Villa Haven Health And Rehabilitation Center

Inspection findings

1. Mar 13, 2026 Fire Safety · 7 findings
   • Not serious Scope/severity F

     E0041 Emergency Preparedness Deficiencies

     Implement emergency and standby power systems.

     Corrected Apr 13, 2026 · CMS fire safety

   • 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 Mar 31, 2026 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0949 Administration Deficiencies

     Provide behavior health training consistent with the requirements and as determined by a facility assessment.

     Corrected Apr 6, 2026 · CMS health inspection

   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Apr 13, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Apr 13, 2026 · 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 13, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0916 Gas, Vacuum, and Electrical Systems Deficiencies

     Have a battery powered remote alarm panel in a location accessible by operating personnel.

     Corrected Apr 13, 2026 · CMS fire safety

2. Dec 27, 2025 Health · 1 finding
   • Not serious Scope/severity C Complaint

     F0844 Administration Deficiencies

     Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.

     Corrected Jan 14, 2026 · CMS health inspection

3. Dec 19, 2024 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 Dec 23, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jan 9, 2025 · 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 Dec 20, 2024 · CMS fire safety

4. Jul 18, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Aug 6, 2024 · CMS health inspection

5. Nov 2, 2023 Health · 6 findings
   • Not serious Scope/severity E 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 Nov 20, 2023 · CMS health inspection

   • Not serious Scope/severity E Complaint

     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 21, 2023 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Nov 20, 2023 · 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 Nov 20, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Nov 20, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0741 Miscellaneous Deficiencies

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

     Corrected Nov 20, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• GRAY, DEANNE — operational/managerial control, NOT APPLICABLE, since 03/20/2023
• GRAY, DEANNE — adp of the snf, NOT APPLICABLE, since 03/20/2023
• HOLCOMB, HOLLY — corporate officer, NOT APPLICABLE, since 05/29/2021
• MISTRETTA, CASSANDRA — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 03/24/2026
• PFEIFER, MARY — operational/managerial control, NOT APPLICABLE, since 08/01/2025
• PRATER, WILLIAM — operational/managerial control, NOT APPLICABLE, since 08/01/2025
• PRATER, WILLIAM — adp of the snf, NOT APPLICABLE, since 08/01/2025
• STRATTON, EMILEE — corporate officer, NOT APPLICABLE, since 03/18/2018
• 300 SOUTH JACKSON LLC — adp of the snf, NOT APPLICABLE, since 08/01/2025
• BRECKERIDGETX LLC — operational/managerial control, NOT APPLICABLE, since 08/01/2025
• CHILDRESS COUNTY HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 04/01/2017
• EMPOWER HEALTHCARE MANAGEMENT LLC — adp of the snf, NOT APPLICABLE, since 08/01/2025
• EMPOWER OPCO LLC — adp of the snf, NOT APPLICABLE, since 08/01/2025
• TEXAS SENIOR REALTY VENTURES LLC — adp of the snf, NOT APPLICABLE, since 08/01/2025