Nursing homeActive
Live Oak Nursing and Rehabilitation Center
2951 Hwy 281, George West, TX 78022361449253296 certified beds · 78 residentsFor profit - IndividualMedicare and Medicaid
Surveys on file
7
since 2023
Deficiencies
17
● 0● 16● 1
Penalties · 3 yrs
$56,980
1 fine
Last survey
2026-03-18
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 3
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-03-18 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-08-13 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-05-22 | Standard | 011 | CMS-2567 (Care Compare) | — |
| 2025-04-16 | Complaint | 050 | CMS-2567 (Care Compare) | — |
| 2024-03-21 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2024-03-01 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-02-03 | Standard | 040 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-08Record 675104-20260318-F842
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-14Record 675104-20250813-F600
F760Ensure that residents are free from significant medication errors.Scope/severity KHarm
Medication
Pattern; immediate jeopardy to resident health or safety.Corrected 2025-05-23Record 675104-20250522-F760
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-23Record 675104-20250522-F695
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 675104-20250416-F550
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 675104-20250416-F600
F637Assess the resident when there is a significant change in conditionScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 675104-20250416-F637
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 675104-20250416-F656
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 675104-20250416-F842
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-08Record 675104-20240321-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-08Record 675104-20240321-F656
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-08Record 675104-20240321-F880
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-02Record 675104-20240301-F558
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-16Record 675104-20230203-F550
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-16Record 675104-20230203-F583
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-03-16Record 675104-20230203-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-16Record 675104-20230203-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-05-22 | Civil money penalty | $56,980 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.41
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.37
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours3.02
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover32%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover25%
Facility
Texas
National
Texas 55% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 1.3% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.4% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 9.4% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 7.3% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.6% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 20.0% | 18.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Dayton, Steven Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dekowski, Donovan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Lawrence, Patrick Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Regency Ihs Of George West LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Regency Integrated Health Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Uvalde County Hospital Authority Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| 2951 Us 281 LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Apolinar, Adam Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Baird, Daniel Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Clapp, Barbara Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Contreras, Terri Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Cortese, Daren Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Csv Rhea Management Holdco, LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Dayton, Steven Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dayton, Steven Individual | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Dekowski, Donovan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dekowski, Donovan Individual | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Dwd Tx Holdings LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Elliott, Benjamin Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Faglie, Kelly Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gaitonde, Gajanan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gibson, Patricia Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Gonzales, Hector Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Graves, Tracy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Graves, Tracy Individual | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Gutierrez, Monica Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Jack And Nancy Dwyer Workforce Development Center Inc Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Kessler, William Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Lara, Letitia Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lara, Letitia Individual | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Lawrence, Patrick Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lawrence, Patrick Individual | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Mandelbaum, Elliot Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Reg Bridge Opco LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Reg Hg Opco LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Reg Operator Holdco LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Regency Ihs Clinical Consulting, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Regency Ihs Of George West LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Regency Ihs Of George West LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Regency Ihs Rehab LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Regency Integrated Health Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Regency Integrated Health Services LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Regency Texas Holdings LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Uvalde County Hospital Authority Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zamora, Raul Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Wellsential Health — 67 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.
No county cost figures on file for Live Oak.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Hacienda Oaks At Beeville Beeville | 23.1 mi | 2026-05-19 | 2170 |
| Palma Real Mathis | 25.1 mi | 2026-06-09 | 1180 |
| Avir at Beeville Beeville | 24.2 mi | 2026-04-09 | 0111 |
| Bluebonnet Nursing & Rehabilitation Karnes City | 34.7 mi | 2026-06-03 | 0326 |
| Kenedy Health & Rehabilitation Kenedy | 34.8 mi | 2026-06-28 | 0142 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |