0.896 | 2.788 | 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.