Staffing
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.40 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 0.40 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Jun 27, 2025 cited 12 deficiencies.
View inspection evidenceCMS-published records list 102 ownership or control parties.
CMS records show an ownership change effective May 2025.
View ownership evidenceCMS groups this facility with a chain covering 119 facilities across 1 states or territories.
View chain evidenceCMS records show a $11,180 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:
93 currently connected nursing homes share this CMS organization identity with WEST WHARTON COUNTY 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 SECURITY INTEREST
Association date reported to CMS: Apr 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · 5% OR GREATER SECURITY INTEREST
Association date reported to CMS: Apr 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · 5% OR GREATER SECURITY INTEREST
Association date reported to CMS: Apr 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 3, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 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 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 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 1, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: May 3, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 1, 2025
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: 5 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Apr 1, 2025
Other facilities connected through this exact CMS organization identity: 92 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 1, 2019
CMS classifications: Parent company
Other facilities connected through this exact CMS organization identity: 5 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: 92 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Apr 1, 2025
Other facilities connected through this exact CMS organization identity: 92 across TX.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Apr 1, 2025
CMS classifications: Real estate investment trust (REIT)
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
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: Apr 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: Apr 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: Apr 1, 2025
CMS classifications: Real estate investment trust (REIT)
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: Apr 1, 2025
CMS classifications: Real estate investment trust (REIT)
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: Apr 1, 2025
CMS classifications: Real estate investment trust (REIT)
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: Apr 1, 2025
CMS classifications: Real estate investment trust (REIT)
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: May 3, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2025
CMS classifications: Real estate investment trust (REIT)
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: May 3, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2025
CMS classifications: Real estate investment trust (REIT)
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 28, 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.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 26, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 10, 2025
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 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 · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
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 · ADP OF THE SNF
Association date reported to CMS: Apr 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 · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 42 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2025
CMS classifications: Real estate investment trust (REIT)
Other facilities connected through this exact CMS organization identity: 42 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2025
CMS classifications: Real estate investment trust (REIT)
Other facilities connected through this exact CMS organization identity: 42 across TX.
Organization · ADP OF THE SNF
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 1, 2025
CMS classifications: Real estate investment trust (REIT)
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 1, 2025
CMS classifications: Real estate investment trust (REIT)
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.
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Dec 1, 2023
Individual · CORPORATE DIRECTOR
Published ownership percentage: 0%
Association date reported to CMS: Jul 1, 2023
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 1, 2025
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 1, 2025
Individual · CORPORATE DIRECTOR
Published ownership percentage: 0%
Association date reported to CMS: Jul 1, 2023
Individual · CORPORATE OFFICER
Published ownership percentage: 100%
Association date reported to CMS: May 17, 2021
Individual · CORPORATE OFFICER
Published ownership percentage: 0%
Association date reported to CMS: Jan 1, 2024
Individual · CORPORATE OFFICER
Published ownership percentage: 0%
Association date reported to CMS: Mar 1, 2025
Organization · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 1, 2019
CMS classifications: Parent company
Other facilities connected through this exact CMS organization identity: 92 across TX.
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jul 1, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Feb 18, 2008
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Oct 5, 2022
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Nov 11, 2022
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Sep 4, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Sep 24, 2007
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: May 5, 2018
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.
Honor the resident's right to manage his or her financial affairs.
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 no plan of correction
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 no plan of correction
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 no plan of correction
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 no plan of correction
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 no plan of correction
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 no plan of correction
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with 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 no plan of correction
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 (Mar 22, 2026)
Hire a qualified full-time social worker in a facility with more than 120 beds.
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 22, 2026)
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 10, 2026)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 10, 2026)
Post nurse staffing information every day.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Feb 10, 2026)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 10, 2026)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 15, 2026)
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 15, 2026)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 13, 2025)
Ensure that residents are free from significant medication errors.
CMS scope/severity H: Pattern; Actual harm that is not immediate jeopardy.
Correction status: Past Non-Compliance (Dec 9, 2025)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 13, 2025)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 24, 2025)
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 (Nov 22, 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 (Nov 22, 2025)
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 (Jun 30, 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 (Jun 30, 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 (Jun 30, 2025)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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 30, 2025)
Provide enough food/fluids to maintain a resident's health.
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 30, 2025)
Ensure that residents are free from significant medication errors.
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 30, 2025)
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 (Jun 30, 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 (Jun 30, 2025)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 30, 2025)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 30, 2025)
Keep all essential equipment working 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 30, 2025)
Make sure that a working call system is available in each resident's bathroom and bathing area.
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 30, 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 (Jun 7, 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 (May 17, 2025)
Post nurse staffing information every day.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (May 17, 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 (May 17, 2025)
Keep residents' personal and medical records private and confidential.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 8, 2025)
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 8, 2025)
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 (Apr 8, 2025)
Respond appropriately to all alleged violations.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 8, 2025)
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Apr 8, 2025)
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 E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 8, 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 (Apr 8, 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 (Apr 8, 2025)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Past Non-Compliance (Feb 23, 2025)
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 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 (Nov 27, 2024)
Ensure each resident receives an accurate assessment.
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 27, 2024)
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 (Nov 27, 2024)
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 20, 2024)
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 (Sep 20, 2024)
Ensure a qualified health professional conducts resident assessments.
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 2, 2024)
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 K: Pattern; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jul 2, 2024)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jul 2, 2024)
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 (Jul 2, 2024)
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
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 2, 2024)
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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 2, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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 (May 9, 2024)
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 (May 9, 2024)
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
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 9, 2024)
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
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 (May 9, 2024)
Hire a qualified full-time social worker in a facility with more than 120 beds.
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 9, 2024)
Penalties & enforcement
Published fine amount: $11,180.00
Published fine amount: $9,113.00
Questions to ask
Facility history
20 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
7 deficiencies were recorded.
CMS · Recorded event date · View related evidence
RN staffing increased from 0.25 to 0.40 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
0.25 → 0.40
CMS · Reported in a source release · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
3 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
CMS recorded a $11,180 civil monetary penalty.
CMS · Recorded event date · View related evidence
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Total nurse staffing decreased from 3.91 to 3.40 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
3.91 → 3.40
CMS · Reported in a source release · View related evidence
12 deficiencies were recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
An ownership change was recorded. New organization: WEST WHARTON COUNTY HOSPITAL DISTRICT.
KERRVILLE HEALTHCARE OPERATIONS LLC → WEST WHARTON COUNTY HOSPITAL DISTRICT
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 1 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.544 | 2.924 |
| RN categories | 0.426 | 0.332 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
PBJ reports zero combined RN-category hours on 2 days with a positive MDS census in this quarter.
Reported RN-category hours per resident day were 0.145 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 | 3.911 | 0.3 | 1.123 | 2.489 | 0% | 91 |
| 2025Q3 | 3.396 | 0.201 | 1.077 | 2.115 | 0% | 92 |
| 2025Q4 | 3.218 | 0.255 | 0.901 | 1.901 | 0% | 92 |
| 2026Q1 | 3.365 | 0.399 | 0.982 | 1.648 | 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.