RIVER OAKS HEALTH AND REHABILITATION CENTER
State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.
Serious inspection findings
2026-05-01 — IMMEDIATE JEOPARDY (tag F0607, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
2026-05-01 — IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-12-11 — ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Staffing, from payroll records
Nursing hours / resident / day
2.43
state median 2.67
Weekend staffing gap
−12%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.42
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Days with zero RN hours reported
3
with residents present
Nursing staff turnover
96%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $60,095 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-04-17 | Fine | $52,036 |
| 2024-12-11 | Fine | $8,059 |
Ownership
Ownership type: For profit - Limited Liability company. Part of the CREATIVE SOLUTIONS IN HEALTHCARE chain.
Other facilities under the same ownership, with their CMS overall ratings:
- Buena Vida Nursing and Rehab-San Antonio (SAN ANTONIO, TX) —
- MESA VISTA INN HEALTH CENTER (SAN ANTONIO, TX) —
- Mountain View Health & Rehabilitation (El Paso, TX) —
- Vista Hills Health Care Center (El Paso, TX) —
- Pleasant Springs Healthcare Center (Mount Pleasant, TX) —
- AMISTAD NURSING AND REHABILITATION CENTER (UVALDE, TX) —
- HERITAGE AT LONGVIEW HEALTHCARE CENTER (LONGVIEW, TX) —
- MINERAL WELLS NURSING & REHABILITATION (MINERAL WELLS, TX) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-05-01 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2026-05-01 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2026-05-01 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2026-04-17 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-04-17 | F0700 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-04-17 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2026-04-17 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2026-04-17 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2026-04-17 | F0813 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2026-04-17 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-12-02 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-06-17 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-04-24 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-04-24 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-04-24 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-30 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-01-30 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-12-23 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2024-12-23 | F0676 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-12-23 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-12-11 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2024-12-11 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-02-06 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-01-19 | F0919 | Environmental Deficiencies | D | not recorded |
| 2023-12-07 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-12-07 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-12-07 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-12-07 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-12-07 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-12-07 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2023-12-07 | F0914 | Environmental Deficiencies | E | not recorded |
| 2023-10-17 | F0803 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2023-10-17 | F0806 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2023-10-17 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2023-10-10 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2023-10-10 | F0660 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-10-10 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |