Mission Ridge Rehab & Nursing Center
401 Swift Street · Refugio, TX · 78377 · 3615269223
90 certified beds For profit - Limited Liability company Chain: Creative Solutions in Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Federal penalties on record: $37,698 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.03 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.50 | 0.55–0.75 |
| Weekend hours / resident-day | 2.75 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 3 · $37,698 |
Inspection citations (24 in the current record)
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Potential for harm · D February 26, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 6, 2026 · Resident Rights
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Potential for harm · D February 26, 2026
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected March 6, 2026 · Resident Rights
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Potential for harm · E February 26, 2026
Ensure that residents are free from significant medication errors.
Corrected March 6, 2026 · Pharmacy Service
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Potential for harm · E February 26, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 6, 2026 · Nutrition and Dietary
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Potential for harm · D February 26, 2026
Provide and implement an infection prevention and control program.
Corrected March 6, 2026 · Infection Control
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Potential for harm · D February 5, 2026 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected February 6, 2026 · Resident Rights
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Immediate jeopardy · J September 11, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 30, 2025 · Quality of Life and Care
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Potential for harm · D September 11, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 12, 2025 · Quality of Life and Care
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Actual harm · G November 23, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 24, 2024 · Quality of Life and Care
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Potential for harm · D November 23, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected November 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 23, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 23, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected November 24, 2024 · Pharmacy Service
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Potential for harm · E November 23, 2024
Provide and implement an infection prevention and control program.
Corrected November 24, 2024 · Infection Control
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Potential for harm · D November 23, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 24, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 23, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 24, 2024 · Resident Assessment and Care Planning
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Immediate jeopardy · J October 10, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 11, 2024 · Quality of Life and Care
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Potential for harm · D October 10, 2024 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected October 11, 2024 · Resident Rights
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Potential for harm · E October 10, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 10, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 10, 2024 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected October 11, 2024 · Environmental
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Potential for harm · E August 3, 2023
Provide and implement an infection prevention and control program.
Corrected August 4, 2023 · Infection Control
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Potential for harm · D August 3, 2023 · found via complaint
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected August 4, 2023 · Resident Rights
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Potential for harm · D August 3, 2023 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected August 4, 2023 · Quality of Life and Care
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Potential for harm · E August 3, 2023 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 4, 2023 · Nutrition and Dietary
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 11, 2025 | Fine | $14,325 |
| November 23, 2024 | Fine | $15,216 |
| October 10, 2024 | Fine | $8,157 |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676491 · certified since August 14, 2020. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.