Golfcrest Nursing And Rehabilitation

Penalties

• Dec 18, 2025 — Fine ($28,915)
• Jul 27, 2025 — Fine ($11,768)
• Mar 20, 2024 — Fine ($8,882)

Inspection findings

1. Jan 20, 2026 Health · 3 findings
   • Not serious Scope/severity E Complaint

     F0584 Resident Rights Deficiencies

     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.

     Corrected Jan 23, 2026 · CMS health inspection

   • 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 Jan 23, 2026 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0925 Environmental Deficiencies

     Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

     Corrected Jan 23, 2026 · CMS health inspection

2. Dec 18, 2025 Health · 2 findings
   • Serious Scope/severity G 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 Dec 22, 2025 · CMS health inspection

   • Not serious Scope/severity E 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 Dec 22, 2025 · CMS health inspection

3. Dec 10, 2025 Health · 2 findings
   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Dec 11, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0919 Environmental Deficiencies

     Make sure that a working call system is available in each resident's bathroom and bathing area.

     Corrected Dec 11, 2025 · CMS health inspection

4. Jul 27, 2025 Health · 13 findings
   • Serious Scope/severity G

     F0697 Quality of Life and Care Deficiencies

     Provide safe, appropriate pain management for a resident who requires such services.

     Corrected Aug 11, 2025 · 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 Aug 11, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Aug 11, 2025 · 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 Aug 11, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Nov 21, 2025 · CMS health inspection

   • Not serious Scope/severity C

     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 Aug 11, 2025 · CMS health inspection

   • Serious Scope/severity K

     K0211 Egress Deficiencies

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

     Corrected Aug 11, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Aug 11, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0355 Smoke Deficiencies

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

     Corrected Aug 11, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Aug 11, 2025 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Aug 11, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0711 Miscellaneous Deficiencies

     Provide a written emergency evacuation plan.

     Corrected Aug 11, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Aug 13, 2025 · CMS fire safety

5. Mar 27, 2025 Health · 3 findings
   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Apr 12, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     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 Apr 12, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0925 Environmental Deficiencies

     Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

     Corrected Apr 12, 2025 · CMS health inspection

6. May 16, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected May 28, 2024 · CMS health inspection

7. May 3, 2024 Health · 5 findings
   • Not serious Scope/severity D

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected May 28, 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 May 28, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0851 Administration Deficiencies

     Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

     Corrected May 28, 2024 · CMS health inspection

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected May 4, 2024 · CMS fire safety

   • Not serious Scope/severity C

     K0741 Miscellaneous Deficiencies

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

     Corrected May 28, 2024 · CMS fire safety

8. Mar 20, 2024 Health · 3 findings
   • Serious Scope/severity K Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Mar 21, 2024 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Develop and implement policies and procedures to prevent abuse, neglect, and theft.

     Corrected Mar 21, 2024 · CMS health inspection

   • Serious Scope/severity J 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 Mar 21, 2024 · CMS health inspection

9. Mar 9, 2023 Fire Safety · 2 findings
   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Mar 17, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

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

     Corrected Mar 17, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BODANSKY, HERSHEL — adp of the snf, NOT APPLICABLE, since 12/18/2024
• BODANSKY, HERSHEL — 5% or greater mortgage interest, NOT APPLICABLE, since 12/15/2024
• GAINES, MAURICE — adp of the snf, NOT APPLICABLE, since 12/15/2024
• HELLER, YESHAYA — operational/managerial control, NOT APPLICABLE, since 12/15/2024
• JIAN, PETER — adp of the snf, NOT APPLICABLE, since 12/15/2024
• RUFF, MICHAEL — corporate officer, NOT APPLICABLE, since 12/30/2024
• WEISS, CHAIM — 5% or greater mortgage interest, NOT APPLICABLE, since 12/15/2024
• WEISS, CHAIM — operational/managerial control, NOT APPLICABLE, since 12/15/2024
• WEISS, CHAIM — adp of the snf, NOT APPLICABLE, since 12/15/2024
• DH GOLFCREST OPERATIONS, LLC — operational/managerial control, NOT APPLICABLE, since 12/18/2024
• ELITE HC INVESTORS LLC — adp of the snf, NOT APPLICABLE, since 12/18/2024
• ELITE HC INVESTORS LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 12/15/2024
• FRIO HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 12/15/2024
• GOLFCREST ACAPELLA, LLC — operational/managerial control, NOT APPLICABLE, since 12/18/2024
• GOLFCREST HOLDINGS, LLC — adp of the snf, NOT APPLICABLE, since 12/18/2024
• GOLFCREST HOLDINGS, LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 12/15/2024
• GOLFCREST OPERATING LLC — operational/managerial control, NOT APPLICABLE, since 12/18/2024