Village Healthcare And Rehabilitation

Penalties

• Jun 5, 2025 — Fine ($14,901)
• Apr 10, 2025 — Fine ($14,069)

Inspection findings

1. Nov 5, 2025 Health · 2 findings
   • Not serious Scope/severity E Complaint

     F0627 Resident Rights Deficiencies

     Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

     Corrected Nov 6, 2025 · CMS health inspection

   • 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 6, 2025 · CMS health inspection

2. Jun 5, 2025 Health · 1 finding
   • Serious Scope/severity J 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 May 6, 2025 · CMS health inspection

3. Apr 10, 2025 Health · 8 findings
   • Serious Scope/severity J

     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 Nov 6, 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 11, 2025 · CMS health inspection

   • Serious Scope/severity J

     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 Nov 6, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0758 Pharmacy Service Deficiencies

     Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

     Corrected Apr 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 Apr 11, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Apr 11, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

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

     Corrected Jun 6, 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 Apr 10, 2025 · CMS fire safety

4. Mar 5, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Mar 6, 2025 · CMS health inspection

5. Jan 26, 2024 Fire Safety · 4 findings
   • Not serious Scope/severity F

     E0006 Emergency Preparedness Deficiencies

     Conduct risk assessment and an All-Hazards approach.

     Corrected Mar 1, 2024 · CMS fire safety

   • Not serious Scope/severity F

     E0039 Emergency Preparedness Deficiencies

     Conduct testing and exercise requirements.

     Corrected Mar 1, 2024 · CMS fire safety

   • 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 Jan 29, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0521 Services Deficiencies

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

     Corrected Mar 1, 2024 · CMS fire safety

6. Jan 5, 2024 Health · 3 findings
   • 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 Jan 24, 2024 · 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 Jan 24, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0695 Quality of Life and Care Deficiencies

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

     Corrected Jan 24, 2024 · CMS health inspection

7. Oct 2, 2023 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Oct 27, 2023 · CMS health inspection

8. Nov 10, 2022 Health · 4 findings
   • Not serious Scope/severity D

     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 Nov 11, 2022 · CMS health inspection

   • Not serious Scope/severity E

     K0374 Smoke Deficiencies

     Install smoke barrier doors that can resist smoke for at least 20 minutes.

     Corrected Dec 2, 2022 · 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 Dec 2, 2022 · CMS fire safety

   • Not serious Scope/severity E

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Dec 2, 2022 · CMS fire safety

Owners and managers (as published by CMS)

• BURNAM, SOON — corporate officer, NOT APPLICABLE, since 05/01/2020
• KEETCH, CHAD — corporate officer, NOT APPLICABLE, since 03/01/2011
• OLIVARES HERRERA, OLGA — adp of the snf, NOT APPLICABLE, since 04/11/2007
• OLIVARES HERRERA, OLGA — operational/managerial control, NOT APPLICABLE, since 04/11/2007
• OLIVARES HERRERA, OLGA — managing control - governing body, NOT APPLICABLE, since 04/11/2007
• SANDERSON, CLARK — corporate officer, NOT APPLICABLE, since 05/01/2020
• YZAGUIRRE, ALEXANDRA — adp of the snf, NOT APPLICABLE, since 05/01/2020
• YZAGUIRRE, ALEXANDRA — managing control - governing body, NOT APPLICABLE, since 05/01/2020
• YZAGUIRRE, ALEXANDRA — operational/managerial control, NOT APPLICABLE, since 05/01/2020
• ANN ARBOR HEALTH HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 05/01/2020
• ENSIGN SERVICES INC — adp of the snf, NOT APPLICABLE, since 07/16/2002
• FANNIN COUNTY HOSPITAL AUTHORITY — 5% or greater direct ownership interest, 100%, since 05/01/2020
• MCALLEN COMMUNITY HEALTHCARE, INC. — operational/managerial control, NOT APPLICABLE, since 05/01/2020
• MCALLEN COMMUNITY HEALTHCARE, INC. — adp of the snf, NOT APPLICABLE, since 09/29/2025
• STANDARD BEARER HEALTHCARE OP, LP — adp of the snf, NOT APPLICABLE, since 05/01/2020
• THE ENSIGN GROUP INC — adp of the snf, NOT APPLICABLE, since 05/01/2020