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Mission Ridge Rehab & Nursing Center
401 Swift Street, Refugio, TX 78377
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Mission Ridge Rehab & Nursing Center is a For-profit, limited liability company nursing home in Refugio, Texas, certified for 90 beds and caring for about 41 residents a day.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 3, staffing 1 and quality measures 3.
Inspectors recorded 25 health deficiencies across the three most recent survey cycles (9, 12, 4 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 27.8 per 100 beds, about the same as the state median of 22.5.
CMS lists 3 penalties in the period covered: fines totalling $38K.
Reported nurse staffing is 3.2 hours per resident per day (0.7 RN), close to the Texas median of 3.3; nursing staff turnover is 96.9%.
Compared with county, state and nation
| Measure | This facility | Refugio Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 25 | 25 | 25 | 28.7 |
| Citations per 100 beds | 27.8 | 27.8 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.2 | 3.3 | 3.9 |
| RN hours per resident day | 0.7 | 0.7 | 0.4 | 0.7 |
| Nursing staff turnover | 96.9% | 96.9% | 52.1% | 45.8% |
| Fines listed | $37,698 | $37,698 | $16,801 | — |
County and state figures are medians across facilities (1 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 26 Feb 2026, 23 Nov 2024.
Severity mix: J ×2 G ×1 D ×16 E ×6
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 14 May 2026 | 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 | Complaint investigation | 5 Jun 2026 |
| 26 Feb 2026 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 6 Mar 2026 |
| 26 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 6 Mar 2026 |
| 26 Feb 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 6 Mar 2026 |
| 26 Feb 2026 | 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 | 6 Mar 2026 |
| 26 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 6 Mar 2026 |
| 5 Feb 2026 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 6 Feb 2026 |
| 11 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 30 Jun 2025 |
| 11 Sep 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 12 Sep 2025 |
| 23 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 24 Nov 2024 |
| 23 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 24 Nov 2024 |
| 23 Nov 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 24 Nov 2024 |
| 23 Nov 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 24 Nov 2024 |
| 23 Nov 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 24 Nov 2024 |
| 23 Nov 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 | 24 Nov 2024 |
| 23 Nov 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 24 Nov 2024 |
| 10 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 11 Oct 2024 |
| 10 Oct 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 11 Oct 2024 |
| 10 Oct 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 11 Oct 2024 |
| 10 Oct 2024 | F0657 | 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 investigation | 11 Oct 2024 |
| 10 Oct 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 11 Oct 2024 |
| 3 Aug 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 4 Aug 2023 |
| 3 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 4 Aug 2023 |
| 3 Aug 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 | Complaint investigation | 4 Aug 2023 |
| 3 Aug 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 4 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 11 Sep 2025 | Fine | $14,325 | |
| 23 Nov 2024 | Fine | $15,216 | |
| 10 Oct 2024 | Fine | $8,157 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 96.9%, RNs 100.0%; 4 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 21.5% | 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 | 0.7% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.8% | 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 | 16.9% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.4% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.1% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Chain: Creative Solutions In Healthcare (149 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Creative Solutions In Healthcare Inc | Operational/managerial control | NOT APPLICABLE | 02/01/2022 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Mission Ridge Rehab & Nursing Center been cited for?
25 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Mission Ridge Rehab & Nursing Center been fined?
Yes. CMS lists fines totalling $38K in the period covered.
How does staffing at Mission Ridge Rehab & Nursing Center compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Mission Ridge Rehab & Nursing Center?
It is part of the Creative Solutions In Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Creative Solutions In Healthcare Inc. Individual owners and managers are not listed on this site.
When was Mission Ridge Rehab & Nursing Center last inspected?
The most recent survey or investigation in the CMS record is dated 14 May 2026; the most recent standard health survey was 26 Feb 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.