Renaissance Rehabilitation and Healthcare Center
220 Davenport, Italy, TX 76651 · Ellis County · 74 certified beds · avg 64 residents/day · certified since Jul 27, 1992
Part of chain: NEXION HEALTH (51 facilities, chain avg rating 2.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
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 (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 |
|---|---|---|
| Sep 10, 2025 | E · Potential for harm, repeated | 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. |
| Sep 10, 2025 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Sep 10, 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. |
| Sep 10, 2025 | 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. |
| Aug 3, 2023 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Jun 29, 2023 | 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 29, 2023 | E · Potential for harm, repeated | 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. |
| Jun 29, 2023 | 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. |
| Jun 29, 2023 | E · Potential for harm, repeated | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Jun 29, 2023 | 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. |
| Jun 29, 2023 | D · Potential for harm, one-off | 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. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 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) | 3.26 | 3.46 | 3.95 | bottom 45% in Texas; bottom 25% in the U.S. |
| Registered Nurse hours | 0.36 | 0.44 | 0.69 | bottom 43% in Texas; bottom 17% in the U.S. |
| Weekend total nurse staffing | 2.93 | 3.04 | 3.50 | top 48% in Texas; bottom 27% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.30 | 0.34 | 0.48 | top 47% in Texas; bottom 33% in the U.S. |
| Total nursing staff turnover (%) | 31.1 | 55.3 | 45.8 | top 7% in Texas; top 16% in the U.S. |
| RN turnover (%) | 20.0 | 54.6 | 42.9 | top 6% in Texas; top 13% in the U.S. |
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 3.36, RN 0.37, weekend 3.02. Staffing rating: 2/5.
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: 2/5 · long-stay residents: 2/5 · short-stay residents: 3/5
Who owns this facility
Government - Hospital district
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Fallon, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2022 |
| Herdrich, William | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2022 |
| Kirley, Francis | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2022 |
| Lee, Brian | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2022 |
| Nexion Health at Italy, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2022 |
| Reid, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2022 |
| Riner, Meera | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2022 |
| Thompson, Johnny | Individual | Corporate Officer | NOT APPLICABLE | 01/05/2025 |
| Thompson, Johnny | Individual | ADP of the SNF | NOT APPLICABLE | 03/03/2026 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How is pest control handled here, and when was the last treatment or inspection?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "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 | Flags |
|---|---|---|---|---|---|
| Pleasant Manor Healthcare and Rehabilitation | 11.9 mi | Waxahachie, TX | ★★★☆☆ | 2/5 | |
| Avir at Itasca | 14.5 mi | Itasca, TX | ★★★★☆ | 4/5 | |
| Focused Care of Waxahachie | 15.1 mi | Waxahachie, TX | ★☆☆☆☆ | 2/5 | abuse |
| Town Hall Estates | 16.6 mi | Hillsboro, TX | ★☆☆☆☆ | 1/5 | |
| Avir at Hillsboro | 16.7 mi | Hillsboro, TX | ★☆☆☆☆ | 1/5 | |
| Legend Oaks Healthcare and Rehabilitation - Ennis | 17.3 mi | Ennis, TX | ★★★★★ | 5/5 | |
| Legend Oaks Healthcare and Rehabilitation - Waxaha | 17.7 mi | Waxahachie, TX | ★☆☆☆☆ | 2/5 | |
| Ennis Care Center | 18.0 mi | Ennis, TX | ★☆☆☆☆ | 2/5 | |
| Grandview Nursing and Rehabilitation Center | 18.0 mi | Grandview, TX | ★★★★★ | 4/5 | |
| Bluebonnet Rehab at Ennis | 18.8 mi | Ennis, TX | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 675103.