Arbor Hills Rehabilitation and Healthcare Center

Name: Arbor Hills Rehabilitation and Healthcare Center
Address: 535 S AUSTIN ROAD, Eagle Lake, TX, 77434, US
Telephone: 9792433910

535 S Austin Road, Eagle Lake, TX 77434 · Colorado County · 80 certified beds · avg 69 residents/day · certified since May 1, 2014

Part of chain: NEXION HEALTH (51 facilities, chain avg rating 2.2★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.87

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (13)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Aug 15, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 15, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Aug 15, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Aug 15, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Jun 13, 2024	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jun 13, 2024	E · Potential for harm, repeated	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Jun 13, 2024	E · Potential for harm, repeated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jun 13, 2024	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Jun 13, 2024	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jun 13, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jun 13, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jun 13, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Jun 13, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (9 → 4).

Year	Citations	Serious (G–L)	Worst severity that year
2024	9	0	E
2025	4	0	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.87	3.46	3.95	top 18% in Texas; top 45% in the U.S.
Registered Nurse hours	0.17	0.44	0.69	bottom 4% in Texas; bottom 1% in the U.S.
Weekend total nurse staffing	3.64	3.04	3.50	top 12% in Texas; top 36% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.12	0.34	0.48	bottom 4% in Texas; bottom 2% in the U.S.
Total nursing staff turnover (%)	27.8	55.3	45.8	top 4% in Texas; top 11% in the U.S.
RN turnover (%)	0.0	54.6	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.30, RN 0.14, weekend 3.11. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Bolt, Bretton	Individual	5% or Greater Indirect Ownership Interest	—	12/01/2020
Kirley, Francis	Individual	5% or Greater Indirect Ownership Interest	—	12/01/2020
Nexion Health Leasing, INC.	Organization	5% or Greater Indirect Ownership Interest	—	12/01/2020
Nexion Health of Ohi INC	Organization	5% or Greater Direct Ownership Interest	100%	12/01/2020
Nexion Health, INC.	Organization	5% or Greater Indirect Ownership Interest	—	12/01/2020
Fallon, John	Individual	Corporate Officer	NOT APPLICABLE	12/01/2020
Herdrich, William	Individual	Corporate Director	NOT APPLICABLE	12/01/2020
Kirley, Francis	Individual	Corporate Director	NOT APPLICABLE	12/01/2020
Kirley, Francis	Individual	Corporate Officer	NOT APPLICABLE	12/01/2020
Kirley, Francis	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2020
Lee, Brian	Individual	Corporate Officer	NOT APPLICABLE	12/01/2020
Nexion Health Leasing, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2020
Nexion Health of Ohi INC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2020
Nexion Health, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2020
Reid, John	Individual	Corporate Director	NOT APPLICABLE	12/01/2020
Williams, Phyllis	Individual	W-2 Managing Employee	NOT APPLICABLE	12/01/2020

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How do you keep residents' medical records accurate, complete, and secure?"
"How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Columbus Oaks Healthcare Community	14.5 mi	Columbus, TX	★☆☆☆☆	3/5
Trucare Living Centers-Columbus	14.9 mi	Columbus, TX	★★★★★	4/5
Avir at Sealy	16.6 mi	Sealy, TX	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Eagle Lake →

Facility data as of CMS processing date 2026-08-01. CCN 676361.

The Care File

Visit checklist — Arbor Hills Rehabilitation and Healthcare Center

535 S Austin Road, Eagle Lake, TX 77434 · 9792433910

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 676361 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)