MIRADOR
State inspectors recorded 3 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-04-25 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-04-25 — IMMEDIATE JEOPARDY (tag F0684, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-05-25 — IMMEDIATE JEOPARDY (tag F0580, severity J)
Resident Rights Deficiencies · correction not recorded in CMS data
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Staffing, from payroll records
Nursing hours / resident / day
3.69
state median 2.67
Weekend staffing gap
−5%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.43
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Days with zero RN hours reported
2
with residents present
Nursing staff turnover
38%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $22,922 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-04-25 | Fine | $14,901 |
| 2024-05-25 | Fine | $8,021 |
Ownership
Ownership type: Non profit - Corporation. Part of the METHODIST RETIREMENT COMMUNITIES chain.
Other facilities under the same ownership, with their CMS overall ratings:
- MRC CREEKSIDE (HUNTSVILLE, TX) —
- CRESTVIEW RETIREMENT COMMUNITY (BRYAN, TX) —
- PINECREST RETIREMENT COMMUNITY (LUFKIN, TX) —
- CORNERSTONE RETIREMENT COMMUNITY (TEXARKANA, TX) —
- MRC THE CROSSINGS (LEAGUE CITY, TX) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-05-29 | F0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-05-29 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-05-29 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-04-29 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-04-25 | F0684 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-04-25 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-04-25 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-05-25 | F0580 | Resident Rights Deficiencies | J | not recorded |
| 2024-05-25 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2024-03-29 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-03-29 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-03-29 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-03-29 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-03-29 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-03-29 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2023-01-12 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2023-01-12 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-01-12 | F0880 | Infection Control Deficiencies | D | not recorded |