Fairview Healthcare Residence

Name: Fairview Healthcare Residence
Address: 601 E REUNION ST, Fairfield, TX, 75840, US
Telephone: 9033894121

601 E Reunion St, Fairfield, TX 75840 · Freestone County · 84 certified beds · avg 41 residents/day · certified since Mar 30, 1994

Part of chain: CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY (9 facilities, chain avg rating 2.8★)

4/5

Health inspection rating (on-site)

Serious findings on record

$19,412

Fines, last 3 years

3.86

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Apr 9, 2025 · F-0600 · triggered by a complaint

The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Apr 10, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (11)

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 7, 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 7, 2025	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Aug 7, 2025	D · Potential for harm, one-off	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Aug 7, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Aug 7, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Apr 9, 2025	▲ J · Immediate jeopardy, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Jun 26, 2024	E · Potential for harm, repeated	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Jun 26, 2024	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.
Jun 5, 2024	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. · from a complaint
Apr 27, 2023	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Apr 27, 2023	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 5).

Year	Citations	Serious (G–L)	Worst severity that year
2023	2	0	D
2024	3	0	E
2025	6	1	J ▲

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)

1 fine totaling $19,412.

Date	Type	Amount / length
Apr 9, 2025	Fine	$19,412

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)	3.86	3.46	3.95	top 19% in Texas; top 45% in the U.S.
Registered Nurse hours	0.41	0.44	0.69	top 45% in Texas; bottom 24% in the U.S.
Weekend total nurse staffing	3.42	3.04	3.50	top 19% in Texas; top 46% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.36	0.34	0.48	top 32% in Texas; bottom 45% in the U.S.
Total nursing staff turnover (%)	43.6	55.3	45.8	top 29% in Texas; top 46% 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 3.13, RN 0.33, weekend 2.77. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

Government - Hospital district

Owner / manager	Type	Role	Stake	Since
Byrom, David	Individual	Corporate Director	NOT APPLICABLE	10/01/2014
Coryell County Memorial Hospital Authority	Organization	Operational/Managerial Control	NOT APPLICABLE	10/01/2014
TGR Healthcare, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	10/01/2019
TGR Healthcare, LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/22/2025
Thomas, Brian	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2019
Thomas, Brian	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2019
Villa, Ricardo	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2019
Villa, Ricardo	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2019

Questions to ask on your visit

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

"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How do you make sure resident assessments are completed and submitted to the state on time?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"How do you inspect and maintain essential equipment, and how quickly are repairs made?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"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
Fairfield Nursing & Rehabilitation Center	1.1 mi	Fairfield, TX	★★★★☆	5/5
Teague Nursing and Rehabilitation	10.3 mi	Teague, TX	★★★★★	5/5
Skilled Care of Mexia	19.6 mi	Mexia, TX	★★★☆☆	4/5

Compare this facility with the 3 closest →

All facilities in Fairfield →

Facility data as of CMS processing date 2026-08-01. CCN 675311.

The Care File

Visit checklist — Fairview Healthcare Residence

601 E Reunion St, Fairfield, TX 75840 · 9033894121

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $19,412

Most serious findings on record:

▲ Apr 9, 2025 (F-0600, Immediate jeopardy, one-off): The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How do you make sure resident assessments are completed and submitted to the state on time?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "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 675311 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)