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Nursing homesTexas › Advanced Rehabilitation & Healthcare of Live Oak

Advanced Rehabilitation & Healthcare of Live Oak

8221 Palisades Drive, Live Oak, TX 78233 · 2106003700 · 123 certified beds

Overall★★★★☆ 4/5
Health inspections★★★☆☆ 3/5
Staffing★★★☆☆ 3/5
Quality measures★★★★★ 5/5

Ownership group

Per CMS filings, this facility is affiliated with Ruby Healthcare, a group operating 7 facilities in 1 states. Group record: average rating 3.0/5, 2 abuse citation icons, 0 facilities on the Special Focus list, $633,090 in federal fines. This facility rates above its group average (3.0/5).

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Staffing (hours per resident per day)

Total nurse staffing: 3.90 (Texas median: 3.27). RN hours: 0.61. Weekend total: 3.45. Nursing staff turnover: 52%.

Inspection deficiencies

All-time on record: 42 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-05-15Honor 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. Ecomplaintcorrected 2026-05-16
2025-11-18Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Dcomplaintcorrected 2025-11-19
2025-11-18Provide and implement an infection prevention and control program. Dcomplaintcorrected 2025-11-19
2025-05-23Ensure residents have reasonable access to and privacy in their use of communication methods. EHealthcorrected 2025-05-24
2025-05-23Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. EHealthcorrected 2025-05-24
2025-05-23Provide safe, appropriate dialysis care/services for a resident who requires such services. EHealthcorrected 2025-05-24
2025-05-23Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. EHealthcorrected 2025-05-24
2025-05-23Provide and implement an infection prevention and control program. EHealthcorrected 2025-05-24
2025-05-23Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. DHealthcorrected 2025-05-24
2025-05-23Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. DHealthcorrected 2025-05-24
2025-04-17Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Ecomplaintcorrected 2025-04-18
2025-04-17Honor 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. Dcomplaintcorrected 2025-04-18
2025-04-17Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2025-04-18
2025-02-12Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Ecomplaintcorrected 2025-02-13
2025-02-12Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2025-02-13
2025-02-12Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Dcomplaintcorrected 2025-02-13
2025-01-17Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Jcomplaintcorrected 2024-11-13
2024-09-12Ensure each resident receives an accurate assessment. Dcomplaintcorrected 2024-09-13
2024-06-01Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Dcomplaintcorrected 2024-06-02
2024-04-05Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2024-04-12
2024-04-05Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Ecomplaintcorrected 2024-04-12
2024-04-05Honor the resident's right to organize and participate in resident/family groups in the facility. Ecomplaintcorrected 2024-04-12
2024-04-05Ensure residents have reasonable access to and privacy in their use of communication methods. EHealthcorrected 2024-04-12
2024-04-05Honor 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. EHealthcorrected 2024-04-06
2024-04-05Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Ecomplaintcorrected 2024-04-12
2024-04-05Provide appropriate treatment and care according to orders, resident’s preferences and goals. EHealthcorrected 2024-04-12
2024-04-05Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. EHealthcorrected 2024-04-12
2024-04-05Provide safe, appropriate dialysis care/services for a resident who requires such services. EHealthcorrected 2024-04-12
2024-04-05Ensure medication error rates are not 5 percent or greater. EHealthcorrected 2024-04-12
2024-04-05Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. DHealthcorrected 2024-04-12
2024-04-05Ensure 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. DHealthcorrected 2024-04-12
2024-04-05Provide and implement an infection prevention and control program. DHealthcorrected 2024-04-06
2023-08-17Make sure that a working call system is available in each resident's bathroom and bathing area. Dcomplaintcorrected 2023-08-18
2023-02-17Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2023-03-15
2023-02-17Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. EHealthcorrected 2023-03-15
2023-02-17Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. DHealthcorrected 2023-03-15
2023-02-17Ensure each resident receives an accurate assessment. DHealthcorrected 2023-03-15
2023-02-17Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. DHealthcorrected 2023-03-15
2023-02-17Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. DHealthcorrected 2023-03-15
2023-02-17Provide safe and appropriate respiratory care for a resident when needed. DHealthcorrected 2023-03-15

Federal penalties

DateTypeAmount
2025-01-17Fine$8,407
2024-06-01Fine$4,017

Ownership & control records (CMS filings)

NameRoleType%Since
HOOPER, GRADYCorporate DirectorIndividualNOT APPLICABLEsince 04/01/2023
LIVE OAK HC, LLCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 04/01/2023
MCINTOSH, TRACIOperational/Managerial ControlIndividualNOT APPLICABLEsince 04/01/2023
OOMMEN, BIJUOperational/Managerial ControlIndividualNOT APPLICABLEsince 04/01/2023

Compare nearby (Bexar County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675437. Corrections: data@carerecords.org.