Advanced Rehabilitation & Healthcare of Live OakCMS ratings, inspections and fines
- Address
- 8221 Palisades Drive, Live Oak, TX 78233
- CCN
- 675437
- Ownership type
- For-profit, corporation
- Certified beds
- 123
- Chain
- Ruby Healthcare
- Residents per day
- 114
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Advanced Rehabilitation & Healthcare of Live Oak an overall rating of 3 of 5 stars. The last standard survey was on 23 May 2025. The latest survey cycle has 11 health citations. The median for nursing homes in Texas is 8. CMS lists 2 fines with a total of $12,424 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Bexar County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 5 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 62 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 23 May 2025 | 11 | 8 |
| Cycle 2 | 5 Apr 2024 | 21 | 8 |
| Cycle 3 | No date | 11 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 1 Jul 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 15 May 2026 | F0584 | 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. | E | Complaint investigation | 16 May 2026 |
| 18 Nov 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 19 Nov 2025 |
| 18 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 19 Nov 2025 |
| 23 May 2025 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Standard survey | 24 May 2025 |
| 23 May 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 24 May 2025 |
| 23 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 24 May 2025 |
| 23 May 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 24 May 2025 |
| 23 May 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 24 May 2025 |
| 23 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 24 May 2025 |
| 23 May 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 24 May 2025 |
Survey cycle 2: 21 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 17 Apr 2025 | F0585 | Honor 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. | D | Complaint investigation | 18 Apr 2025 |
| 17 Apr 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 18 Apr 2025 |
| 17 Apr 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 18 Apr 2025 |
| 12 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 13 Feb 2025 |
| 12 Feb 2025 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Complaint investigation | 13 Feb 2025 |
| 12 Feb 2025 | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | E | Complaint investigation | 13 Feb 2025 |
| 17 Jan 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 13 Nov 2024 |
| 12 Sep 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 13 Sep 2024 |
| 5 Apr 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 12 Apr 2024 |
| 5 Apr 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Complaint investigation | 12 Apr 2024 |
| 5 Apr 2024 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Standard survey | 12 Apr 2024 |
| 5 Apr 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 12 Apr 2024 |
| 5 Apr 2024 | F0584 | 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. | E | Standard survey | 6 Apr 2024 |
| 5 Apr 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 12 Apr 2024 |
| 5 Apr 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 12 Apr 2024 |
| 5 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 12 Apr 2024 |
| 5 Apr 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 12 Apr 2024 |
| 5 Apr 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 12 Apr 2024 |
| 5 Apr 2024 | F0761 | 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 | Standard survey | 12 Apr 2024 |
| 5 Apr 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 12 Apr 2024 |
| 5 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 6 Apr 2024 |
Survey cycle 3: 11 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 1 Jun 2024 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Complaint investigation | 2 Jun 2024 |
| 17 Aug 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 18 Aug 2023 |
| 17 Feb 2023 | F0578 | 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 | Standard survey | 15 Mar 2023 |
| 17 Feb 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 15 Mar 2023 |
| 17 Feb 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 15 Mar 2023 |
| 17 Feb 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 15 Mar 2023 |
| 17 Feb 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 15 Mar 2023 |
| 17 Feb 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 15 Mar 2023 |
| 17 Feb 2023 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Standard survey | 15 Mar 2023 |
| 17 Feb 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 15 Mar 2023 |
| 17 Feb 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 15 Mar 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 17 Jan 2025 | Fine | $8,407 | |
| 1 Jun 2024 | Fine | $4,017 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.90 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.61 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 0.97 | 0.95 | |
| Nurse aides | 2.32 | 2.00 | |
| All nurse staff, weekends | 3.45 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 52.2%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- 52.9%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.6% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.1% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.3% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.6% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.2% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Hamilton County Hospital District
- Chain
- Ruby Healthcare (7 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Live Oak HC, LLC | Operational/managerial control | 1 Apr 2023 |
The site shows organisations only. It does not show the names of persons.
Other homes in Bexar County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Avir at Converse | Converse | 1 of 5 | 10 | $43,845 | 4 Jun 2026 | |
| Army Residence Community | San Antonio | 5 of 5 | 3 | $0 | 5 Jun 2025 | |
| Crestway Nursing & Rehabilitation | San Antonio | 1 of 5 | 18 | $73,977 | 18 Jul 2025 | |
| San Antonio Wellness & Rehabilitation | San Antonio | 2 of 5 | 11 | $104,627 | 20 Feb 2026 | |
| Avir at Heritage | San Antonio | 3 of 5 | 9 | $0 | 25 Apr 2025 | |
| Windcrest Nursing and Rehabilitation | Windcrest | 1 of 5 | 10 | $199,073 | 14 Aug 2025 | |
| Northeast Rehabilitation and Healthcare Center | San Antonio | 1 of 5 | 22 | $15,616 | 21 Mar 2025 | |
| Broadway Nursing & Rehabilitation | San Antonio | 1 of 5 | 18 | $84,129 | 17 Apr 2026 | |
| Parklane West Healthcare Center | San Antonio | 1 of 5 | 33 | $0 | 16 May 2025 | |
| Sage Park San Antonio | San Antonio | 3 of 5 | 11 | $121,976 | 9 Jan 2026 | |
| The Village at Incarnate Word | San Antonio | 4 of 5 | 4 | $0 | 12 Dec 2025 | |
| The Enclave | San Antonio | 1 of 5 | 16 | $10,039 | 27 Aug 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Advanced Rehabilitation & Healthcare of Live Oak (CCN 675437). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/advanced-rehabilitation-healthcare-of-live-oak-live-oak-tx-675437/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Advanced Rehabilitation & Healthcare of Live Oak last inspected?
- The latest inspection with a citation in the CMS record was on 1 Jul 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 5 Apr 2024.
- Who operates Advanced Rehabilitation & Healthcare of Live Oak?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Ruby Healthcare. The CMS ownership file names Live Oak HC, LLC for operational or managerial control. This site does not show the names of persons.
- Is Advanced Rehabilitation & Healthcare of Live Oak a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.