470 Moore Drive, Vidor, TX 77662 · Orange County · (409) 769-2454
144 certified beds, about 86 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2006
CMS Care Compare ratings, data as of September 1, 2026 · CCN 676108 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on July 15, 2026, inspectors cited 12 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 47 health citations since September 2023, 4 were rated as actual harm or immediate jeopardy to residents (4 immediate jeopardy).
CMS lists 2 fines totaling $43,212 in the last three years; the largest was $29,143, and the latest is dated February 27, 2026.
Nurses and nurse aides worked 2.88 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.13 of those hours.
93.5% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to Creative Solutions in Healthcare, an affiliated group of 149 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 47 health citations on file.
Inspectors wroteBased on observation, interview, and record review the facility failed to have sufficient nursing staff to assure resident safety and considering the number, acuity and diagnoses of the facility's resident population in accordance with the facility assessment for 1 of 4 halls (500 Hall) reviewed for sufficient nursing staff. *The facility did not always have the secured unit (500 Hall) staffed with 2 CNAs as indicated in the facility assessment. This failure could place residents who reside on the 500 Hall at risk of diminished quality of life and quality of care, injuries, elopement risk, and delayed treatment.
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 2 freezers (Freezer #2), 1 of 4 refrigerators (Refrigerator #4), and 1 of 1 kitchen reviewed for food and nutrition services. The facility failure to ensure food items in Freezer #2 were labeled, dated, and sealed. The facility failed to ensure Refrigerator #4 was clean and free of debris and spills. The facility failed to ensure the water and drainpipes under dish machine were free of leaks. The facility failed to ensure that the floor in the kitchen was clean and intact. The facility failed to ensure the kitchen ceiling was free of holes. The facility failed to ensure the garbage in the kitchen was in the receptacle with lid on the garbage barrel and away from food. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an effective pest control program so that the facility was free of pests for kitchen reviewed for physical environment. The facility failed to ensure the kitchen was free from gnats. This failure could place residents at risk for the potential spread of infection, cross-contamination, and decreased quality of life.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents have the right to be informed in advance, by the physician or other practitioner or professional, of the risks and benefits of proposed care, of treatment and treatment alternatives or treatment options and to choose the option he or she prefers for 1 of 5 residents (Resident #3) reviewed for resident rights. The facility failed to ensure Resident #3 had a completed Consent for Antipsychotic or Neuroleptic Medication Treatment (HHSC form 3713) form for Risperidone (an antipsychotic medication). This failure could place residents at risk for treatment or services provided without their informed consent.
Inspectors wroteBased on interview and record review, the facility failed to consult with the resident's physician when there was a need to alter treatment significantly (that is, a need to discontinue an existing form of treatment due to adverse consequences) for 1 of 21 residents (Residents #9) reviewed for resident rights. The facility failed to ensure Resident #9's physician was notified of her insulin was held on 07/08/2026, 07/09/2026 and 07/10/2026. This failure could place residents at risk of not receiving adequate and timely intervention and a decline in condition.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents had the right to a safe, clean, comfortable, and homelike environment including housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior 2 of 10 rooms and for (Rooms 104A, and 112B) observed for homelike environment. The facility failed to ensure room [ROOM NUMBER]A was in good repair and did not have a hole and missing sheet rock exposing the wood frame and insulation on 07/13/26, 07/14/26 and 07/15/26. The facility failed to ensure room [ROOM NUMBER]B was in good repair and did not have a hole and missing sheet rock exposing the wood frame and insulation on 07/13/26, 07/14/26 and 07/15/26. This failure could place residents at risk of living in an unclean and unsanitary environment which could lead to a decreased quality of life.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents fed by enteral means received the appropriate treatment and services to prevent complications for 1 of 1 resident (Resident #54) reviewed for enteral devices. The facility failed to ensure RN G administered Resident #54's water flush by gravity instead of pushing it through his gastronomy tube (placement of a tube into the stomach used for nutrition and medication administration) with a syringe on 07/14/2026. This failure could affect residents receiving enteral nutrition, medications, and hydration by placing them at risk of health complications.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to follow menus for 1 of 2 meals reviewed for menus in that: The facility failed to follow the menu on 07/15/26 at the lunch meal service the pureed diets contained no rolls. This failure could place residents who consume food prepared by the facility kitchen at risk of not having their nutritional needs met and/or weight loss.
Inspectors wroteBased on observation, interview, and record review the facility failed to serve each resident food prepared in a form to meet individual needs for one of one meal (lunch meal 07/14/2026) reviewed for pureed food preparation. The facility failed to ensure [NAME] L prepared puree meat to pudding consistency with no pieces. These failures could result in choking hazards, decreased nutrient intake and weight loss.
Inspectors wroteBased on observations, interviews, and record review 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 (Residents #43 and #54) of 18 residents, reviewed for infection control. *RN G failed to don PPE prior to performing the high contact resident care activity on Resident #54 who was on enhanced barrier precaution. *The Wound Care Nurse failed to follow infection control procedures by dropping a gown on the floor then picking it up and wearing intending to perform direct patient care for Resident #43 on contact isolation. These failures placed residents at risk for healthcare associated cross contamination and infections.
Inspectors wroteBased on interview and record review, the facility failed to implement an antibiotic stewardship program that included antibiotic use protocols. * The facility did not include the antibiotic time out protocol in their Antibiotic Stewardship policy in the Infection Control Tracking and Trending review. This failure could place residents with infections at risk for unnecessary antibiotic use and increased infections that are resistant to antibiotics.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for 1 of 2 dining rooms and for Resident #4 and Resident #80 observed for reviewed for physical environment. The facility failed to ensure the main dining room was free of water leaks and free of a water-stained ceiling. This failure could place residents at risk of a diminished quality of life due to exposure to an environment that is unpleasant, unsanitary, and unsafe.
Inspectors wroteBased on interviews and record review, the facility failed to ensure prompt efforts were made to resolve grievances for 1 of 7 (Resident #1) residents reviewed for grievances. The facility failed to resolve and take prompt action to ensure the RP's grievance they were not notified of Resident #1's refusals was resolved and remained resolved as of 04/13/26. This failure could place residents at risk of unresolved grievances and decreased quality of life.
Inspectors wroteBased on observation, interview, and record review, the facility failed to properly store, prepare, distribute, and serve food in accordance with the professional standards for food service safety 1 of 1 kitchen reviewed for kitchen sanitation. The facility failed to ensure the deep fryer was clean and free of food particles and contained fresh cooking oil. These failures could place residents, who received food and beverages from the kitchen, at risk for health complications, foodborne illnesses, and decreased quality of life.
Inspectors wroteBased on interview and record review, the facility failed to provide each resident with a nourishing, palatable, well-balanced diet that met his or her daily nutritional and special dietary needs, taking into consideration the preferences of each resident for 1 of 2 meals (on 04/20/2026), reviewed food and nutrition services. This facility failed to ensure Resident #1 received a balanced breakfast meal that included protein, in accordance with established national guidelines, on Monday 04/20/2026. This failure could place residents at risk for a decline in health status due to inadequate or inappropriate nutritional intake, weakness, and weight loss.
Inspectors wroteBased on observation, interviews and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (Resident #1) of three residents reviewed for quality of care related to subtherapeutic lab levels. The facility failed to follow up after notifying the NP twice regarding Resident #1's phenytoin (anti-seizure medication) lab value of 5.6 (therapeutic range 10.0 - 20.0) on [DATE] and no intervention or assessments were put in place. Resident #1 was hospitalized on [DATE] due to subtherapeutic serum Dilantin (phenytoin- anti-seizure medication) level and status epilepticus. On [DATE] an Immediate Jeopardy (IJ) was identified. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, which included 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 resulted in serious bodily injury to the administrator of the facility and to other officials, which included the State Survey Agency, in accordance with State law through established procedures for 1 of 6 residents (Resident #1) reviewed for abuse, neglect, and exploitation. The facility failed to report the sexual abuse allegation, after the allegation was made by Resident #1 and CNA A did not report to the abuse coordinator for approximately 2 weeks. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to employ sufficient staff with the appropriate competencies, and skills set to carry out the functions of the food and nutrition service for 1 of 1 activity aide (Activity Aide B) and 1 of 5 dietary aides (Dietary Aide L) reviewed for qualified dietary staff. The facility failed to ensure Activity Aide B and Dietary Aide L had their Texas Food Handler's License. This failure could place residents at risk of not having their nutritional needs met and place them at risk for food born illnesses.
Inspectors wroteBased on observation, interview, and record review, the facility failed to properly store, prepare, distribute, and serve food in accordance with the professional standards for food service safety 1 of 1 kitchen reviewed for safety requirements. 1. The facility failed to ensure food items in Icebox #1 were labeled, dated, sealed, and not expired. 2. The facility failed to ensure the floor in Icebox #2 was free from standing water spills and unpackaged food. 3. The facility failed to ensure Activity Aide B, Dietary Aide G, and Dietary [NAME] H's hair was completely contained with an effective hair restraint. 4. The facility failed to ensure the left wall in the milk-box cooler - was free of ice build-up and accumulation of food crumbs and debris. 5. [...]
Inspectors wroteBased on interview and record review, the facility failed to consult with the physician regarding a change in condition for 2 of 20 residents reviewed for physician notification. (Residents #5 and #17) The facility failed to consult physician when Resident #5 consistently had above normal blood glucose levels. The facility failed to consult physician when Resident #17's medications were held due to patterns of low heart rate. This failure could place residents at increased risk for complications due to delayed physician intervention.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a safe and comfortable environment for 3 of 18 residents (Resident #21 #23 #74) and 1 of 2 shower rooms (Hall 100/200 shower room) for Resident #36 reviewed for safe environment. The facility failed to ensure Resident #21, #23 and #74' s hand sink water was maintained at or below 110 degrees. The facility failed to ensure shower room between Hall 100 and Hall 200 was maintained at or below 110 degrees for Resident #36. This failure could place residents at risk of burns, pain, unsafe environment and a diminished quality of life.
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 1 of 18 residents reviewed for care plans. (Resident #40) The facility did not have a care plan to address Resident #40's diagnosis of pneumonia (infection that inflames air sacs in one or both lungs, which may fill with fluid). This failure could place residents at risk of not having individual needs met and not receiving needed services.
Inspectors wroteBased on observation, interview, and record review, the facility failed to label drugs and biologicals used in the facility in accordance with currently accepted professional principles, and include the appropriate accessory and cautionary instructions, and the expiration date when applicable for 1 of 2 medication rooms (the main medication storage room) reviewed for drug labeling and storage. The main medication storage room had 11 over-the-counter medication bottles that were in stock to be used after their expiration date. These failures placed residents at risk for receiving biologicals and medications which were ineffective and/or not safe.
Inspectors wroteBased on interview and record review, the facility failed to maintain clinical records in accordance with accepted professional standards and practices that were complete and accurately documented for 1 of 20 residents (Resident #5) reviewed for medical records accuracy. The facility did not accurately document Resident #5's daily vital signs on the May 2025 MAR. Staff signed off on physician ordered daily vital signs as taken and were repetitively documented with identical findings on 05/01/25, 05/02/25, 05/03/25, 05/04/25, and 05/05/25 and identical findings on 05/06/25, 05/07/25, 05/08/25, and 05/09/25. This failure could affect residents whose records are maintained by the facility and could place them at risk for errors in care, and treatment.
Inspectors wroteBased on observation, interview and record review, 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 of 4 residents (Resident #32 and Resident #64) reviewed for infection control practice. The WC Nurse failed to perform hand hygiene and change gloves while providing wound care to Resident #32's great toe wound. The WC Nurse failed to perform hand hygiene and change gloves while providing wound care to Resident #64's coccyx area wound. These failures could place residents at risk for the spread of infection.
Inspectors wroteBased on observation, interview, and record review the facility failed to store and distribute food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for kitchen sanitation. The facility failed to maintain clean floors in the kitchen under the hand sink area and behind the stove. This failure could place residents who ate the food from the kitchen at risk for food-borne illness.
Inspectors wroteBased on interview, and record review, the facility failed to ensure residents who were unable to carry out activities of daily living received the necessary services to maintain grooming, and personal and oral hygiene for 2 of 17 residents (Resident #1 and #2) reviewed for ADLS. The facility failed to ensure Resident #1 and #2 baths or showers were given as scheduled. This failure could place residents at risk of a decline in hygiene, at risk of skin breakdown, level of satisfaction with life, and feelings of self-worth.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure each resident received and the facility provided food that accommodated resident preferences for 1 of 17 residents (Resident #1) reviewed for food preferences. The facility failed to ensure Resident #1's breakfast tray included a breakfast sandwich with bacon, egg and cheese in accordance with her requests which were listed on her meal ticket, on 04/15/2025. This failure placed residents at risk of poor intake, possible weight loss, and diminished quality of life.
Inspectors wroteBased on interview and record review, the facility failed to ensure prompt efforts were made to resolve grievances for three of three months (12/24, 01/25, and 02/25) reviewed for grievances. The facility did not thoroughly investigate or take prompt action to resolve complaints/grievances voiced during the residents' council meeting on 12/03/24, 01/07/25, and 02/04/25. This failure could place residents at risk for grievances not being addressed or resolved promptly.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide food that was palatable and attractive for 7 of 7 meals reviewed for food and nutrition services. The facility failed to ensure dietary staff provided food that was palatable and had an appetizing appearance from 12/19/24 through 02/08/25. These failures could place residents at risk of decreased food intake, hunger, and unwanted weight loss.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident who was unable to conduct activities of daily living received necessary services to maintain good nutrition, grooming, personal and oral hygiene for 1 of 8 residents (Resident #1) reviewed for ADLS. The facility failed to provide showers or baths to Residents #1 in compliance with their shower/bath schedule and she did not receive a scheduled shower/bath on 02/07/25. This failure could place residents at risk of a decline in hygiene, at risk of skin breakdown, level of satisfaction with life, and feelings of self-worth.
Inspectors wroteBased on observation and interview the facility failed to ensure a surge protector was not used to multiply the number of existing electrical outlets in 1 of 1 resident room reviewed for electrical outlets. On an unknown date through 02/11/25, the facility utilized an outlet adapter and extension cords to multiply the number of existing outlets in Resident #1's room. This failure could lead to overloading the electrical circuit and create an electrical fire, causing smoke inhalation and fire related injuries among the residents.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure that all alleged violations involving abuse were reported immediately to the abuse coordinator for immediate intervention for 1 of 4 residents (Resident #1) reviewed for abuse and failed to ensure that all alleged violations involving abuse were reported no later than 2 hours after the allegation was made, if the events that caused the allegation involved abuse or neglect resulting in serious bodily injury, to the State Survey Agency, for 2 of 15 residents (Resident #4, Resident #6) reviewed for reporting allegations of abuse. 1. The facility failed to report a verbal abuse allegation immediately to the Abuse Coordinator. CNA A alleged she witnessed LVN B verbally abuse Resident #1 on 10/22/24 at approximately 8:00 p.m. [...]
Inspectors wroteBased on observations, interviews, and record review, the facility failed to have evidence that all alleged violations were thoroughly investigated and/or prevent further potential abuse for 1 of 4 resident (Resident #1) reviewed for abuse and neglect. The facility failed to conduct a thorough investigation when CNA A reported to ADON C and ADON D an allegation of verbal abuse of LVN B to Resident #1 on 10/22/2024 at 8:30 p.m. The facility failed to protect Resident #1 from further alleged/potential verbal abuse by allowing LVN B to work in the facility on 10/22/2024 after the allegation and to work on 10/23/2024 until 4:30 p.m. An Immediate Jeopardy (IJ) was identified on 01/28/2025. The IJ Template was provided to the facility on [DATE] at 5:26 p.m. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the resident's environment remained free of accident hazards and the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 4 residents (Resident #2) reviewed for accidents and supervision. The facility failed to ensure adequate supervision for Resident #2 with two staff members for bed mobility during pressure ulcer treatment to prevent a fall with injury on 10/29/2024. The non-compliance was identified as past non-compliance. The Immediate Jeopardy began on 10/29/24 and ended on 10/29/2024. The facility had corrected the noncompliance before the survey began. This failure could place residents at risk for injury and harm due to the lack of supervision provided by the facility.
Inspectors wroteBased on interviews and record review, the facility failed to designate one or more individual(s) as the infection preventionist(s) which had completed specialized training in infection prevention and control for 1 of 1 Infection Preventionist (LVN IC) reviewed for infection control training. The facility's Infection Preventionist did not have specialized infection control training. This failure could affect the facility's ability to appropriately recognize and respond to communicable diseases and infections.
Inspectors wroteBased on interview and record review, the facility failed to employ sufficient staff with appropriate competencies and skill sets to carry out the functions of the food and nutrition service for 1 of 1 facility kitchen reviewed for food and nutrition services. The facility failed to designate a person to serve as the dietary manager who met the required qualifications. The facility designated Dietary Supervisor did not have a dietary manager's certification or any other qualifying credentials from 06/14/23 to 04/10/24. This failure could place residents at risk for the spread of foodborne illness and residents not having their nutritional needs met.
Inspectors wroteBased on observation, interview, and record review, the facility failed to be adequately equipped to allow residents to call for staff assistance through a communication system, which relays the call directly to a staff member or to a centralized staff work area from each resident's bedside and toilet and bathing facilities, for 1 of 1 facility's reviewed for a functioning call light system and for 5 of the facility's 5 halls (Halls 100, 200, 300, 500, and 600) reviewed for resident call system, The facility failed to have a functioning call light system for residents who resided in the facility on Halls 100, 200, 300, 500, and 600 from 04/05/24 to 04/10/24. This could place the residents at risk of not receiving the care and services to maintain their highest level of well-being.
Inspectors wroteBased on observation, interview, and record, the facility failed to ensure drugs and biologicals used in the facility were stored and secured properly for 2 of 3 medication carts (Hall 6 Nurse Cart and the MA Cart) and 1 of 2 medication rooms reviewed for drug storage. The facility failed to provide a separately locked, permanently affixed compartment for storage of controlled drugs in the refrigerator of the medication room. The facility failed to ensure expired medications including narcotics were not available for use on the Hall 6 Nurse Cart and the MA Cart. The facility failed to ensure open dates were on inhalers and nasal sprays on the Hall 6 Nurse Cart. These failures could place residents at risk for drug diversion or receiving expired medication which could lead to exacerbation of their disease process and deterioration in general health.
Inspectors wroteBased on interview and record review, the facility failed to employ staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service for 1 of 10 dietary staff (Dietary Staff G) reviewed for food and nutrition services. The facility failed to ensure Dietary Aide G had a current Food Handler's Certificate while working in the facility's kitchen on 04/8/24 to 04/10/24. This failure could place residents who consumed food prepared in the facility kitchen at risk of foodborne illness due to being served by improperly trained staff.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure an infection prevention and control program designed to provide a safe and sanitary environment and to help prevent the development and transmission of communicable diseases and infections were maintained for the facility for 4 of 6 residents reviewed for infection control. (Residents #31, #72, #7, and #82) The facility failed to ensure LVN C washed/sanitized her hands when entering Resident #31's room and between glove changes during medication administration via g-tube. The facility failed to ensure LVN J and LVN K cleaned the glucometer device according to the contact time of the disinfectant before and after use on Residents #72, #7, and #82. These failures could place residents at risk for exposure to infections and blood borne pathogens.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure resident rights for personal privacy for 1 of 20 (Resident #72) residents. CNA D and CNA E failed to pull the curtain to provide privacy to Resident #72 when providing incontinent care on 04/11/2024 at 11:55 a.m. This failure could place residents at risk for low self-esteem, loss of dignity, and decreased quality of life due to a lack of privacy during their care.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure each resident's person-centered comprehensive care plan was reviewed and revised by the interdisciplinary team after each assessment for 2 of 20 residents reviewed for care plans. (Resident #2 and Resident #85) -The facility failed to ensure Resident #2's care plan accurately address her need to use a fire-resistant smoking apron. -The facility failed to ensure Resident #85's care plan accurately addressed his diagnosis of benign prostatic hyperplasia and urinary retention related to his indwelling urinary catheter. These failures could place residents at risk for staff not being aware of the resident needs and not receiving the care and services to attain or maintain their highest practicable physical, mental, and psychosocial outcome.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that a resident, who needed respiratory care was provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, the residents' goals and preferences for 2 of 20 residents reviewed for respiratory care. (Resident #s 14 and 41) The facility did not ensure Resident #14 had orders for the administration of oxygen . The facility did not ensure Resident #41 received oxygen at 2L NC as ordered . This failure could place the residents at risk of not receiving the care and services to maintain their highest level of well-being.
Inspectors wroteBased on interview and record review, the facility failed to provide pharmaceutical services including procedures that assure the accurate administering of all drugs to meet the needs of each resident for 2 of 9 residents reviewed for medication administration. (Residents #31 and #72) 1. The facility failed to ensure LVN C checked g-tube placement (Gastrostomy tube-tube surgically inserted through the skin into the stomach) prior to administering medications to Resident #31. 2. The facility failed to ensure LVN K administered insulin according to physician orders for Resident #72. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the rights to be free from abuse or neglect for 1 of 7 (Resident #1) residents reviewed for abuse or neglect. The facility failed to ensure Resident #1 was free from physical abuse by CNA A. The non-compliance was identified as PNC. The non-compliance began on 11/21/23 and ended on 11/22/23. The facility had corrected the non-compliance before the survey began. This failure could place residents at risk for abuse/neglect, humiliation, intimidation, fear, shame, agitation, and decreased quality of life.
Inspectors wroteBased on interview and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 2 of 8 residents (Residents #1 and #2) reviewed for medication administration. 1. The facility failed to ensure LVN A administered Resident #1's medication per physician orders. On 05/02/23, LVN A gave Resident #1 two Oxycodone tablets instead of two Tramadol tablets. 2. The facility failed to securely receive 60 tablets of Resident #2's Hydrocodone on 08/29/23. The facility was not able to locate the medication. These failures could place residents at risk of not receiving their prescribed medication as ordered,negative side effects, and increased pain.
12 fire safety citations on file: 5 on July 15, 2026, 5 on May 21, 2025, 2 on April 10, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| February 27, 2026 | Fine | $29,143 |
| January 30, 2025 | Fine | $14,069 |
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) | 2.88 | 3.39 | 3.86 |
| Registered nurses | 0.13 | 0.43 | 0.69 |
| All nursing staff on weekends | 2.60 | 2.98 | 3.42 |
| Nurse aides | 1.53 | ||
| Licensed practical nurses | 1.22 | ||
| Nursing staff turnover (share who left in a year) | 93.5% | 55.3% | 45.8% |
| Registered nurse turnover | 100.0% | 54.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.80 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 2.99 on weekdays and 2.60 on weekends, 13% 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 2.88 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 | 2.88 | 0.13 | 2.99 | 2.60 | 0.0% | 1 of 90 | 86 |
| Oct to Dec 2025 | 3.02 | 0.20 | 3.17 | 2.63 | 0.0% | 1 of 92 | 84 |
| Jul to Sep 2025 | 2.96 | 0.23 | 3.11 | 2.60 | 0.0% | 0 of 92 | 89 |
| Apr to Jun 2025 | 2.97 | 0.14 | 3.12 | 2.59 | 0.0% | 0 of 91 | 86 |
| 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 | 12.0 | 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 | 0.3 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.4 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.9 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.8 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.2 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.7 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.6 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.5 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.2 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.3 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Vidor Health & Rehabilitation Center's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 20 eligible stays.
10.7% 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. 32 eligible stays.
7.3% 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. 30 eligible stays.
67.9% 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. 28 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. 47 residents counted.
1.4% 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. 47 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: LIBERTY COUNTY HOSPITAL DISTRICT NO 1. CMS links this home to Creative Solutions in Healthcare, a group of 149 nursing homes averaging 2.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Liberty County Hospital District No 1 | 5% or greater direct ownership interest | Organization | 100% | 06/01/2022 |
| Fregia, Milton | Managing control - governing body | Individual | 06/01/2022 | |
| Gardner, Shannon | Managing control - governing body | Individual | 08/22/2022 | |
| Gardzina, Margaret | Managing control - governing body | Individual | 02/26/2024 | |
| Henry, Paul | Managing control - governing body | Individual | 06/01/2022 | |
| Stratton, Charles | Managing control - governing body | Individual | 05/01/2005 | |
| Huggins, Linda | Corporate director | Individual | 06/01/2022 | |
| Willig, Zachary | Corporate director | Individual | 01/01/2025 | |
| Stratton, Charles | Corporate officer | Individual | 05/01/2005 | |
| Vidor I Enterprises, LLC | Operational/managerial control | Organization | 06/01/2022 | |
| Blake, Gary | Operational/managerial control | Individual | 06/01/2022 | |
| Blake, Malisa | Operational/managerial control | Individual | 06/01/2022 | |
| Vidor I Enterprises, LLC | Adp of the SNF | Organization | 06/01/2022 | |
| Blake, Gary | Adp of the SNF | Individual | 06/01/2022 | |
| Haggard, Scott | Adp of the SNF | Individual | 04/11/2025 | |
| Hammett, Chad | Adp of the SNF | Individual | 04/11/2025 |
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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