Nursing homes › Texas › Mission Ridge Rehab & Nursing Center
401 Swift Street, Refugio, TX 78377 · 3615269223 · 90 certified beds
Per CMS filings, this facility is affiliated with Creative Solutions in Healthcare, a group operating 149 facilities in 1 states. Group record: average rating 2.2/5, 19 abuse citation icons, 7 facilities on the Special Focus list, $8,699,455 in federal fines. This facility rates below its group average (2.2/5).
Total nurse staffing: 3.19 (Texas median: 3.27). RN hours: 0.72. Weekend total: 2.89. Nursing staff turnover: 97%.
All-time on record: 25 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-14 | 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. | D | complaint | corrected 2026-06-05 |
| 2026-02-26 | Ensure that residents are free from significant medication errors. | E | Health | corrected 2026-03-06 |
| 2026-02-26 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-03-06 |
| 2026-02-26 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2026-03-06 |
| 2026-02-26 | Honor 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. | D | Health | corrected 2026-03-06 |
| 2026-02-26 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-03-06 |
| 2026-02-05 | Keep residents' personal and medical records private and confidential. | D | complaint | corrected 2026-02-06 |
| 2025-09-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-06-30 |
| 2025-09-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-09-12 |
| 2024-11-23 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | corrected 2024-11-24 |
| 2024-11-23 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-11-24 |
| 2024-11-23 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-11-24 |
| 2024-11-23 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2024-11-24 |
| 2024-11-23 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2024-11-24 |
| 2024-11-23 | 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. | D | Health | corrected 2024-11-24 |
| 2024-11-23 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2024-11-24 |
| 2024-10-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2024-10-11 |
| 2024-10-10 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | complaint | corrected 2024-10-11 |
| 2024-10-10 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | complaint | corrected 2024-10-11 |
| 2024-10-10 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2024-10-11 |
| 2024-10-10 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | complaint | corrected 2024-10-11 |
| 2023-08-03 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2023-08-04 |
| 2023-08-03 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-08-04 |
| 2023-08-03 | Honor 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. | D | complaint | corrected 2023-08-04 |
| 2023-08-03 | Provide enough food/fluids to maintain a resident's health. | D | complaint | corrected 2023-08-04 |
| Date | Type | Amount |
|---|---|---|
| 2025-09-11 | Fine | $14,325 |
| 2024-11-23 | Fine | $15,216 |
| 2024-10-10 | Fine | $8,157 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CREATIVE SOLUTIONS IN HEALTHCARE INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 02/01/2022 |
| BLAKE, GARY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2021 |
| BLAKE, MALISA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2021 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676491. Corrections: data@carerecords.org.