Nursing Care Index

The Courtyard Rehabilitation And Healthcare Center

Victoria, Victoria County, Texas · CCN 675766 · For-profit (Corporation) · part of The Ensign Group (342 facilities, chain average 3.2 stars)

CMS rates The Courtyard Rehabilitation And Healthcare Center 3 of 5 overall as of August 2026. 56 certified beds, 47 residents a day on average. 18 citations on record from the current inspection cycles; 1 fine totalling $17,992.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★☆☆ 3 of 5
Health inspections★★★★☆ 4 of 5
Staffing★☆☆☆☆ 1 of 5
Quality measures★★★☆☆ 3 of 5
Quality: long-stay / short-stay4 / 3 of 5

Staffing

Total nurse staffing3.04092 hours per resident per day
Registered nurses0.21141 hours per resident per day
Weekend total2.62274 hours per resident per day
Nursing staff turnover36.1%
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-05-28
complaint survey
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-06-12
2025-09-19 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-09-22
2025-09-19 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-22
2025-09-19 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-22
2024-08-23
complaint survey
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · tag F0758
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-09-03
2024-08-23
complaint survey
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies · tag F0801
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-09-03
2024-08-23
complaint survey
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-09-03
2024-08-23
complaint survey
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · tag F0552
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-03
2024-08-23
complaint survey
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies · tag F0557
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-03
2024-08-23
complaint survey
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-03
2024-08-23
complaint survey
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-03
2024-08-23
complaint survey
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-03
2024-01-10
complaint survey
Employ staff that are licensed, certified, or registered in accordance with state laws.
Administration Deficiencies · tag F0839
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-01-11
2023-06-30 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · tag F0655
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-20
2023-06-30 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-20
2023-06-30 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-20
2023-06-30 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-20
2023-06-30 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-20

Fines and payment denials

DatePenaltyAmount
2025-09-19Fine$17,992

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Guadalupe County Hospital Board
Organization
5% or greater direct ownership interest100%2017-04-01
Caretrust Gp LLC
Organization
adp of the snf2017-04-01
Caretrust Reit Inc.
Organization
adp of the snf2017-04-01
Chaparral Healthcare, Inc.
Organization
adp of the snf2025-10-03
Ctr Partnership Lp
Organization
adp of the snf2017-04-01
Ensign Services Inc.
Organization
adp of the snf2012-08-24
Guadalupe Health Holdings LLC
Organization
adp of the snf2017-04-01
Chaparral Healthcare, Inc.
Organization
operational/managerial control2017-04-01
Jain, Arun
Individual
adp of the snf2021-11-01
Villanueva, Anthony
Individual
adp of the snf2018-08-06
Burnam, Soon
Individual
corporate officer2017-04-01
Gann, Kody
Individual
corporate officer2021-02-01
Keetch, Chad
Individual
corporate officer2011-03-01
Jain, Arun
Individual
managing control - governing body2021-11-01
Villanueva, Anthony
Individual
managing control - governing body2018-08-06
Jain, Arun
Individual
operational/managerial control2021-11-01
Villanueva, Anthony
Individual
operational/managerial control2018-08-06

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Victoria County.