Village Creek Rehabilitation and Nursing Center
705 N Main St · Lumberton, TX · 77657 · 4097550100
120 certified beds Government - Hospital district Chain: Nexion Health Hospital-based
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $125,838 in fines in the last 24 months.
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
3 immediate-jeopardy citations 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.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$125,838 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.22 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
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: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.27 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.22 | 0.55–0.75 |
| Weekend hours / resident-day | 2.76 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | 3 · $125,838 |
Inspection citations (38 in the current record)
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Immediate jeopardy · J March 26, 2026
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected March 27, 2026 · Nursing and Physician Services
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Immediate jeopardy · K March 26, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G March 26, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 27, 2026 · Quality of Life and Care
-
Potential for harm · E March 26, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 27, 2026 · Resident Rights
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Potential for harm · D March 26, 2026
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected March 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 26, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 26, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected March 27, 2026 · Pharmacy Service
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Potential for harm · E March 26, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected March 27, 2026 · Pharmacy Service
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Potential for harm · E March 26, 2026
Ensure that residents are free from significant medication errors.
Corrected March 27, 2026 · Pharmacy Service
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Potential for harm · E March 26, 2026
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected March 27, 2026 · Nutrition and Dietary
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Potential for harm · D March 26, 2026
Provide and implement an infection prevention and control program.
Corrected March 27, 2026 · Infection Control
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Potential for harm · D March 26, 2026
Keep all essential equipment working safely.
Corrected March 27, 2026 · Environmental
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Potential for harm · D December 5, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 5, 2025 · found via complaint
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 December 6, 2025 · Pharmacy Service
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Immediate jeopardy · J November 21, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · Quality of Life and Care
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Potential for harm · E January 15, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 16, 2025 · Nutrition and Dietary
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Potential for harm · F January 15, 2025
Provide and implement an infection prevention and control program.
Corrected January 16, 2025 · Infection Control
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Potential for harm · D January 15, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected January 16, 2025 · Resident Rights
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Potential for harm · E January 15, 2025 · 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 January 16, 2025 · Environmental
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Immediate jeopardy · J November 21, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J November 21, 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 November 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 21, 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 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 29, 2023
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected November 30, 2023 · Resident Assessment and Care Planning
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Potential for harm · E November 29, 2023
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected November 30, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 26, 2026 | Fine | $58,150 |
| November 21, 2025 | Fine | $13,250 |
| November 21, 2024 | Fine | $54,438 |
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 675975 · certified since July 3, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.