Silver Spring
1690 N. Treadway Blvd., Abilene, TX 79601 · Taylor County · 120 certified beds · avg 86 residents/day · certified since Feb 3, 2015
Part of chain: HMG HEALTHCARE (31 facilities, chain avg rating 3.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
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 · Jun 25, 2025 · F-0697 · triggered by a complaint
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
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: Jun 26, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jun 25, 2025 · F-0726 · triggered by a complaint
The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Why it matters: Undertrained caregivers are more likely to miss warning signs and make care mistakes.
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: Jun 26, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Aug 7, 2023 · F-0580 · triggered by a complaint
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Aug 8, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Aug 7, 2023 · 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 (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Aug 8, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Aug 7, 2023 · F-0607 · triggered by a complaint
The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Why it matters: Without working prevention policies, mistreatment is more likely to happen and less likely to be caught.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Aug 8, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Aug 7, 2023 · F-0686 · triggered by a complaint
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Aug 8, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Aug 7, 2023 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
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: Aug 8, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (30)
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 |
|---|---|---|
| Jan 30, 2026 | F · Potential for harm, facility-wide | 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. · from a complaint |
| Jan 30, 2026 | D · Potential for harm, one-off | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint |
| Jun 25, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Jun 25, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| Nov 7, 2024 | E · Potential for harm, repeated | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. · from a complaint |
| Nov 7, 2024 | 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. · from a complaint |
| Nov 7, 2024 | 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. · from a complaint |
| Nov 7, 2024 | D · Potential for harm, one-off | 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. · from a complaint |
| Nov 7, 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. · from a complaint |
| Aug 22, 2024 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. · from a complaint |
| Aug 22, 2024 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint |
| Jan 27, 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. · from a complaint |
| Oct 5, 2023 | F · Potential for harm, facility-wide | 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. · from a complaint |
| Oct 5, 2023 | 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. · from a complaint |
| Oct 5, 2023 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Oct 5, 2023 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint |
| Oct 5, 2023 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint |
| Oct 5, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Oct 5, 2023 | 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. · from a complaint |
| Oct 5, 2023 | D · Potential for harm, one-off | 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 |
| Oct 5, 2023 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. · from a complaint |
| Oct 5, 2023 | D · Potential for harm, one-off | 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 |
| Oct 5, 2023 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint |
| Aug 7, 2023 | ▲ K · Immediate jeopardy, repeated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Aug 7, 2023 | ▲ K · Immediate jeopardy, repeated | 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 |
| Aug 7, 2023 | ▲ K · Immediate jeopardy, repeated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Aug 7, 2023 | ▲ K · Immediate jeopardy, repeated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Aug 7, 2023 | ▲ J · Immediate jeopardy, 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. · from a complaint |
| Aug 7, 2023 | E · Potential for harm, repeated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| Aug 7, 2023 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 18 | 5 | K ▲ |
| 2024 | 8 | 0 | E |
| 2025 | 2 | 2 | J ▲ |
| 2026 | 2 | 0 | F |
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) | 3.28 | 3.46 | 3.95 | bottom 47% in Texas; bottom 25% in the U.S. |
| Registered Nurse hours | 0.53 | 0.44 | 0.69 | top 23% in Texas; bottom 42% in the U.S. |
| Weekend total nurse staffing | 2.85 | 3.04 | 3.50 | bottom 44% in Texas; bottom 23% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.44 | 0.34 | 0.48 | top 21% in Texas; top 42% in the U.S. |
| Total nursing staff turnover (%) | 49.4 | 55.3 | 45.8 | top 43% in Texas; bottom 38% in the U.S. |
| RN turnover (%) | 53.8 | 54.6 | 42.9 | bottom 50% in Texas; bottom 30% 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 3.19, RN 0.51, weekend 2.77. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Balsamo, Krystal | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/29/2021 |
| Balsamo, Krystal | Individual | ADP of the SNF | NOT APPLICABLE | 09/29/2021 |
| Cibc Bank USA | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2021 |
| Cibc Bank USA | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
| Culp, Roland | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2021 |
| Culp, Roland | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
| Daspit, Laurence | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2021 |
| Daspit, Laurence | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
| Dohn, William | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/27/2019 |
| Dohn, William | Individual | ADP of the SNF | NOT APPLICABLE | 03/27/2019 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 10/22/2025 |
| HMG Partners GP LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/22/2025 |
| HMG Partners II LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/22/2025 |
| HMG Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
| Martinez, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/03/2024 |
| Martinez, David | Individual | ADP of the SNF | NOT APPLICABLE | 06/03/2024 |
| Murrell, Edward | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2018 |
| Pico, Ana | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2021 |
| Pico, Ana | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
| Prince, Derek | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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 |
|---|---|---|---|---|---|
| Hendrick Skilled Nursing Facility | 1.9 mi | Abilene, TX | ★★★★★ | 5/5 | |
| The Oaks at Radford Hills Healthcare Center | 2.1 mi | Abilene, TX | ★★☆☆☆ | 1/5 | |
| Avir at Coronado | 2.5 mi | Abilene, TX | ★★☆☆☆ | 2/5 | |
| Northern Oaks Living & Rehabilitation Center | 2.7 mi | Abilene, TX | ★★★☆☆ | 4/5 | |
| Brightpointe at Lytle Lake | 2.7 mi | Abilene, TX | ★☆☆☆☆ | 1/5 | abuse |
| Willowcreek Rehab and Nursing | 5.5 mi | Abilene, TX | ★★☆☆☆ | 2/5 | |
| Wisteria Place | 6.0 mi | Abilene, TX | ★★★☆☆ | 3/5 | |
| Windcrest Health & Rehabilitation | 7.6 mi | Abilene, TX | ★★★☆☆ | 3/5 | |
| Wesley Court Health Center | 8.0 mi | Abilene, TX | ★★★★★ | 4/5 | |
| Mesa Springs Healthcare Center | 9.2 mi | Abilene, TX | ★★☆☆☆ | 3/5 | |
| Clyde Nursing Center | 13.6 mi | Clyde, TX | ★★★★★ | 5/5 | |
| Merkel Nursing Center | 18.7 mi | Merkel, TX | ★☆☆☆☆ | 1/5 | abuseSFF |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 676376.