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Part of chain: TOUCHSTONE COMMUNITIES (25 facilities, chain avg rating 2.9★)
4/5
Health inspection rating (on-site)
inspected May 29, 2025
1
Serious findings on record
most recent Nov 21, 2024
$8,021
Fines, last 3 years
3.44
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, isolated · Nov 21, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 20, 2024 (Past Non-Compliance)
Inspection findings in the public record
Showing the latest 3 of 11 inspection findings. Open the full record below to read every finding.
E · Potential for more than minimal harm, pattern
The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · from a complaintF-0644
E · Potential for more than minimal harm, pattern
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaintF-0760
E · Potential for more than minimal harm, pattern
The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. F-0812
View all 11 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
Date
Severity
What the facility was cited for
May 29, 2025
E · Potential for more than minimal harm, pattern
The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · from a complaint · F-0644
May 29, 2025
E · Potential for more than minimal harm, pattern
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint · F-0760
May 29, 2025
E · Potential for more than minimal harm, pattern
The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
May 29, 2025
D · Potential for more than minimal harm, isolated
The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
Apr 19, 2025
D · Potential for more than minimal harm, isolated
The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Nov 21, 2024
▲ J · Immediate jeopardy, isolated
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Sep 1, 2024
F · Potential for more than minimal harm, widespread
The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. · from a complaint · F-0838
Sep 1, 2024
E · Potential for more than minimal harm, pattern
The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
Mar 14, 2024
E · Potential for more than minimal harm, pattern
The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · from a complaint · F-0679
Mar 14, 2024
D · Potential for more than minimal harm, isolated
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. · F-0880
Mar 14, 2024
C · Potential for minimal harm, widespread
The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 4).
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2024
All citations:
6
Serious citations (G–L):
1
2025
All citations:
5
Serious citations (G–L):
0
All bars start at zero. Exact values and supporting details remain below.
Year
Citations
Serious (G–L)
Worst severity that year
2024
6
1
J ▲
2025
5
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.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
Date
Type
Amount / length
Nov 21, 2024
Fine
$8,021
Nurse staffing (from payroll records, adjusted for how much care residents need)
Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility:
3.44
Texas average:
3.46
U.S. average:
3.95
Registered Nurse hours
This facility:
0.60
Texas average:
0.44
U.S. average:
0.69
Weekend total nurse staffing
This facility:
2.78
Texas average:
3.04
U.S. average:
3.50
All bars start at zero. Exact values and supporting details remain below.
Measure
This facility
Texas avg
U.S. avg
Where it stands
Total nurse staffing (hours per resident per day)
3.44
3.46
3.95
top 40% in Texas; bottom 33% in the U.S.
Registered Nurse hours
0.60
0.44
0.69
top 16% in Texas; top 48% in the U.S.
Weekend total nurse staffing
2.78
3.04
3.50
bottom 37% in Texas; bottom 20% in the U.S.
Weekend RN hours (not acuity-adjusted)
0.26
0.34
0.48
bottom 42% in Texas; bottom 25% in the U.S.
Total nursing staff turnover (%)
—
55.3
45.8
—
RN turnover (%)
—
54.6
42.9
—
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.24, RN 0.57, weekend 2.61.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.24 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
No verified facility-specific private-pay price is available in our data for La Frontera Nursing & Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
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Individual Is an Owner, Partner or Trustee of Any ADP of the SNF
NOT APPLICABLE
03/09/2025
Cherie Von Dohlen by Pass Trust
Organization
ADP of the SNF
NOT APPLICABLE
09/17/2024
CHVD 2020 Lifetime Family Trust
Organization
ADP of the SNF
NOT APPLICABLE
09/17/2024
CTVD Holdings LTD
Organization
ADP of the SNF
NOT APPLICABLE
09/17/2024
Fellbaum, Ernest
Individual
ADP of the SNF
NOT APPLICABLE
09/17/2024
Gonzales, Ricardo
Individual
Operational/Managerial Control
NOT APPLICABLE
08/12/2024
Gonzales, Ricardo
Individual
ADP of the SNF
NOT APPLICABLE
08/12/2024
International Bank of Commerce
Organization
5% or Greater Mortgage Interest
NOT APPLICABLE
09/17/2024
International Bank of Commerce
Organization
ADP of the SNF
NOT APPLICABLE
09/17/2024
Laredo Operator 3, LTD
Organization
Operational/Managerial Control
NOT APPLICABLE
09/17/2024
Laredo Operator 3, LTD
Organization
ADP of the SNF
NOT APPLICABLE
03/09/2025
Laredo Realty 3, LTD.
Organization
ADP of the SNF
NOT APPLICABLE
09/17/2024
Mauricio, Luis
Individual
ADP of the SNF
NOT APPLICABLE
09/17/2024
Maverick County Hospital District
Organization
Operational/Managerial Control
NOT APPLICABLE
09/17/2024
Nutritious Lifestyles, INC.
Organization
ADP of the SNF
NOT APPLICABLE
09/17/2024
Showing 20 of 33 parties CMS has on file for this facility; 13 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Touchstone Communities — 25 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.