For profit - Corporation · 123 certified beds · CMS number 675437
Advanced Rehabilitation & Healthcare of Live Oak, Live Oak, TX
CMS records 42 health deficiencies at Advanced Rehabilitation & Healthcare of Live Oak in Live Oak, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on May 23, 2025. The highest severity cited is J (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 2 fines totaling $12,424 in the last three years.
- 42deficiencies, 3 cycles (TX median 25)
- 11in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $12,424fines, last 3 years
- 3CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Advanced Rehabilitation & Healthcare of Live Oak as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Advanced Rehabilitation & Healthcare of Live Oak may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (11 deficiencies)
Standard inspection May 23, 2025. CMS counts 11 health deficiencies and 3 fire safety deficiencies in this cycle.
Jul 1, 2026 · Complaint inspection
1 deficiency, 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 Jul 2, 2026
May 15, 2026 · Complaint inspection
1 deficiency, highest E
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 16, 2026
Nov 18, 2025 · Complaint inspection
2 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 Nov 19, 2025
F726 · Competent nurses and nurse aides
Requirement cited (CMS): Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 19, 2025
May 23, 2025 · Standard inspection
7 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 May 24, 2025
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 May 24, 2025
F698 · Dialysis care
Requirement cited (CMS): Provide safe, appropriate dialysis care/services for a resident who requires such services.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 24, 2025
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 24, 2025
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 24, 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 24, 2025
F576 · Phone, mail, and internet access
Requirement cited (CMS): Ensure residents have reasonable access to and privacy in their use of communication methods.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 24, 2025
Previous cycle: 21 deficiencies (standard inspection Apr 5, 2024)
Standard inspection Apr 5, 2024. CMS counts 21 health deficiencies and 2 fire safety deficiencies in this cycle.
Apr 17, 2025 · Complaint inspection
3 deficiencies, 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 18, 2025
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 18, 2025
F585 · Grievances and how they are handled
Requirement cited (CMS): Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 18, 2025
Feb 12, 2025 · Complaint inspection
3 deficiencies, highest E
F807 · Drinks and hydration
Requirement cited (CMS): Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 13, 2025
F805 · Food prepared for individual needs
Requirement cited (CMS): Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 13, 2025
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 13, 2025
Jan 17, 2025 · Complaint inspection
1 deficiency, highest J
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
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Nov 13, 2024
Sep 12, 2024 · Complaint inspection
1 deficiency, highest D
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 Sep 13, 2024
Apr 5, 2024 · Standard + complaint inspection
13 deficiencies, highest F
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 6, 2024
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
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Apr 12, 2024
F761 · Drug labeling and secure storage
Requirement cited (CMS): Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 12, 2024
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 12, 2024
F698 · Dialysis care
Requirement cited (CMS): Provide safe, appropriate dialysis care/services for a resident who requires such services.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 12, 2024
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 12, 2024
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 12, 2024
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 12, 2024
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 6, 2024
F582 · Notice of covered and extra charges
Requirement cited (CMS): Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 12, 2024
F576 · Phone, mail, and internet access
Requirement cited (CMS): Ensure residents have reasonable access to and privacy in their use of communication methods.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 12, 2024
F565 · Resident and family councils
Requirement cited (CMS): Honor the resident's right to organize and participate in resident/family groups in the facility.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 12, 2024
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 12, 2024
Earlier cycle: 10 deficiencies (standard inspection Feb 17, 2023)
Standard inspection Feb 17, 2023. CMS counts 10 health deficiencies and 4 fire safety deficiencies in this cycle.
Jun 1, 2024 · Complaint inspection
1 deficiency, highest D
F622 · Permitted reasons for transfer or discharge
Requirement cited (CMS): Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 2, 2024
Feb 17, 2023 · Standard inspection
9 deficiencies, highest F
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 Mar 15, 2023
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
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Mar 15, 2023
F800 · Nourishing, well-balanced diet
Requirement cited (CMS): Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 15, 2023
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 15, 2023
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 15, 2023
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 15, 2023
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 Mar 15, 2023
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 Mar 15, 2023
F578 · Refusing treatment and advance directives
Requirement cited (CMS): Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 15, 2023
Tags cited in more than one inspection
10 tags cited on more than one inspection date at Advanced Rehabilitation & Healthcare of Live Oak; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F689 Accident prevention and supervision | 4 | May 23, 2025; Feb 12, 2025; Apr 5, 2024; Feb 17, 2023 |
| F880 Infection prevention and control program | 4 | Nov 18, 2025; May 23, 2025; Apr 5, 2024; Feb 17, 2023 |
| F812 Food safety and sanitation | 3 | May 23, 2025; Apr 5, 2024; Feb 17, 2023 |
| F576 Phone, mail, and internet access | 2 | May 23, 2025; Apr 5, 2024 |
| F584 Safe, clean, homelike surroundings | 2 | May 15, 2026; Apr 5, 2024 |
| F609 Reporting suspected abuse and crimes | 2 | Apr 17, 2025; Apr 5, 2024 |
| F641 Accurate resident assessments | 2 | Sep 12, 2024; Feb 17, 2023 |
| F656 Comprehensive person-centered care plan | 2 | May 23, 2025; Feb 17, 2023 |
| F698 Dialysis care | 2 | May 23, 2025; Apr 5, 2024 |
| F842 Complete, confidential medical records | 2 | Jul 1, 2026; Apr 17, 2025 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Jan 17, 2025 | Fine | $8,407 |
| Jun 1, 2024 | Fine | $4,017 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.90 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.61 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.45 h
- Nursing staff turnover
- 52.2% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 3 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 3 of 5
- Quality measure rating
- 5 of 5
CMS figures for Advanced Rehabilitation & Healthcare of Live Oak, copied as published; Texas medians are ours.
Facility details
- Address
- 8221 Palisades Drive, Live Oak, TX 78233
- Phone
- (210) 600-3700
- County
- Bexar
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Ruby Healthcare
- Certified beds
- 123
- Average residents per day
- 114.1
- In Medicare/Medicaid since
- Jul 28, 1994
- 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 assess each resident's fall risk and plan to prevent falls? (F689, cited 4 times)
- How do staff track and report infections among residents? (F880, cited 4 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)
- Where can residents make private phone calls, and is Wi-Fi available to them? (F576, cited 2 times)
Other nursing homes in Live Oak and the same chain
- Park View Care Center
Fort Worth · 64 deficiencies - Southeast Nursing & Rehabilitation Center
San Antonio · 43 deficiencies - Wedgewood Nursing Home
Fort Worth · 39 deficiencies - White Settlement Nursing Center
White Settlement · 39 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.