316 General Cavazos Blvd, Kingsville, TX 78363 · Kleberg County · (410) 552-4800
146 certified beds, about 83 residents a day · For profit - Corporation · Medicare and Medicaid since 1995
CMS Care Compare ratings, data as of September 1, 2026 · CCN 675494 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 19, 2025, inspectors cited 3 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 20 health citations since February 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $8,190 in the last three years; the largest was $8,190, and the latest is dated September 18, 2023.
Nurses and nurse aides worked 3.22 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.
43.8% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to Nexion Health, an affiliated group of 51 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 20 health citations on file.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure that drugs and biologicals were stored in locked compartments for one of one (wound care) carts observed for storage compliance. The facility failed to ensure the 400-hall wound care cart was left unlocked and unattended by LVN A. This failure could place residents at risk of access and ingestion of medications not intended for resident and drug diversion.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents had the right to be free from abuse for 1 of 5 residents (Resident #1) reviewed for abuse, neglect, and exploitation. The facility failed to protect Resident #1's right to be free from physical abuse when Resident #2 hit Resident #1 on the right arm, twice, on 12/10/2025. This failure could place residents at risk for physical injury.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure all drugs and biologicals were stored in locked compartments for 1 of 4 treatment and medication carts (main treatment cart) reviewed for labeling and storage. The facility failed to ensure the main treatment cart belonging to RN-A was locked and secured. This failure could place the residents at risk of gaining access to unlocked medical supplies and medications which were not prescribed to them and could cause them harm.
Inspectors wroteBased on interview and record review, the facility failed to maintain medical records on each resident that were complete and accurately documented in accordance with accepted professional standards and practices for 2 (Resident #1 and Resident #2) of 2 residents reviewed for medical records. LVN A failed to document a verbal and physical altercation on 10/08/25 between Resident #1 and Resident #2 in a timely manner in Resident #1's progress notes. LVN A failed to document a verbal and physical altercation on 10/08/25 between Resident #1 and Resident #2 in a timely manner in Resident #2's progress notes. LVN B failed to document injury assessments on Resident #1 in a timely manner. RN C failed to document injury assessments on Resident #1 in a timely manner. These failures could put residents at risk of improper care based on inaccurate or incomplete documentation. [...]
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, and 2 of 2 nutrition rooms reviewed for storage, preparation, and sanitation. The facility failed to ensure the ice machine chute was clean. The facility failed to ensure the juice gun nozzle was clean. The facility failed to ensure the steam table wells were clean. The facility failed to ensure the underside of the shelf directly above the range was clean. The facility failed to ensure containers of spices were not left open to air. The facility failed to ensure items in the dry storage area were sealed properly. The facility failed to ensure items in the refrigerators were labeled and dated. The facility failed to ensure food in the walk-in freezer were sealed properly. [...]
Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure the medication error rate was not five percent or greater. The facility had a medication error rate of 7.41% based on 2 errors out of 27 opportunities, which involved 2 of 4 residents (Resident #45 and Resident #133) reviewed for medication errors. - LVN C failed to administer medication as ordered to Resident #45 by administering only one 400 mcg tablet of folic acid (Vitamin B-9, important in red blood cell formation and cell growth) instead of 800 mcg as ordered. - LVN C failed to administer medication as ordered to Resident #133 by holding one 12.5 mg tablet of hydrochlorothiazide (diuretic that lowers blood pressure as well as treat fluid retention) despite an active order to administer it. These failures could place residents receiving medication at risk of inadequate therapeutic outcomes.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure all drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles, and included the appropriate accessory and cautionary instructions, and the expiration date when applicable for 1 of 4 (100-hall nurse cart) medication carts reviewed for medication storage. 1. The facility failed to write the open date on the vial of Resident #10's multidose Lantus insulin vial in the 100-hall nurse cart. 2. The facility failed to write the open date on the vial of Resident #133's multidose Lispro insulin vial in the 100-hall nurse cart. This deficient practice could place residents at risk of receiving expired insulin.
Inspectors wroteBased on observation, interviews and record reviews, the facility failed to ensure the right to be free from abuse for two (Residents #2 and #3) of 4 residents reviewed for abuse. The facility failed to ensure Resident #2 was free from abuse. On 05/09/25, Resident #1 slapped Resident #2 in the face twice with an open hand because Resident #2 would not give Resident #1 her napkin. The facility failed to ensure Resident #3 was free from abuse. On 05/10/25, Resident #1 grabbed Resident #3 ' s arm and slapped it four times with an open hand, once with each word, while she said, I told you so. This failure could place residents at risk for abuse and psychological harm.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure that drugs and biologicals were stored in locked compartments for 1 of 4 medication carts observed for compliance. Medication cart #1 was left outside of room [ROOM NUMBER] unlocked and unattended by RN A. This failure could place residents at risk of access and ingestion of non-narcotic medications. This failure had the potential to affect 5 residents in this hall.
Inspectors wroteBased on observation, interview, 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 sanitation in that: 1. The facility failed to ensure dry goods were sealed 2. The facility failed to ensure dry goods were labeled and dated 3. The facility failed to ensure equipment was clean and sanitized 4. The facility failed to refrain from having personal items in the prep areas 5. The facility failed to label and date items in the walk-in refrigerator 6. The facility failed to label and date items in the walk-in freezer 7. The facility failed to maintain temperature logs for refrigerators and the freezer 8. The facility failed to maintain temperature and sanitization logs for the 3-compartment sink 9. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that respiratory care was provided, consistent with professional standards of practice, for 3 Residents (Resident #21, Resident #23, and Resident #170) of 6 residents reviewed for respiratory care and services, in that: The facility failed to ensure Resident #21, Resident #23, and Resident #170's oxygen tubing was not dated according to physician's order. This deficient practice could place residents who required oxygen therapy at risk of receiving inadequate respiratory treatments and could result in decline in health.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide separately locked and permanently affixed compartments for Schedule II-V medications and/or other medications subject to abuse in two (B and C wing) of two medication rooms that contained emergency use narcotics boxes. The facility failed to ensure the emergency use narcotic boxes in B and C wing medication rooms were permanently affixed. These failures could place residents at risk for misappropriation and/or diversion of medication.
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 2 (Resident #2 and Resident # 122) of 5 residents and 4 of ( CNA C, CNA D, CNA E, and HA F) staff that were reviewed for infection control in that: 1. CNA C and CNA D did not perform hand hygiene for 20 seconds or longer and did not remove contaminated gloves during peri care after changing Resident # 2's brief and prior to putting on a new brief. 2. CNA E and Hospitality Aide F did not perform hand hygiene prior to peri care and did not perform hand hygiene for 20 seconds or longer after peri care. [...]
Inspectors wroteBased on interview and record review the facility failed to ensure adequate supervision and assistive devices to prevent accidents for 1 of 1 resident (R#2) reviewed for accidents. The facility failed to provide R #2 with adequate supervision, resulting in falls on 08/13/23 and 08/17/23. This failure could lead to the injury of residents that are at risk of falls.
Inspectors wroteBased on interview and record review, the facility failed to implement written policies and procedures to prohibit and prevent abuse and neglect for 1 of 1 resident #2 (R #2) reviewed for incident reporting. The facility failed to report an allegation of neglect for R #2 for an incident on 08/13/23 and failed to report an allegation of neglect for R #2 within the required timeframe of the incident on 08/17/23. This failure could place residents at risk of abuse, neglect, and not having incidents reported appropriately.
Inspectors wroteBased on interview and record review, the facility failed to ensure that all alleged violations involving abuse, neglect, or mistreatment, were reported immediately to the State Survey Agency, within two hours if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, for 1 of 1 resident (R #2) reviewed for abuse/neglect. The facility failed to report allegations of resident neglect for R #2 for incidents on 08/13/23 and 08/17/23 to the State Survey Agency within the allotted time frame (incident on 08/17/23 was at around 12:05 PM and it was reported until 08/18/23 at 8:55 AM). This failure could place all residents at increased risk for potential abuse due to unreported allegations of abuse and neglect.
Inspectors wroteBased on interview and record review, the facility failed to ensure that all alleged violations involving abuse, neglect, or mistreatment, were investigated for 1 of 1 resident (R #2) reviewed for abuse/neglect. The facility failed to thoroughly investigate alleged violations of neglect after R #2 fell on [DATE] and 08/17/23. This failure could place all residents at increased risk for potential abuse due to uninvestigated allegations of abuse and neglect.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food by professional standards for food service safety for 1 of 1 kitchen reviewed and 1 of 3 med room nutrition refrigerators in that: The steam table was not clean The shelf on the steam table was not clean The juice gun and rest tray were not clean The ice machine was not clean The refrigerator temperatures were above the required minimum The dishwasher temperatures were below the required minimum There were unlabeled foods in the med room nutrition refrigerator These failures could place residents at serious risk for complications from food contamination, and/or foodborne illness.
Inspectors wroteBased on interviews, and record review, the facility failed to designate a person to serve as director of food and nutrition services who is a qualified dietary manager 1 of 1 facility in that: The facility has been without a certified dietary manager since 10/01/2018. This failure could result in the dietary needs of all residents served by the kitchen not being met.
Inspectors wroteBased on observations, interviews and record review the facility failed to dispose of garbage and refuse properly for 1 of 1 grease traps reviewed in that: The grease trap was not being used Used grease was disposed of via a plastic bag into the dumpster This failure could place residents at risk of infection and vermin from improperly disposed of used grease.
9 fire safety citations on file: 2 on June 19, 2025, 5 on April 25, 2024, 2 on February 23, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| September 18, 2023 | Fine | $8,190 |
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) | 3.22 | 3.39 | 3.86 |
| Registered nurses | 0.64 | 0.43 | 0.69 |
| All nursing staff on weekends | 2.85 | 2.98 | 3.42 |
| Nurse aides | 2.02 | ||
| Licensed practical nurses | 0.56 | ||
| Nursing staff turnover (share who left in a year) | 43.8% | 55.3% | 45.8% |
| Registered nurse turnover | 20.0% | 54.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.43 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 3.37 on weekdays and 2.85 on weekends, 15% 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 3.47 in April to June 2025 to 3.22 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 | 3.22 | 0.64 | 3.37 | 2.85 | 0.0% | 0 of 90 | 83 |
| Oct to Dec 2025 | 3.16 | 0.57 | 3.28 | 2.84 | 0.0% | 0 of 92 | 84 |
| Jul to Sep 2025 | 3.36 | 0.45 | 3.54 | 2.91 | 0.0% | 0 of 92 | 81 |
| Apr to Jun 2025 | 3.47 | 0.44 | 3.70 | 2.88 | 0.0% | 0 of 91 | 83 |
| 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.
Trains nurse aides: this home runs a state-approved CNA program (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 Lone Star Ranch Rehabilitation and Healthcare Center CNA training 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 | 23.9 | 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 | 4.0 | 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 | 19.1 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.5 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.1 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 5.4 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.1 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.7 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Lone Star Ranch Rehabilitation and Healthcare Cent's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (50.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
50.0% 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.
11.4% 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. 43 eligible stays.
7.7% 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. 28 eligible stays.
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: 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. 14 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. 20 residents counted.
0.0% 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. 20 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. 1 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: WEST WHARTON COUNTY HOSPITAL DISTRICT. CMS links this home to Nexion Health, a group of 51 nursing homes averaging 2.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Breeden, Victoria | W-2 managing employee | Individual | 04/01/2022 | |
| Mak, David | Corporate officer | Individual | 04/01/2022 | |
| Nexion Health at Kingsville Inc | Operational/managerial control | Organization | 04/01/2022 | |
| Fallon, John | Operational/managerial control | Individual | 04/01/2022 | |
| Herdrich, William | Operational/managerial control | Individual | 04/01/2022 | |
| Kirley, Francis | Operational/managerial control | Individual | 04/01/2022 | |
| Lee, Brian | Operational/managerial control | Individual | 04/01/2022 | |
| Reid, John | Operational/managerial control | Individual | 04/01/2022 | |
| Riner, Meera | Operational/managerial control | Individual | 04/01/2022 |
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.
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.