White Acres Wellness & Rehabilitation

Penalties

• Aug 24, 2023 — Fine ($4,475)

Inspection findings

1. Jun 16, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     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 Jul 1, 2026 · CMS health inspection

2. Jun 5, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0585 Resident Rights Deficiencies

     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.

     Corrected Jun 27, 2026 · CMS health inspection

3. Jan 29, 2026 Fire Safety · 18 findings
   • Not serious Scope/severity F

     E0041 Emergency Preparedness Deficiencies

     Implement emergency and standby power systems.

     Corrected Mar 25, 2026 · CMS fire safety

   • Not serious Scope/severity D

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Jan 30, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Jan 30, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0577 Resident Rights Deficiencies

     Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

     Corrected Jan 30, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Jan 30, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0680 Quality of Life and Care Deficiencies

     Ensure the activities program is directed by a qualified professional.

     Corrected Jan 30, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0695 Quality of Life and Care Deficiencies

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

     Corrected Jan 30, 2026 · CMS health inspection

   • Not serious Scope/severity D

     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 Jan 30, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0804 Nutrition and Dietary Deficiencies

     Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

     Corrected Jan 30, 2026 · 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 30, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0814 Nutrition and Dietary Deficiencies

     Dispose of garbage and refuse properly.

     Corrected Jan 30, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0921 Environmental Deficiencies

     Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

     Corrected Jan 30, 2026 · CMS health inspection

   • Not serious Scope/severity E

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected Mar 25, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Mar 25, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Mar 25, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Mar 25, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0741 Miscellaneous Deficiencies

     Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

     Corrected Mar 25, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Mar 25, 2026 · CMS fire safety

4. Nov 14, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0628 Resident Rights Deficiencies

     Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

     Corrected Nov 17, 2025 · CMS health inspection

5. Aug 18, 2025 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Aug 19, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Aug 19, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     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 Aug 19, 2025 · CMS health inspection

6. Mar 13, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Apr 11, 2025 · CMS health inspection

7. Jan 8, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0585 Resident Rights Deficiencies

     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.

     Corrected Jan 9, 2025 · CMS health inspection

8. Oct 16, 2024 Health · 6 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 Nov 15, 2024 · CMS health inspection

   • Not serious Scope/severity F

     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 Nov 15, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Nov 15, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0941 Administration Deficiencies

     Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

     Corrected Nov 15, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0943 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

     Corrected Nov 15, 2024 · CMS health inspection

   • Not serious Scope/severity F

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Oct 25, 2024 · CMS fire safety

9. Sep 27, 2024 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0693 Quality of Life and Care Deficiencies

     Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

     Corrected Oct 14, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Oct 14, 2024 · CMS health inspection

10. Mar 15, 2024 Health · 5 findings
    • Not serious Scope/severity D Complaint

      F0550 Resident Rights Deficiencies

      Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      Corrected Apr 18, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0558 Resident Rights Deficiencies

      Reasonably accommodate the needs and preferences of each resident.

      Corrected Apr 18, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0644 Resident Assessment and Care Planning Deficiencies

      Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

      Corrected Apr 18, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      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 Apr 18, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0695 Quality of Life and Care Deficiencies

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

      Corrected Apr 18, 2024 · CMS health inspection

11. Aug 24, 2023 Health · 10 findings
    • Not serious Scope/severity D Complaint

      F0623 Resident Rights Deficiencies

      Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

      Corrected Sep 21, 2023 · 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 Sep 21, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0677 Quality of Life and Care Deficiencies

      Provide care and assistance to perform activities of daily living for any resident who is unable.

      Corrected Sep 21, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0694 Quality of Life and Care Deficiencies

      Provide for the safe, appropriate administration of IV fluids for a resident when needed.

      Corrected Sep 21, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0695 Quality of Life and Care Deficiencies

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

      Corrected Sep 21, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0760 Pharmacy Service Deficiencies

      Ensure that residents are free from significant medication errors.

      Corrected Sep 21, 2023 · CMS health inspection

    • Not serious Scope/severity F

      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 Sep 21, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0814 Nutrition and Dietary Deficiencies

      Dispose of garbage and refuse properly.

      Corrected Sep 21, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Sep 21, 2023 · CMS health inspection

    • Not serious Scope/severity D

      K0363 Smoke Deficiencies

      Install corridor and hallway doors that block smoke.

      Corrected Sep 30, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• GARETZ, DAVID — operational/managerial control, NOT APPLICABLE, since 11/01/2024
• HAGINS, ELIZABETH — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 02/25/2025
• HAZBOUN, RAMSEY — operational/managerial control, NOT APPLICABLE, since 11/01/2024
• HAZBOUN, RAMSEY — adp of the snf, NOT APPLICABLE, since 11/01/2024
• KAPLAN, MORDECHAI — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 02/25/2025
• RUFF, MICHAEL — corporate officer, NOT APPLICABLE, since 11/01/2024
• STERNSHEIN, JENNIFER — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 02/25/2025
• STROHMYER, BRINTON — operational/managerial control, NOT APPLICABLE, since 11/01/2024
• STROHMYER, BRINTON — adp of the snf, NOT APPLICABLE, since 11/01/2024
• ZIMMERMAN, CAROLINE — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 02/25/2025
• 7304 GOOD SAMARITAN CT TX, LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 11/01/2024
• 7304 GOOD SAMARITAN CT TX, LLC — adp of the snf, NOT APPLICABLE, since 11/01/2024
• FRIO HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 11/01/2024
• GIBRALTAR TRUST — adp of the snf, NOT APPLICABLE, since 11/01/2024
• GIBRALTAR TRUST — 5% or greater mortgage interest, NOT APPLICABLE, since 11/01/2024
• JSE 97 HOLDINGS, LLC — adp of the snf, NOT APPLICABLE, since 11/01/2024
• JSE 97 HOLDINGS, LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 11/01/2024
• MONTGOMERY SKY TRUST — 5% or greater mortgage interest, NOT APPLICABLE, since 11/01/2024
• MONTGOMERY SKY TRUST — adp of the snf, NOT APPLICABLE, since 11/01/2024
• PINYON REALTY, LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 11/01/2024
• PINYON REALTY, LLC — adp of the snf, NOT APPLICABLE, since 11/01/2024
• WHITE ACRES WELLNESS & REHABILITATION, LLC — operational/managerial control, NOT APPLICABLE, since 11/01/2024
• WHITE ACRES WELLNESS & REHABILITATION, LLC — adp of the snf, NOT APPLICABLE, since 03/11/2025