Government - Hospital district · 96 certified beds · CMS number 675104
Live Oak Nursing and Rehabilitation Center, George West, TX
CMS records 18 health deficiencies at Live Oak Nursing and Rehabilitation Center in George West, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jul 8, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level. CMS lists 1 fine totaling $56,980 in the last three years.
- 18deficiencies, 3 cycles (TX median 25)
- 6in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $56,980fines, last 3 years
- 3CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Live Oak Nursing and Rehabilitation Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Live Oak Nursing and Rehabilitation Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (6 deficiencies)
Standard inspection Jul 8, 2026. CMS counts 6 health deficiencies and 0 fire safety deficiencies in this cycle.
Jul 8, 2026 · Standard inspection
5 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 10, 2026
F867 · Quality monitoring and improvement projects
Requirement cited (CMS): Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 10, 2026
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 10, 2026
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 10, 2026
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 10, 2026
Mar 18, 2026 · Complaint inspection
1 deficiency, highest E
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 8, 2026
Previous cycle: 8 deficiencies (standard inspection May 22, 2025)
Standard inspection May 22, 2025. CMS counts 8 health deficiencies and 0 fire safety deficiencies in this cycle.
Aug 13, 2025 · Complaint inspection
1 deficiency, highest D
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 14, 2025
May 22, 2025 · Standard + complaint inspection
2 deficiencies, highest K
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date May 23, 2025
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 23, 2025
Apr 16, 2025 · Complaint inspection
5 deficiencies, highest D
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 9, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 9, 2025
F637 · Reassessment after a significant change
Requirement cited (CMS): Assess the resident when there is a significant change in condition
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 9, 2025
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 9, 2025
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 9, 2025
Earlier cycle: 4 deficiencies (standard inspection Mar 21, 2024)
Standard inspection Mar 21, 2024. CMS counts 4 health deficiencies and 0 fire safety deficiencies in this cycle.
Mar 21, 2024 · Standard + complaint inspection
3 deficiencies, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 8, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 8, 2024
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 8, 2024
Mar 1, 2024 · Complaint inspection
1 deficiency, highest E
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 2, 2024
Tags cited in more than one inspection
4 tags cited on more than one inspection date at Live Oak Nursing and Rehabilitation Center; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F600 Freedom from abuse and neglect | 2 | Aug 13, 2025; Apr 16, 2025 |
| F656 Comprehensive person-centered care plan | 2 | Apr 16, 2025; Mar 21, 2024 |
| F842 Complete, confidential medical records | 2 | Mar 18, 2026; Apr 16, 2025 |
| F880 Infection prevention and control program | 2 | Jul 8, 2026; Mar 21, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| May 22, 2025 | Fine | $56,980 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.37 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.41 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.02 h
- Nursing staff turnover
- 32.2% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 3 of 5
- Health inspection rating
- 3 of 5
- Staffing rating
- 3 of 5
- Quality measure rating
- 4 of 5
CMS figures for Live Oak Nursing and Rehabilitation Center, copied as published; Texas medians are ours.
Facility details
- Address
- 2951 Hwy 281, George West, TX 78022
- Phone
- (361) 449-2532
- County
- Live Oak
- Accepts
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- Wellsential Health
- Certified beds
- 96
- Average residents per day
- 78.1
- In Medicare/Medicaid since
- Jan 21, 1993
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How does the home screen, train, and supervise staff to protect residents? (F600, cited 2 times)
- How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)
- Does the home use electronic health records, and can families get access through a portal? (F842, cited 2 times)
- How do staff track and report infections among residents? (F880, cited 2 times)
Other nursing homes in George West and the same chain
- Longview Hill Nursing and Rehabilitation Center
Longview · 60 deficiencies - Guadalupe Valley Nursing and Rehabilitation Center
Seguin · 52 deficiencies - Town and Country Nursing and Rehabilitation Center
Boerne · 51 deficiencies - Heritage Park Rehabilitation and Skilled Nursing C
Austin · 49 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.