Staffing
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.15 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceFacility record
Bastrop Lost Pines Nursing and Rehabilitation Cent has 120 certified beds in Bastrop, Texas. The CMS overall rating is 1 of 5, compared with the Texas average of 2.6. The CMS health inspection rating is 2 of 5, compared with the Texas average of 2.8. The CMS staffing rating is 1 of 5. The latest standard health survey on Jan 30, 2026 lists 2 deficiencies, compared with the Texas average of 5.6. CMS records a fine of $16,149 dated Mar 20, 2026. CMS records a fine of $16,801 dated Apr 22, 2024. CMS records a fine of $59,510 dated Jan 12, 2024. Total nurse staffing is 3.10 hours per resident day in 2026Q1, compared with the Texas average of 3.39.
CMS nursing home
Bastrop Lost Pines Nursing and Rehabilitation Cent
Also known publicly as Bastrop Lost Pines Nursing and Rehabilitation Center
Bastrop, TX
Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.
Research this nursing home using CMS and federal public records. CMS Certification Number 676222.
At a glance
CMS research snapshot
CMS overall rating
1 of 5
CMS health inspection rating
2 of 5
CMS staffing rating
1 of 5
CMS quality-measure rating
4 of 5
CMS ownership-change history
No attached CMS ownership-change event.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
What CMS reports about quality
- MDS quality observations are in the CMS extract.
- PBJ staffing records are in the CMS extract.
- Inspection evidence is in the CMS extract.
- Fire-safety evidence is in the CMS extract.
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Who CMS/PECOS connects to this nursing home
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
Current owners
- CSV RHEA MANAGEMENT HOLDCO, LLCOrganizationINDIRECT OWNERSHIP INTEREST
- DWD TX HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTEREST
- JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCOrganizationINDIRECT OWNERSHIP INTEREST
- REG HG OPCO 1, LLCOrganizationINDIRECT OWNERSHIP INTEREST
- REG HG OPCO LLCOrganizationINDIRECT OWNERSHIP INTEREST
- REG OPERATOR HOLDCO LLCOrganizationINDIRECT OWNERSHIP INTEREST
- REGENCY IHS OF BASTROP LOST PINES, LLCOrganizationDIRECT OWNERSHIP INTEREST
- REGENCY INTEGRATED HEALTH SERVICES LLCOrganizationINDIRECT OWNERSHIP INTEREST
- REGENCY TEXAS HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTEREST
- SMITHVILLE HOSPITAL AUTHORITYOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
Operators
- DEKOWSKI, DONOVANIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- PETER, CHRISTOPHERIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- REGENCY IHS OF BASTROP LOST PINES, LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- REGENCY INTEGRATED HEALTH SERVICES LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- SMITHVILLE HOSPITAL AUTHORITYOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- DEKOWSKI, DONOVANIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- PETER, CHRISTOPHERIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- REGENCY IHS OF BASTROP LOST PINES, LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- REGENCY INTEGRATED HEALTH SERVICES LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- SMITHVILLE HOSPITAL AUTHORITYOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
Enrollment organizations
- SMITHVILLE HOSPITAL AUTHORITYOrganization · CURRENTMedicare-enrolled legal organization
- SMITHVILLE HOSPITAL AUTHORITYOrganization · UNKNOWNMedicare-enrolled legal organization
Ownership observations with UNKNOWN status
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
UNKNOWN
- CSV RHEA MANAGEMENT HOLDCO, LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
- DWD TX HOLDINGS LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
- JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
- REG HG OPCO 1, LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
- REG HG OPCO LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
- REG OPERATOR HOLDCO LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
- REGENCY IHS OF BASTROP LOST PINES, LLCOrganization · UNKNOWNDIRECT OWNERSHIP INTEREST
- REGENCY INTEGRATED HEALTH SERVICES LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
- REGENCY TEXAS HOLDINGS LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
- SMITHVILLE HOSPITAL AUTHORITYOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
Ownership change history
CMS ownership-change records
No CMS ownership-change event is currently attached to this profile in the Trust Hub research graph. That is not proof that ownership never changed.
Source freshness
How current each evidence family is
- nursing-home-mds-quality-measures
- STALE · source as of 2026-08-01
- nursing-home-provider-information
- STALE · source as of 2026-08-01
- skilled-nursing-facility-all-owners
- AGING · source as of 2026-08-17
- skilled-nursing-facility-change-of-ownership
- CURRENT · source as of 2026-08-24
Profile generated 2026-11-04. That timestamp is not CMS evidence freshness.
Methodology
How Trust Hub researches this provider
- CMS is the source for national nursing-home evidence.
- Trust Hub does not create the CMS star ratings.
- Ownership evidence does not measure care quality.
- CMS CHOW records document reported ownership-change events.
- Missing evidence is not interpreted as zero.
- UNKNOWN ownership history is not interpreted as divestiture.
- Ownership evidence is not a quality measure.
- Missing evidence is not a zero score.
- CMS ratings are CMS ratings, not Trust Hub ratings.
- UNKNOWN ownership does not prove an owner left.
- CHOW records are CMS transaction records, not Trust Hub judgments or sales.
CMS overview
CMS rating overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
- CMS certified beds
- 120
- Ownership descriptor
- Government - Hospital district
- Medicare participation
- Yes
- Medicaid participation
- Yes
Facility information
Contact
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
- Phone
- 5123213527Verified public information · checked Aug 2026
- Also known publicly as
- Bastrop Lost Pines Nursing and Rehabilitation CenterVerified public information · checked Aug 2026
State regulatory evidence
State License & Oversight
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 license
- 144560
- License type
- Nursing Facility
State regulatory data · checked Aug 2026
CMS designations
Special Focus and abuse-icon status
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
Not currently SFF or candidate
CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.
CMS field value: (blank). Observed Aug 1, 2026.
CMS abuse-icon designation
CMS currently applies its abuse-icon designation to this facility. That is CMS's published designation, not a Trust Hub verdict.
CMS field value: Y. Observed Aug 1, 2026.
Enrollment identity
Medicare enrollment organization NPI associated with this CMS Certification Number
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
- NPI 1477791523 · enrollment O20150213000830
- NPI 1477791523 · enrollment O20150213000830
MDS quality measures
Individual CMS quality measures
These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.
MDS source release 2026-08-01.
View individual MDS measures
- Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (Long Stay): 100.000000
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 100.000000
- Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 3.021978 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who have depressive symptoms (Long Stay): 0.000000
- Percentage of long-stay residents who lose too much weight (Long Stay): 4.059041
- Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 20.437956
- Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 3.846154 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who were physically restrained (Long Stay): 0.000000
- Percentage of long-stay residents whose ability to walk independently worsened (Long Stay): 8.232109 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents whose need for help with daily activities has increased (Long Stay): 12.595420 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a catheter inserted and left in their bladder (Long Stay): 0.000000 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a urinary tract infection (Long Stay): 0.000000 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with new or worsened bowel or bladder incontinence (Long Stay): 23.896010
- Percentage of long-stay residents with pressure ulcers (Long Stay): 2.878356 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 93.736952
- Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 0.680272 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (Short Stay): 93.333333
Fire-safety citations
CMS fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
- 2026-01-30 · tag 0353 · scope/severity E — Inspect, test, and maintain automatic sprinkler systems.
- 2026-01-30 · tag 0211 · scope/severity D — Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 2026-01-30 · tag 0222 · scope/severity D — Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- 2024-12-05 · tag 0353 · scope/severity D — Inspect, test, and maintain automatic sprinkler systems.
- 2023-11-07 · tag 0161 · scope/severity E — Use approved construction type or materials.
Decision guide
What to review
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
Inspections
The latest standard inspection on Jan 30, 2026 cited 2 deficiencies.
View inspection evidenceOwnership
CMS-published records list 37 ownership or control parties.
View ownership evidenceChain context
CMS groups this facility with a chain covering 68 facilities across 1 states or territories.
View chain evidenceEnforcement record
CMS records show a $16,149 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Ownership & Operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
- Ownership type
- Government - Hospital districtCMS
- Chain
- WELLSENTIAL HEALTHCMS identifies this facility as part of the WELLSENTIAL HEALTH chain.
- Related facilities
- 5Current CMS organization identity
Who is behind this facility?
SeniorTrustHub found evidence connecting this facility to:
- 10 CMS-reported ownership organizations
- CMS reports 16 individual ownership interests
- a CMS chain / common-control group
Related facilities
5 currently connected nursing homes share this CMS organization identity with SMITHVILLE HOSPITAL AUTHORITY.
- Average CMS overall rating
- 2.6 stars across 5 reporting facilities
- CMS monetary penalties
- 4 of 5 facilities had a recorded monetary penalty in the available CMS period.
- Recent CMS penalties
- 3 facilities had a CMS penalty in the last 18 months.
- Recent high-value CMS enforcement
- 3 facilities had a high-value CMS fine or payment denial in the last 18 months.
- Recent CMS complaint inspections
- 4 facilities had a CMS complaint inspection in the last 18 months.
- Total recorded CMS fines
- $163,614
Ownership
Who CMS records show is connected to this facility
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.
- Reported party records
- 37
- Organizations shown
- 21
- Individuals shown
- 16
- Latest ownership source update
- Aug 17, 2026
CMS-published ownership and control parties
SMITHVILLE HOSPITAL AUTHORITY
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: 0 across TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
430 OLD AUSTIN HIGHWAY LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
CHAVEZ, POMPEYO
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
DEKOWSKI, DONOVAN
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2015
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
OWENS, KATHERINE
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2015
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
PETER, CHRISTOPHER
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 5, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
REGENCY IHS CLINICAL CONSULTING, LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
REGENCY IHS MASTER TENANT LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
REGENCY IHS OF BASTROP LOST PINES, LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 16, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
REGENCY IHS REHAB LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
REGENCY INTEGRATED HEALTH SERVICES LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 16, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
SMITHVILLE HOSPITAL AUTHORITY
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 16, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
URBAN, STACIA
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2015
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
WILSON, LINDA
Individual · CORPORATE OFFICER
Association date reported to CMS: Jul 19, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
REGENCY IHS OF BASTROP LOST PINES, LLC
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
CSV RHEA MANAGEMENT HOLDCO, LLC
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
DWD TX HOLDINGS LLC
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
REG HG OPCO 1, LLC
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
REG HG OPCO LLC
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
REG OPERATOR HOLDCO LLC
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
REGENCY INTEGRATED HEALTH SERVICES LLC
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
REGENCY TEXAS HOLDINGS LLC
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
BAIRD, DANIEL
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Apr 13, 2021
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
BUNTE, MARK
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Oct 27, 2020
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
CLAPP, BARBARA
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jun 1, 2021
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
CORTESE, DAREN
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Aug 10, 2021
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
FULCHER, ANN
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 22, 2015
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
GIBSON, PATRICIA
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Aug 1, 2021
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
MANDELBAUM, ELLIOT
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
WILSON, LINDA
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jul 19, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
DEKOWSKI, DONOVAN
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 1, 2015
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
PETER, CHRISTOPHER
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 5, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
REGENCY IHS OF BASTROP LOST PINES, LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
REGENCY INTEGRATED HEALTH SERVICES LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
SMITHVILLE HOSPITAL AUTHORITY
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
SMITHVILLE HOSPITAL AUTHORITY
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 4 across TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility Enrollments
- CMS dataset identifier
- 5f2c306f-3b1c-42cd-b037-187b2ce22126
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
What this means
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.
Questions to ask
- CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
- CMS records connect SMITHVILLE HOSPITAL AUTHORITY to 5 facilities. Which policies and staffing decisions are managed centrally versus locally?
Chain context
CMS groups this facility with WELLSENTIAL HEALTH
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 670 is a grouping identifier, not a legal organization.
- Facilities
- 68
- States and territories
- 1
- Average overall rating
- 2.6
- Average staffing rating
- 1.6
- Average total nurse HPRD
- 3.1
- Total fines
- 92
CMS-published history
| 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 |
Questions to ask
- CMS groups facilities in 1 states or territories under this chain. Which operational policies are set at the chain level?
- CMS reports 92 fines across the chain in this dataset. What compliance functions are managed centrally?
CMS chain source and methodology
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
What CMS inspection records show
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Latest recorded inspection
- Date
- Mar 20, 2026
- Survey type
- Health Complaint
- Linked findings
- 1
- Highest linked CMS classification
- J — Isolated; Immediate jeopardy to resident health or safety
View source details
- Dataset
- Inspection Dates
- CMS dataset ID
- svdt-c123
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676222
- Source record locator
- csv-row:146643:ccn:676222
Mar 20, 2026 — Health Complaint — 1 linked finding
F0600 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
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
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676222
- Source record locator
- csv-row:412460:ccn:676222
Jan 30, 2026 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Jan 30, 2026 — Health Standard — 2 linked findings
F0656 — Resident Assessment and Care Planning Deficiencies
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 (Jan 30, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676222
- Source record locator
- csv-row:412462:ccn:676222
F0727 — Nursing and Physician Services Deficiencies
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 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 (Jan 30, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676222
- Source record locator
- csv-row:412461:ccn:676222
Dec 10, 2025 — Health Complaint — 1 linked finding
F0880 — Infection Control Deficiencies
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 (Dec 12, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676222
- Source record locator
- csv-row:412463:ccn:676222
Nov 18, 2025 — Health Complaint — 3 linked findings
F0755 — Pharmacy Service Deficiencies
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 (Nov 19, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676222
- Source record locator
- csv-row:412465:ccn:676222
F0761 — Pharmacy Service Deficiencies
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 (Nov 19, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676222
- Source record locator
- csv-row:412466:ccn:676222
F0921 — Environmental Deficiencies
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 (Nov 19, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676222
- Source record locator
- csv-row:412464:ccn:676222
Dec 5, 2024 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Dec 5, 2024 — Health Complaint — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Dec 5, 2024 — Health Standard — 8 linked findings
F0578 — Resident Rights Deficiencies
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 (Dec 10, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676222
- Source record locator
- csv-row:412471:ccn:676222
F0677 — Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676222
- Source record locator
- csv-row:412468:ccn:676222
F0688 — Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676222
- Source record locator
- csv-row:412469:ccn:676222
F0757 — Pharmacy Service Deficiencies
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 (Dec 10, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676222
- Source record locator
- csv-row:412472:ccn:676222
F0761 — Pharmacy Service Deficiencies
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 10, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676222
- Source record locator
- csv-row:412473:ccn:676222
F0880 — Infection Control Deficiencies
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 (Dec 10, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676222
- Source record locator
- csv-row:412470:ccn:676222
F0881 — Infection Control Deficiencies
Implement a program that monitors antibiotic use.
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, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676222
- Source record locator
- csv-row:412474:ccn:676222
F0883 — Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676222
- Source record locator
- csv-row:412475:ccn:676222
Apr 22, 2024 — Health Complaint — 1 linked finding
F0578 — Resident Rights Deficiencies
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 J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Past Non-Compliance (Mar 15, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676222
- Source record locator
- csv-row:412476:ccn:676222
Jan 12, 2024 — Health Complaint — 1 linked finding
F0684 — Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity K: Pattern; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jan 13, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676222
- Source record locator
- csv-row:412477:ccn:676222
Dec 27, 2023 — Health Complaint — 2 linked findings
F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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 (Jan 2, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676222
- Source record locator
- csv-row:412478:ccn:676222
F0656 — Resident Assessment and Care Planning Deficiencies
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 (Jan 2, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676222
- Source record locator
- csv-row:412479:ccn:676222
Nov 7, 2023 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Nov 7, 2023 — Health Standard — 6 linked findings
F0645 — Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
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 13, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676222
- Source record locator
- csv-row:412482:ccn:676222
F0656 — Resident Assessment and Care Planning Deficiencies
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 (Nov 13, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676222
- Source record locator
- csv-row:412483:ccn:676222
F0677 — Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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 13, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676222
- Source record locator
- csv-row:412481:ccn:676222
F0755 — Pharmacy Service Deficiencies
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 (Nov 13, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676222
- Source record locator
- csv-row:412484:ccn:676222
F0761 — Pharmacy Service Deficiencies
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 (Nov 13, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676222
- Source record locator
- csv-row:412485:ccn:676222
F0812 — Nutrition and Dietary Deficiencies
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 (Nov 13, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676222
- Source record locator
- csv-row:412480:ccn:676222
Aug 8, 2023 — Health Complaint — 1 linked finding
F0689 — Quality of Life and Care Deficiencies
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 (Aug 9, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676222
- Source record locator
- csv-row:412486:ccn:676222
Tags appearing across inspections
- F0656 appears in 3 linked inspections.
- F0761 appears in 3 linked inspections.
- F0578 appears in 2 linked inspections.
- F0677 appears in 2 linked inspections.
- F0755 appears in 2 linked inspections.
- F0880 appears in 2 linked inspections.
Penalties & enforcement
CMS penalty records in the loaded three-year dataset
Fine — Mar 20, 2026
Published fine amount: $16,149.00
View source details
- Dataset
- Penalties
- CMS dataset ID
- g6vv-u9sr
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676222
- Source record locator
- csv-row:15266:ccn:676222
Fine — Apr 22, 2024
Published fine amount: $16,801.00
View source details
- Dataset
- Penalties
- CMS dataset ID
- g6vv-u9sr
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676222
- Source record locator
- csv-row:15267:ccn:676222
Fine — Jan 12, 2024
Published fine amount: $59,510.00
View source details
- Dataset
- Penalties
- CMS dataset ID
- g6vv-u9sr
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676222
- Source record locator
- csv-row:15268:ccn:676222
Questions to ask
Questions generated from the evidence above
- CMS records show F0656 in 3 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0761 in 3 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0578 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0677 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0755 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0880 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records include an Immediate Jeopardy-level finding. What corrective actions were taken after that inspection?
- CMS records show a monetary penalty dated Mar 20, 2026. What changes were made after that enforcement action?
Facility history
Facility History
14 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
What changed recently?
- Civil monetary penalty recordedCMS recorded a $24,845 civil monetary penalty.
- Complaint inspection recorded1 deficiencies were recorded. That includes 1 higher-severity deficiency.
2026
- Civil monetary penalty recorded
CMS recorded a $24,845 civil monetary penalty.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
- Health inspection completed
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2025
- Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2024
- Complaint inspection recorded
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
- Health inspection completed
8 deficiencies were recorded.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
- Civil monetary penalty recorded
CMS recorded a $16,801 civil monetary penalty.
CMS · Recorded event date · View related evidence
- Civil monetary penalty recorded
CMS recorded a $59,510 civil monetary penalty.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
2023
- Complaint inspection recorded
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
Reported nursing staffing at a glance
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).
- Total nursing
- 3.102 reported hours per resident day
- RN categories
- 0.151 reported hours per resident day
- LPN/LVN categories
- 0.944 reported hours per resident day
- CNA
- 1.551 reported hours per resident day
Weekday and weekend calculations
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.269 | 2.693 |
| RN categories | 0.156 | 0.141 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.018 lower than the prior loaded quarter.
Staffing over time
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 2.95 | 0.185 | 0.927 | 1.315 | 0% | 91 |
| 2025Q3 | 2.867 | 0.17 | 0.869 | 1.271 | 0% | 92 |
| 2025Q4 | 2.971 | 0.169 | 0.993 | 1.441 | 0% | 92 |
| 2026Q1 | 3.102 | 0.151 | 0.944 | 1.551 | 0% | 90 |
Questions to ask
- PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
Staffing source and calculation details
- Source
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Payroll Based Journal Daily Nurse Staffing
- CMS dataset ID
- 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
- Quarter
- 2026Q1
- Coverage
- Jan 1, 2026–Mar 31, 2026
- Days represented
- 90 (90 with positive MDS census)
- CMS source updated
- Jul 29, 2026
- Calculation version
- pbj-quarter-ratio-of-sums-v1
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
Current Provider Information facts
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
- CMS reports a 1-star overall rating.
- CMS reports a 2-star health inspection rating.
- CMS reports a 1-star staffing rating.
- CMS reports a 4-star quality-measure rating.
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Provider Information
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 4pq5-n9py
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Overview, facility facts, and CMS ratings
Inspection Dates
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- svdt-c123
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Inspections and facility history
Health Deficiencies
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- r5ix-sfxw
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Health deficiencies and facility history
Penalties
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- g6vv-u9sr
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Penalties, enforcement, and facility history
Payroll Based Journal Daily Nurse Staffing
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
- Coverage
- Apr 1, 2025–Mar 31, 2026
- Source updated
- Jul 29, 2026
- Retrieved
- Aug 15, 2026
- Supports
- PBJ staffing cards, history, and transparent calculations
Ownership
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility Enrollments
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 5f2c306f-3b1c-42cd-b037-187b2ce22126
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Nursing Home Chain Performance Measures
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 97ecfad1-d3f1-4d42-b774-d74661d830bc
- Coverage
- Wed Jul
- Source updated
- Aug 12, 2026
- Retrieved
- Aug 16, 2026
- Supports
- CMS chain context, performance, and monthly history
Verified public facility information
- Source organization
- Public facility listing
- Dataset identifier
- commercial-corroboration:public-listing
- Source updated
- Aug 18, 2026
- Retrieved
- Aug 18, 2026
- Supports
- Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.
Directory of Nursing Facilities with an Active License
- Source organization
- Texas Health and Human Services Commission
- Dataset identifier
- state-regulator:tx
- Coverage
- State license 144560
- Source updated
- Aug 18, 2026
- Retrieved
- Aug 18, 2026
- Supports
- state license, and license type. Separate from CMS certification, ratings, and ownership.
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