1206 N Travis St., Liberty, TX 77575 · Liberty County · (936) 336-7247
118 certified beds, about 62 residents a day · Government - Hospital district · Medicare and Medicaid since 1995
CMS Care Compare ratings, data as of September 1, 2026 · CCN 675540 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on August 20, 2025, inspectors cited 2 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 19 health citations since April 2023, 5 were rated as actual harm or immediate jeopardy to residents (5 immediate jeopardy).
CMS lists 2 fines totaling $217,078 in the last three years; the largest was $200,929, and the latest is dated March 19, 2026.
Nurses and nurse aides worked 3.76 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.29 of those hours.
69.7% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to Health Services Management, an affiliated group of 16 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 19 health citations on file.
Inspectors wroteBased on interview and record review the facility failed to ensure residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 of 11 residents (Resident #1) reviewed quality of care. LVN C did not immediately assess Resident #1 after she was informed Resident #1 had left leg swelling on 03/07/26 at approximately 5:15 a.m. LVN B assessed Resident #1 at approximately 6:40 a.m. (after being asked by LVN C) on 03/07/26 and discovered discoloration to arms and legs and pain when touched. The noncompliance was identified as PNC (past noncompliance). The IJ began on 03/07/26 and ended on 03/10/26. The facility had corrected the noncompliance before the survey began. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents received adequate supervision to prevent accidents for 1 of 11 (Resident #1) residents reviewed for accidents. The facility failed to ensure CNA A performed a 2 person Hoyer lift transfer for Resident #1. CNA A transferred Resident #1 from wheelchair to bed, Resident #1 sustained a fractured left tibia (shin bone) and fibula (calf bone), avulsion injuries (skin torn away from its normal attachment) to her bilateral upper extremities, a large bruise on her back and a scratch to her forehead on 03/06/26. Resident #1 required surgical intervention. The noncompliance was identified as PNC (past noncompliance). The IJ began on 03/06/26 and ended on 03/10/26. The facility had corrected the noncompliance before the survey began. [...]
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure, in accordance with State and Federal laws, all drugs and biologicals were stored in locked compartments under proper temperature controls and permitted only authorized personnel to have access to the keys for one of nine residents (Resident #2) reviewed for pharmacy services. The facility failed to ensure Resident #2 took her morning medications and the medications were not left in her room, unsecured, on her bedside table on 02/10/26. This deficient practice could place residents at risk of not being monitored for their medications, adverse reactions, and drug diversion.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents had the right to be free from misappropriation of property and exploitation for 5 of 10 (Resident #1, #2, #3, #4, #5) reviewed for misappropriation and exploitation. 1. The facility failed to ensure Resident #1 was free from exploitation when the former BOA accepted cash payment for Resident #1's June, July, August, and [DATE] payments (totaling $3,440.00), with only $2,184.00 deposited within a facility account on [DATE] (after BOA termination date) leaving $1,256.00 unaccounted for. 2. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plan to meet each resident's medical, nursing, mental and psychosocial needs for 2 of 17 residents reviewed for care plans. (Residents #4 & #54) 1. The facility did not have a care plan to address Resident #4's hospice care. 2. The facility did not have a care plan to address Resident #54's indwelling urinary catheter (a thin, flexible tube inserted into the bladder to drain urine) or catheter care. These failures could place residents at risk of not having their individual needs met and not receiving needed services.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who needed respiratory care, was provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan and the residents' goals and preferences for 1 of 6 residents (Resident #25) reviewed for respiratory therapy. The facility failed to keep the oxygen concentrator filter clean for Resident #25. This failure could place residents at risk of receiving incorrect or inadequate oxygen support which could result in a decline in health.
Inspectors wroteBased on interview and record review, the facility failed to ensure its residents were free of any significant medication errors for 4 (Resident #1 Resident #2, Resident #3 and Resident #4) of 10 residents reviewed for medications. The facility failed to administer Midodrine (medication to increase blood pressure) per parameters stated in physicians' orders for a total of 10 doses in [DATE] for Resident #1. The facility failed to administer Midodrine per parameters stated in physicians' orders for a total of 11 doses in [DATE] for Resident #1. The facility failed to administer Midodrine per parameters stated in physicians' orders for a total of 1 dose in [DATE] for Resident #2. The facility failed to hold Midodrine per parameters stated in physicians' orders for a total of 5 doses in [DATE] for Resident #3. [...]
Inspectors wroteBased on interview and record review, the facility failed to implement written policies and procedures that prohibit and prevent abuse of residents, for 1 of 10 residents (Resident #2) reviewed for abuse. 1. The facility failed to ensure residents were free from abuse. *On 03/29/25 HSK A had a verbally aggressive argument with Resident #2 over cigarettes. Resident #2 told HSK A she wished she would shut up and HSK A got up from her chair and told Resident #2 to make her shut up. 2. The facility failed to ensure allegations of abuse were reported to the Abuse Coordinator Immediately. *HSK B wrote a concern form and left it in the mailbox outside of the HR door on 03/29/25 about the witnessed verbal exchange between Resident #2 and HSK A. 3. The facility failed to report allegations of abuse to HHSC within two hours of being notified of the abuse allegation. [...]
Inspectors wroteBased on interview and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, which included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for 1 of 10 residents (Resident #1) reviewed for care plans. The facility failed to develop and implement Resident #1's care plan to prevent suicide or self harm after she said she wanted to kill herself on 10/23/24. An Immediate Jeopardy (IJ) was identified on 05/07/25 at 4:35 p.m. The IJ template was provided to the Administrator on 05/07/25 at 4:54 p.m. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure each resident received adequate supervision to prevent accidents for 1 of 10 residents (Resident #1) reviewed for accidents and supervision. The facility failed to provide adequate supervision after Resident #1 expressed suicidal ideations on 10/23/24. Resident #1 was placed on 15 minute monitoring. She attempted to cut her right wrist with a microblade razor (used for face shaving) between the 15 minute monitoring checks. An Immediate Jeopardy (IJ) was identified on 05/07/25 at 4:35 p.m. The IJ template was provided to the Administrator on 05/07/25 at 4:54 p.m. [...]
Inspectors wroteBased on interview and record review the facility failed to ensure the rights of residents to be free from abuse for 1 of 10 residents (Resident #2) reviewed for abuse. The facility failed to ensure Resident #2 was free from verbal abuse by HSK A. On 03/29/25 HSK A had a verbally aggressive argument with Resident #2 over cigarettes. Resident #2 told HSK A she wished she would shut up and HSK A got up from her chair and told Resident #2 to make her shut up. This failure could place residents at risk for abuse, humiliation, intimidation, fear, shame, agitation, and decreased quality of life.
Inspectors wroteBased on interviews and record review, the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, were reported, immediately but not later than 2 hours after the allegation was made, if the events that caused the allegation involved abuse or bodily injury, to the administrator of the facility and to other officials, including the State Survey Agency in accordance with State law through established procedures for 1 of 10 residents (Resident #2) reviewed for reporting allegations of abuse. The facility failed to ensure allegations of abuse were reported to the Abuse Coordinator Immediately. HSK B wrote a concern form and left it in the mailbox outside of the HR door on 03/29/25 about the witnessed verbal exchange between Resident #2 and HSK A. [...]
Inspectors wroteBased interview and record review the facility failed to have evidence alleged violations were thoroughly investigated to prevent further abuse for 1 of 10 residents (Resident #2) reviewed for abuse. The facility failed to thoroughly investigate after HSK A had a verbally aggressive argument with Resident #2 over cigarettes. Resident #2 told HSK A she wished she would shut up and HSK A got up from her chair and told Resident #2 to make her shut up. This failure could place residents at risk of not having allegations of abuse, neglect or exploitation investigated properly to prevent re-occurrence.
Inspectors wroteBased on interview and record review, the facility failed to ensure pharmacy procedures to ensure an accurate accounting of all controlled drugs and the licensed pharmacist failed to ensure the drug records are in order and that an account of all controlled drugs is maintained and periodically reconciled for 2 of 4 medication carts reviewed for narcotic counts. (300 Hall Nurse Cart and 200/500 Halls Medication Aide Cart) The facility did not ensure staff were conducting accounting of Controlled Drugs at shift change on the 300 Hall Nurse Cart and 200/500 Halls Medication Aide Cart. The Pharmacy Consultant did not ensure the Controlled Drugs - Count Record forms had signatures of the staff indicating the Controlled Drugs were reconciled. These failures could place residents at risk for misappropriation and drug diversion.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store all drugs and biologicals in locked compartments under proper temperature controls, and permit only authorized personnel to have access, for 2 of 2 medications reviewed for security. The facility did not ensure clonidine (medication to treat elevated blood pressure) and a Fentanyl patch (narcotic opioid pain medication) medication was stored securely when it was left unattended at the nursing station. This failure could place residents at risk for harm by misappropriation of property and drug diversion.
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement a comprehensive person-centered care plan for each resident, that included measurable objectives and timeframes to meet a resident's needs identified in the comprehensive assessment for 1 of 20 residents reviewed for following physician orders. (Resident #27) The facility did not apply Resident #27's hand splint as ordered by the physician This failure could place the residents at risk of a decline in their range of motion.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that residents receiving enteral feeding received appropriate care and services to prevent complication of enteral feeding for 1 of 1 resident (Resident #272) reviewed for enteral feeding. The facility failed to ensure LVN A verified placement of Resident #272's G-tube by checking for tube placement before enteral administration of water and medications. The facility failed to ensure LVN A administered the flushes and medications using gravity. These failures could place residents receiving enteral nutrition and medications at increased risk of not receiving proper nutrition, infection, aspiration, and possible injury.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure parenteral care and services were administered consistent with professional standards of practice for 2 of 3 residents reviewed for intravenous fluids. (Resident #39 and 82) *The facility failed to change Resident #39 and 82's midline catheter dressing in accordance with the resident's plan of care. (Midline catheter is an ultrasound guided catheter inserted in the upper arm peripheral veins for IV access) This failure could place residents at risk of not receiving the appropriate IV care and services.
Inspectors wroteBased on observation, interview, and record review, the facility failed to establish a system of records of receipt and disposition of all controlled drugs in sufficient detail to enable an accurate reconciliation and drug records were in order and that an account of all controlled drugs was maintained for 1 of 18 residents (Resident #46) reviewed for pharmacy services. LVN A did not destroy the used fentanyl (scheduled II controlled medication used for severe pain) patch in a sharps container per policy and with a witness for destruction after the patch was removed from Resident #46. The facility did not ensure records for Resident #46 were complete with witness signatures for 5 days on control sheet for disposition of discarded fentanyl patch. This failure could place the residents at risk of drug diversion.
1 fire safety citation on file: 1 on June 25, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| March 19, 2026 | Fine | $16,149 |
| May 9, 2025 | Fine | $200,929 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.76 | 3.39 | 3.86 |
| Registered nurses | 0.29 | 0.43 | 0.69 |
| All nursing staff on weekends | 3.14 | 2.98 | 3.42 |
| Nurse aides | 2.23 | ||
| Licensed practical nurses | 1.24 | ||
| Nursing staff turnover (share who left in a year) | 69.7% | 55.3% | 45.8% |
| Registered nurse turnover | 85.7% | 54.6% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.68 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.01 on weekdays and 3.14 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.48 in April to June 2025 to 3.76 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.76 | 0.29 | 4.01 | 3.14 | 5.7% | 0 of 90 | 62 |
| Oct to Dec 2025 | 3.42 | 0.26 | 3.63 | 2.90 | 8.9% | 0 of 92 | 61 |
| Jul to Sep 2025 | 3.39 | 0.29 | 3.57 | 2.91 | 3.4% | 0 of 92 | 57 |
| Apr to Jun 2025 | 3.48 | 0.27 | 3.65 | 3.04 | 11.2% | 0 of 91 | 62 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 12.9 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.9 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.6 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.3 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 1.6 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.5 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.2 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Liberty Health Care Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (43.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
43.5% this home
No different from the national rate
US median of homes 51.5% · Texas: 116 better, 50 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 36 eligible stays.
9.7% this home
No different from the national rate
US median of homes 10.7% · Texas: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 46 eligible stays.
6.8% this home
No different from the national rate
US median of homes 7.1% · Texas: 4 better, 11 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 27 eligible stays.
34.6% this home
Median of homes: Texas57.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 26 residents counted.
4.9% this home
Median of homes: Texas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 41 residents counted.
4.4% this home
Median of homes: Texas1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 41 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Texas98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 3 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: WINNIE-STOWELL HOSPITAL DISTRICT. CMS links this home to Health Services Management, a group of 16 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Health Services Management, Inc. | 5% or greater mortgage interest | Organization | 06/01/2002 | |
| Liberty Realty, LLC | 5% or greater mortgage interest | Organization | 06/01/2024 | |
| Murrell, Edward | Corporate director | Individual | 06/01/2024 | |
| Hsmtx/Liberty, LLC | Operational/managerial control | Organization | 06/01/2024 | |
| Revia, Adam | Operational/managerial control | Individual | 06/01/2024 | |
| White, Joshua | Operational/managerial control | Individual | 06/01/2024 | |
| Baxter, Kevin | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 05/23/2025 | |
| Jackson, Brian | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/22/2025 | |
| Health Services Management, Inc. | Adp of the SNF | Organization | 06/01/2024 | |
| Hsmtx/Liberty, LLC | Adp of the SNF | Organization | 03/07/2025 | |
| Liberty Realty, LLC | Adp of the SNF | Organization | 06/01/2024 | |
| Fisher, Scott | Adp of the SNF | Individual | 06/01/2024 | |
| Revia, Adam | Adp of the SNF | Individual | 06/01/2024 | |
| Wasserstein, Jerome | Adp of the SNF | Individual | 06/01/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
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