Inspections
The latest standard inspection on Aug 20, 2025 cited 0 deficiencies.
View inspection evidenceCMS overview
CMS rating overview
No proprietary TrustHub score. These ratings are published separately by CMS.
How CMS describes these ratings
- CMS overall rating
- The CMS overall rating summarizes health inspections, staffing, and quality measures within Medicare's Five-Star system.
- Health inspection rating
- The CMS health inspection rating reflects findings from standard and complaint inspections used in Medicare's Five-Star system.
- Staffing rating
- The CMS staffing rating reflects staffing levels and related measures used in Medicare's Five-Star system.
- Quality-measure rating
- The CMS quality-measure rating summarizes selected resident assessment and claims-based measures used in Medicare's Five-Star system.
- CMS certified beds
- 138
- Ownership descriptor
- For profit - Limited Liability company
- 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
- 3462200070CMS Provider Information
Decision guide
What to review
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
Ownership
CMS-published records list 21 ownership or control parties.
View ownership evidenceChain context
CMS groups this facility with a chain covering 25 facilities across 1 states or territories.
View chain evidenceOwnership & 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
- For profit - Limited Liability companyCMS
- Chain
- TOUCHSTONE COMMUNITIESCMS identifies this facility as part of the TOUCHSTONE COMMUNITIES chain.
- Related facilities
- 39Current CMS organization identity
Who is behind this facility?
SeniorTrustHub found evidence connecting this facility to:
- CMS reports 11 individual ownership interests
- a CMS chain / common-control group
Related facilities
39 currently connected nursing homes share this CMS organization identity with UVALDE COUNTY HOSPITAL AUTHORITY.
- Average CMS overall rating
- 2 stars across 37 reporting facilities
- CMS monetary penalties
- 30 of 39 facilities had a recorded monetary penalty in the available CMS period.
- Recent CMS penalties
- 12 facilities had a CMS penalty in the last 18 months.
- Recent high-value CMS enforcement
- 10 facilities had a high-value CMS fine or payment denial in the last 18 months.
- Recent CMS complaint inspections
- 36 facilities had a CMS complaint inspection in the last 18 months.
- Total recorded CMS fines
- $1,584,099
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
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
- 21
- Organizations shown
- 10
- Individuals shown
- 11
- Latest ownership source update
- Jul 27, 2026
CMS-published ownership and control parties
AEGIS THERAPIES, INC.
Organization · ADP OF THE SNF
Association date reported to CMS: May 1, 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
- Jul 1, 2026
- Retrieved
- Aug 15, 2026
BLAKE, JORDAN
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Jul 1, 2026
- Retrieved
- Aug 15, 2026
BOENING, CHRISTOPHER
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 13, 2020
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Jul 1, 2026
- Retrieved
- Aug 15, 2026
CAMPBELL, LESLIE
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2020
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Jul 1, 2026
- Retrieved
- Aug 15, 2026
CARVAJAL PHARMACY LTC
Organization · ADP OF THE SNF
Association date reported to CMS: May 1, 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
- Jul 1, 2026
- Retrieved
- Aug 15, 2026
FELLBAUM, ERNEST
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Jul 1, 2026
- Retrieved
- Aug 15, 2026
NUTRITIOUS LIFESTYLES, INC.
Organization · ADP OF THE SNF
Association date reported to CMS: May 1, 2024
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
- Jul 1, 2026
- Retrieved
- Aug 15, 2026
OOMMEN, BIJU
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Jul 1, 2026
- Retrieved
- Aug 15, 2026
PLANTE & MORAN PLLC
Organization · ADP OF THE SNF
Association date reported to CMS: May 1, 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
- Jul 1, 2026
- Retrieved
- Aug 15, 2026
STUDER, STANLEY
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Jul 1, 2026
- Retrieved
- Aug 15, 2026
TOUCHSTONE COMMUNITIES INC
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 22, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Jul 1, 2026
- Retrieved
- Aug 15, 2026
TOUCHSTONE REALTY - MC3 LLC
Organization · ADP OF THE SNF
Association date reported to CMS: May 1, 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
- Jul 1, 2026
- Retrieved
- Aug 15, 2026
TOUCHSTONE STRATEGIES - MC3 LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 22, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Jul 1, 2026
- Retrieved
- Aug 15, 2026
TRIDENT HEALTH SERVICES INC
Organization · ADP OF THE SNF
Association date reported to CMS: May 1, 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
- Jul 1, 2026
- Retrieved
- Aug 15, 2026
ZUROVEC, DARRELL
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2017
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Jul 1, 2026
- Retrieved
- Aug 15, 2026
APOLINAR, ADAM
Individual · CORPORATE OFFICER
Association date reported to CMS: Aug 1, 2015
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Jul 1, 2026
- Retrieved
- Aug 15, 2026
CASTILLO, LYNNEA
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Jan 23, 2026
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Jul 1, 2026
- Retrieved
- Aug 15, 2026
SEHLKE, BRYON
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Apr 22, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Jul 1, 2026
- Retrieved
- Aug 15, 2026
BLAKE, JORDAN
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 1, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Jul 1, 2026
- Retrieved
- Aug 15, 2026
TOUCHSTONE STRATEGIES - MC3 LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 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
- Jul 1, 2026
- Retrieved
- Aug 15, 2026
UVALDE COUNTY HOSPITAL AUTHORITY
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 38 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
- Jul 27, 2026
- Retrieved
- Aug 15, 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 UVALDE COUNTY HOSPITAL AUTHORITY to 39 facilities. Which policies and staffing decisions are managed centrally versus locally?
Chain context
CMS groups this facility with TOUCHSTONE COMMUNITIES
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 521 is a grouping identifier, not a legal organization.
- Facilities
- 25
- States and territories
- 1
- Average overall rating
- 2.9
- Average staffing rating
- 1.7
- Average total nurse HPRD
- 3.3
- Total fines
- 34
CMS-published history
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 25 | 2.9 | 1.7 |
| Mon Jun | 25 | 2.8 | 1.4 |
| Fri May | 25 | 2.7 | 1.4 |
| Wed Apr | 28 | 2.7 | 1.4 |
| Sun Mar | 28 | 2.8 | 1.7 |
| Sun Feb | 29 | 2.9 | 1.7 |
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 34 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
- Apr 29, 2026
- Survey type
- Health Complaint
- Linked findings
- 1
- Highest linked CMS classification
- D — Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy
View source details
- Dataset
- Inspection Dates
- CMS dataset ID
- svdt-c123
- CMS source updated
- Jul 1, 2026
- CMS provider ID
- 745058
- Source record locator
- csv-row:149696:ccn:745058
Apr 29, 2026 — Health Complaint — 1 linked finding
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 (May 1, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Jul 1, 2026
- CMS provider ID
- 745058
- Source record locator
- csv-row:418338:ccn:745058
Aug 20, 2025 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Aug 20, 2025 — Health Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Penalties & enforcement
CMS penalty records in the loaded three-year dataset
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Facility history
Facility History
2 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
What changed recently?
- Complaint inspection recorded1 deficiency was recorded.
2026
- Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
2025
- Health inspection completed
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
Staffing
Payroll-Based Journal staffing
No matched PBJ Daily Nurse Staffing quarter is currently loaded for this provider.
What we can verify today
Current Provider Information facts
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
- CMS did not publish an overall star rating for this provider in this release.
- CMS did not publish a health inspection star rating for this provider in this release.
- CMS did not publish a staffing star rating for this provider in this release.
- CMS did not publish a quality-measure star rating for this provider in this release.
Planned evidence layers
Additional public-source research
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
See something that needs correction?
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
See where this record came from
Provider Information
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 4pq5-n9py
- Source updated
- Jul 29, 2026
- Retrieved
- Aug 14, 2026
- Supports
- Overview, facility facts, and CMS ratings
Inspection Dates
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- svdt-c123
- Source updated
- Jul 1, 2026
- Retrieved
- Aug 14, 2026
- Supports
- Inspections and facility history
Health Deficiencies
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- r5ix-sfxw
- Source updated
- Jul 1, 2026
- Retrieved
- Aug 14, 2026
- Supports
- Health deficiencies and facility history
Ownership
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- y2hd-n93e
- Source updated
- Jul 1, 2026
- Retrieved
- Aug 15, 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
- Jul 27, 2026
- Retrieved
- Aug 15, 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
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.