Belterra Health & Rehab

Inspection findings

1. Apr 23, 2026 Health · 10 findings
   • Not serious Scope/severity D

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected May 13, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0655 Resident Assessment and Care Planning Deficiencies

     Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

     Corrected May 13, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected May 13, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected May 13, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected May 13, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected May 13, 2026 · CMS health inspection

   • Not serious Scope/severity C

     F0732 Nursing and Physician Services Deficiencies

     Post nurse staffing information every day.

     Corrected May 13, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected May 13, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0761 Pharmacy Service Deficiencies

     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.

     Corrected May 13, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected May 13, 2026 · CMS health inspection

2. Feb 13, 2025 Health · 5 findings
   • Not serious Scope/severity E

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Mar 3, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Mar 3, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0761 Pharmacy Service Deficiencies

     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.

     Corrected Mar 3, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Mar 3, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Mar 3, 2025 · CMS health inspection

3. Jan 11, 2024 Health · 5 findings
   • Not serious Scope/severity D

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Jan 15, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Jan 15, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Jan 15, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Jan 15, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jan 15, 2024 · CMS health inspection

Owners and managers (as published by CMS)

• ALI, MALIK — adp of the snf, NOT APPLICABLE, since 03/01/2025
• BAUDER, KELLY — adp of the snf, NOT APPLICABLE, since 05/01/2025
• BAUDER, KELLY — 5% or greater mortgage interest, NOT APPLICABLE, since 05/01/2025
• BAUDER, MADISON — 5% or greater mortgage interest, NOT APPLICABLE, since 03/01/2025
• BAUDER, MADISON — adp of the snf, NOT APPLICABLE, since 03/01/2025
• BAUDER, PARKER — adp of the snf, NOT APPLICABLE, since 03/01/2025
• BAUDER, PARKER — 5% or greater mortgage interest, NOT APPLICABLE, since 03/01/2025
• BAUDER, WILLIAM — adp of the snf, NOT APPLICABLE, since 05/01/2025
• BAUDER, WILLIAM — 5% or greater mortgage interest, NOT APPLICABLE, since 05/01/2025
• BAUDER, WILLIAM — operational/managerial control, NOT APPLICABLE, since 05/01/2025
• BOULWARE, DOUGLAS — adp of the snf, NOT APPLICABLE, since 05/01/2025
• BOULWARE, DOUGLAS — 5% or greater mortgage interest, NOT APPLICABLE, since 05/01/2025
• BOULWARE, SANDRA — 5% or greater mortgage interest, NOT APPLICABLE, since 03/01/2025
• BOULWARE, SANDRA — adp of the snf, NOT APPLICABLE, since 03/01/2025
• BOULWARE, STEVEN — operational/managerial control, NOT APPLICABLE, since 05/01/2025
• BOULWARE, STEVEN — adp of the snf, NOT APPLICABLE, since 05/01/2025
• BOULWARE, STEVEN — 5% or greater mortgage interest, NOT APPLICABLE, since 05/01/2025
• BOULWARE, THOMAS — 5% or greater mortgage interest, NOT APPLICABLE, since 05/01/2025
• BOULWARE, THOMAS — adp of the snf, NOT APPLICABLE, since 05/01/2025
• ROBINSON, JOHN — adp of the snf, NOT APPLICABLE, since 03/01/2025
• SANDERSON, CLARK — corporate director, NOT APPLICABLE, since 05/01/2025
• WALKER, KATIE — adp of the snf, NOT APPLICABLE, since 03/01/2025
• WALKER, KATIE — 5% or greater mortgage interest, NOT APPLICABLE, since 03/01/2025
• BAUDER FAMILY INVESTMENTS, LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 05/01/2025
• BAUDER FAMILY INVESTMENTS, LLC — adp of the snf, NOT APPLICABLE, since 05/01/2025
• BOULWARE ST JAMES LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 05/01/2024
• BOULWARE ST JAMES LLC — adp of the snf, NOT APPLICABLE, since 03/01/2025
• BRIDGEPOINTE FINANICAL SERVICES, LLC — adp of the snf, NOT APPLICABLE, since 05/01/2025
• FANNIN COUNTY HOSPITAL AUTHORITY — 5% or greater direct ownership interest, 100%, since 05/01/2025
• INNOVATIVE NURSE CONSULTING, LLC — adp of the snf, NOT APPLICABLE, since 03/01/2025
• PMG OPCO - MCKINNEY LLC — adp of the snf, NOT APPLICABLE, since 02/20/2025
• PMG OPCO - MCKINNEY LLC — operational/managerial control, NOT APPLICABLE, since 05/01/2025
• PMG REALCO-MCKINNEY, LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 05/01/2025
• PMG REALCO-MCKINNEY, LLC — adp of the snf, NOT APPLICABLE, since 05/01/2025
• PRIORITY MANAGEMENT GROUP, LLC — adp of the snf, NOT APPLICABLE, since 03/01/2025
• PROGRESSIVE REHAB SOLUTIONS, LLC — adp of the snf, NOT APPLICABLE, since 03/01/2025