2951 Hwy 281, George West, TX 78022 · Live Oak County · (361) 449-2532
96 certified beds, about 78 residents a day · Government - Hospital district · Medicare and Medicaid since 1993
CMS Care Compare ratings, data as of September 1, 2026 · CCN 675104 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on July 8, 2026, inspectors cited 5 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 18 health citations since March 2024, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $56,980 in the last three years; the largest was $56,980, and the latest is dated May 22, 2025.
Nurses and nurse aides worked 3.37 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.41 of those hours.
32.2% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to Wellsential Health, an affiliated group of 67 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 18 health citations on file.
Inspectors wroteBased on observation, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for storage, preparation, and sanitation.1. The facility failed to ensure the walk-in freezer did not have ice accumulation inside of it.2. The facility failed to ensure all items in the refrigerator were labeled and dated.3. The facility failed to ensure the resident's refrigerator in the 400 hall did not have staff items in it.4. The facility failed to ensure items in the resident's refrigerator in the 400 hall were labeled and dated.5. The facility failed to ensure dented food-holding pans were removed from service. [...]
Inspectors wroteBased on interview and record review the facility failed to develop a QAPI plan that described the process for conducting quality assessment and assurance activities, including the process on how the committee would identify and correct quality deficiencies for one of one laundry rooms, five of eighteen residents (Resident #1, Resident #49, Resident #8, Resident #10, and Resident #3), and one of one kitchens. The facility failed to implement an effective QAPI program that identified, monitored, and corrected systemic quality deficiencies, including infection prevention and control. The facility failed to ensure the WCN performed hand hygiene for at least 20 seconds prior to and after performing Resident #1's wound care and performed hand hygiene after glove removal. CNA A performed hand hygiene for at least 20 seconds prior and after assisting the WCN with Resident #1's wound care. [...]
Inspectors wroteBased on observation, record review, and interview, the facility failed to establish and maintain an infection prevention and control program, designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections, for five of eighteen residents (Resident #1, Resident #49, Resident #8, Resident #10, and Resident #3), and one of one laundry rooms reviewed for infection control and transmission-based precautions policies and practices.1. The facility failed to ensure the WCN performed hand hygiene for at least 20 seconds prior to and after performing Resident #1's wound care and performed hand hygiene after glove removal. CNA A performed hand hygiene for at least 20 seconds prior and after assisting the WCN with Resident #1's wound care.2. [...]
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents had a safe, clean, comfortable, and homelike environment, for one of eighteen residents (Resident #39) that were observed for a safe, comfortable, homelike environment. The facility failed to ensure temperatures in Resident #39's restroom did not rise above 81 F for approximately one month. This failure could place residents at risk of decreased quality of life and comfort.
Inspectors wroteBased on observation and interviews the facility failed to ensure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals to meet the residents needs, in one of one medication room reviewed for safe medication storage. The facility failed to dispose of expired influenza vaccines stored in the refrigerator in the medication room. This failure could place residents at risk of receiving medications which were expired.
Inspectors wroteBased on interviews and record review, the facility failed to maintain clinical records on each resident that were complete and accurately documented in accordance with accepted professional standards and practices for 1 of 5 residents (Resident #1) reviewed for accuracy and completeness of clinical records. The facility failed to ensure LVN A documented Resident #1's blood pressure on the eMAR when Resident #1's amlodipine (blood pressure medication) was held on March 3rd, 8th, 12th, and 16th of 2026. This failure could place residents at risk of not receiving proper care or having needs met due to inappropriate documentation.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure each resident had the right to be free from abuse for one of ten residents (Resident #1) reviewed for abuse/neglect. The facility failed to protect Resident #1's right to be free from abuse which resulted in Resident #1 being pushed from behind by Resident #2 and caused her to fall as she was walking out of resident #2 room and sustained a knee scrape on both knees. These failures have the potential to result in serious injury or death as a result of abuse.
Inspectors wroteBased on interview, observation, and record review the facility failed to ensure that residents were free of significant medication errors for 2 of 8 residents (Resident #100 and Resident #235) reviewed for pharmacy services. 1. The facility failed to ensure Resident #100 received the correct dose of phenytoin sodium (anticonvulsant medication) extended oral capsule during his stay from [DATE] - [DATE] at the facility. Resident #100 received 900 mg at bedtime instead of the ordered 300 mg at bedtime for all seven nights he was in the facility, leading to a phenytoin level of 37.1 ug/mL, indicating phenytoin toxicity (normal 10-20 ug/ml). 2. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that residents who needed respiratory care were provided with care consistent with professional standards of practice, physicians orders, the comprehensive person-centered care plan, and the resident's goals and preferences for 3 of 5 (Resident #32, #47, #2) residents reviewed for respiratory care. The facility failed to ensure Resident #32's oxygen was administered at the physician's orders of 2.5 liters per minute on 05/19/25. The facility failed to ensure Resident #47's oxygen was administered at the correct setting of 3 liters per minute on 05/20/2025 at 8:56 AM. The facility failed to ensure Resident #2's oxygen was administered at the correct setting of 3 liters per minute on 05/19/2025 at 10:31 AM. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility for 1 (Resident #4) of 5 residents reviewed for resident rights. The facility failed to treat Resident #4 with dignity and respect during perineal care (cleansing of the genital and anal areas) in Resident #4's room on 11/08/24 when CNA F wiped the buttocks of Resident #4 and showed the resident the dirty wipe with feces on it twice. This failure could place residents who require assistance with ADL's at risk of feeling disrespected.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents had the right to be free from abuse for 2 of 5 residents (Resident #2 and #3) reviewed for abuse, neglect, and exploitation. 1. The facility failed to protect Resident #3 from sexual abuse when Resident #2 slapped Resident #3 on the buttocks on 07/28/24. 2. The facility failed to protect Resident #2 from physical abuse when Resident #3 hit Resident #2 in the face for slapping him on the buttocks on 07/28/24.
Inspectors wroteBased on interviews and record reviews, the facility failed to complete a comprehensive assessment within 14 days after a significant change in the physical condition for 1 of 5 residents (Resident #1) whose records were reviewed for assessments. The facility failed to complete a Significant Change MDS assessment for Resident #1 within 14 days after the resident had a fall with major injury (broken right arm) on 04/27/24. This failure placed residents at risk for not having interventions developed to meet their needs for care, assistance, and treatments.
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, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment, and describes services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 1 of 5 residents (Resident #1) reviewed for care plans. The facility failed to ensure Resident #1's comprehensive care plan was revised following a significant change assessment which identified a fall occurrence on 04/27/24 in which she sustained a major injury (right arm fracture). [...]
Inspectors wroteBased on interview and record review, the facility failed to maintain medical records in accordance with accepted professional standards and practices that were complete and accurately documented for 1 of 5 residents (Resident #2) reviewed for clinical documentation. LVN-C failed to document a complete and accurate skin assessment for Resident #2 on 07/28/24. This failure could place residents at risk for incomplete or inaccurate clinical records, which could lead to miscommunication, a delay in services, or a potential decline in the resident's health. Findingd included: Record review of Resident #2's face sheet, dated 04/15/25, revealed an [AGE] year-old male with an original admission date of 04/03/23. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure an accurate MDS was completed for 2 of 18 residents (Resident #10 and #18) reviewed for MDS assessment accuracy. 1. The facility failed to accurately document Resident #18's pacemaker on his MDS. 2. The facility inaccurately documented that Resident #10 used restraints on her MDS. This failure could place residents at risk for not receiving care and services to meet their needs.
Inspectors wroteBased on interview and record review, the facility failed to develop and implement a comprehensive, person-centered care plan for each resident that included measurable objectives and time frames to meet, attain, and/or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 2 of 18 residents (Residents #18 and #61) reviewed for care plans in that: The facility failed to ensure Resident #18's Care Plan addressed his pacemaker. The facility failed to ensure Resident #61's Care Plan addressed her code status. This failure could affect residents by placing them at risk of not receiving individualized care and services to meet their needs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communicable diseases and infections for 2 (Resident #18 and #59) of 4 residents reviewed for infection control. 1. The facility failed to ensure CNA A washed or sanitized her hands prior to putting gloves on or changing her gloves after they became contaminated during incontinent care while assisting Resident #18. 2. The facility failed to ensure CNA B washed or sanitized her hands prior to putting gloves on or changing her gloves after they became contaminated during incontinent care while assisting Resident #59. This failure could place resident's risk for cross contamination and the spread of infection.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide services in the facility memory unit with reasonable accommodation of resident needs and preferences, for 6 of 19 residents (Resident # 83 (R#83), Resident #35 (R#35), Resident #414 (R#414), Resident #49 (R#49), Resident 8 (R#8) and Resident #78 (R #78)) reviewed for accommodation of needs. The facility staff did not provide R#83, R#35, R#414, R#49, R #8, and R #78 with a call light that was within reach in the female memory unit which could result in the potential outcome of being unable to call for assistance in the event of an emergency. This failure could place residents who utilized call lights at risk for not having his/her needs met.
| Date | Penalty | Amount or length |
|---|---|---|
| May 22, 2025 | Fine | $56,980 |
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) | 3.37 | 3.39 | 3.86 |
| Registered nurses | 0.41 | 0.43 | 0.69 |
| All nursing staff on weekends | 3.02 | 2.98 | 3.42 |
| Nurse aides | 2.07 | ||
| Licensed practical nurses | 0.89 | ||
| Nursing staff turnover (share who left in a year) | 32.2% | 55.3% | 45.8% |
| Registered nurse turnover | 25.0% | 54.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.67 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 3.51 on weekdays and 3.02 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.97 in April to June 2025 to 3.37 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 | 3.37 | 0.41 | 3.51 | 3.02 | 0.0% | 0 of 90 | 78 |
| Oct to Dec 2025 | 3.12 | 0.39 | 3.25 | 2.79 | 0.0% | 0 of 92 | 80 |
| Jul to Sep 2025 | 3.17 | 0.43 | 3.28 | 2.87 | 0.0% | 0 of 92 | 78 |
| Apr to Jun 2025 | 2.97 | 0.42 | 3.11 | 2.63 | 0.0% | 0 of 91 | 79 |
| 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.
Nurse aide training here: a state-approved CNA program is listed at this home's address and phone number (state list: HHSC Approved NATCEP Providers, as of October 6, 2026). A nursing home cannot charge aides it employs, or has offered a job, for state-approved training (42 CFR 483.152(c)). See Nurse Aide Training Class- Regency Live Oak on CareerFunded, our sister site for career training.
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 | 7.3 | 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 | 3.4 | 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 | 4.1 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.3 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.4 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 17.1 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 18.0 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Live Oak Nursing and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (46.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
46.7% 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. 30 eligible stays.
9.8% 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. 39 eligible stays.
6.0% 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.
60.0% 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. 20 residents counted.
0.0% 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. 31 residents counted.
3.0% 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. 31 residents counted.
Not reported
CMS note: Newly certified nursing home with less than 12-15 months of data available or the nursing opened less than 6 months ago, and there were no data to submit or claims for this 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.
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: UVALDE COUNTY HOSPITAL AUTHORITY. CMS links this home to Wellsential Health, a group of 67 nursing homes averaging 2.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Regency IHS of George West LLC | Direct ownership interest | Organization | 10/01/2018 | |
| Dayton, Steven | Direct ownership interest | Individual | 01/01/2025 | |
| Dekowski, Donovan | Direct ownership interest | Individual | 10/01/2018 | |
| Graves, Tracy | Direct ownership interest | Individual | 01/01/2025 | |
| Lara, Letitia | Direct ownership interest | Individual | 01/01/2025 | |
| Lawrence, Patrick | Direct ownership interest | Individual | 01/24/2022 | |
| Csv Rhea Management Holdco, LLC | Indirect ownership interest | Organization | 10/01/2018 | |
| Dwd Tx Holdings LLC | Indirect ownership interest | Organization | 10/01/2018 | |
| Jack and Nancy Dwyer Workforce Development Center Inc | Indirect ownership interest | Organization | 10/01/2018 | |
| Reg Bridge Opco LLC | Indirect ownership interest | Organization | 10/01/2018 | |
| Reg Hg Opco LLC | Indirect ownership interest | Organization | 10/01/2018 | |
| Reg Operator Holdco LLC | Indirect ownership interest | Organization | 10/01/2018 | |
| Regency Integrated Health Services LLC | Indirect ownership interest | Organization | 10/01/2018 | |
| Regency Texas Holdings LLC | Indirect ownership interest | Organization | 10/01/2018 | |
| Baird, Daniel | Indirect ownership interest | Individual | 04/13/2021 | |
| Clapp, Barbara | Indirect ownership interest | Individual | 06/01/2021 | |
| Cortese, Daren | Indirect ownership interest | Individual | 08/10/2021 | |
| Gibson, Patricia | Indirect ownership interest | Individual | 08/01/2021 | |
| Mandelbaum, Elliot | Indirect ownership interest | Individual | 01/01/2025 | |
| Apolinar, Adam | Corporate officer | Individual | 07/23/2015 | |
| Contreras, Terri | Corporate officer | Individual | 04/29/2019 | |
| Elliott, Benjamin | Corporate officer | Individual | 01/13/2016 | |
| Faglie, Kelly | Corporate officer | Individual | 01/13/2016 | |
| Gaitonde, Gajanan | Corporate officer | Individual | 01/13/2016 | |
| Gonzales, Hector | Corporate officer | Individual | 06/30/2014 | |
| Gutierrez, Monica | Corporate officer | Individual | 01/13/2016 | |
| Kessler, William | Corporate officer | Individual | 01/13/2016 | |
| Zamora, Raul | Corporate officer | Individual | 01/13/2016 | |
| Regency IHS of George West LLC | Operational/managerial control | Organization | 10/01/2018 | |
| Regency Integrated Health Services LLC | Operational/managerial control | Organization | 10/01/2018 | |
| Uvalde County Hospital Authority | Operational/managerial control | Organization | 10/01/2018 | |
| Dayton, Steven | Operational/managerial control | Individual | 01/01/2025 | |
| Dekowski, Donovan | Operational/managerial control | Individual | 10/01/2018 | |
| Lawrence, Patrick | Operational/managerial control | Individual | 01/24/2022 | |
| 2951 Us 281 LLC | Adp of the SNF | Organization | 10/01/2018 | |
| Regency IHS Clinical Consulting, LLC | Adp of the SNF | Organization | 10/01/2018 | |
| Regency IHS of George West LLC | Adp of the SNF | Organization | 04/29/2025 | |
| Regency IHS Rehab LLC | Adp of the SNF | Organization | 10/01/2018 | |
| Regency Integrated Health Services LLC | Adp of the SNF | Organization | 04/29/2025 | |
| Uvalde County Hospital Authority | Adp of the SNF | Organization | 04/16/2025 | |
| Dayton, Steven | Adp of the SNF | Individual | 01/01/2025 | |
| Dekowski, Donovan | Adp of the SNF | Individual | 10/01/2018 | |
| Graves, Tracy | Adp of the SNF | Individual | 01/01/2025 | |
| Lara, Letitia | Adp of the SNF | Individual | 01/01/2025 | |
| Lawrence, Patrick | Adp of the SNF | Individual | 01/24/2022 |
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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