Nursing Care Index

Cornerstone Retirement Community

Texarkana, Bowie County, Texas · CCN 676359 · Non-profit (Corporation) · part of Methodist Retirement Communities (6 facilities, chain average 4.7 stars)

CMS rates Cornerstone Retirement Community 4 of 5 overall as of August 2026. 40 certified beds, 32 residents a day on average. 19 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $39,764.

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★★★★☆ 4 of 5
Health inspections★★★☆☆ 3 of 5
Staffing★★★★★ 5 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay3 / 4 of 5

Staffing

Total nurse staffing4.08185 hours per resident per day
Registered nurses0.8973 hours per resident per day
Weekend total3.47921 hours per resident per day
Nursing staff turnover38.1% (registered nurses 12.5%)
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
2026-05-13
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
2026-06-25
2026-05-13
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-06-25
2026-05-13
complaint survey
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies · tag F0744
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-06-25
2026-02-04 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
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-02-26
2026-02-04 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
2026-02-26
2026-02-04
complaint survey
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-26
2026-02-04 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
2026-02-26
2024-11-06 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · tag F0694
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2024-11-26
2024-11-06 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
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-11-26
2024-11-06 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
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-11-26
2024-11-06 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
2024-11-26
2024-11-06 Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies · tag F0770
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-11-26
2024-11-06 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
2024-11-26
2024-11-06 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-11-26
2024-11-06 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-11-26
2024-11-06 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-11-26
2023-09-20 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
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-10-10
2023-09-20
complaint survey
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-10-10
2023-09-20 Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies · tag F0813
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-10-10

Fines and payment denials

DatePenaltyAmount
2024-11-06Fine$39,764

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
Mrc Cornerstone
Organization
5% or greater direct ownership interest100%2014-04-23
The Aldersgate Trust
Organization
5% or greater indirect ownership interest100%2010-06-11
Truist Bank
Organization
5% or greater mortgage interest2019-12-06
The Aldersgate Trust
Organization
adp of the snf2010-06-11
Elmore, Sydney
Individual
adp of the snf2024-04-01
Baggett, Alyce
Individual
corporate director2013-07-01
Besser, Alicia
Individual
corporate director2024-07-01
Brown, Alan
Individual
corporate director2020-04-13
Bunch, James
Individual
corporate director2020-08-13
Conger, Dale
Individual
corporate director2020-02-21
Gilts, Kip
Individual
corporate director2020-07-01
King, William
Individual
corporate director2018-01-01
Koerner, William
Individual
corporate director2020-02-21
Malone-Wardley, Romonica
Individual
corporate director2023-07-01
Morgan, Richard
Individual
corporate director2017-07-01
Simmons, Ed
Individual
corporate director2023-02-10
Watson, Frankie
Individual
corporate director2021-11-12
Williamson, Billy
Individual
corporate director2010-07-01
Woodward, Walter
Individual
corporate director2024-07-01
Brown, Alan
Individual
corporate officer2020-04-13
Currie, Matthew
Individual
corporate officer2025-08-21
Stephens, Donald
Individual
corporate officer2015-01-07
Elmore, Sydney
Individual
operational/managerial control2024-04-01
Lewis, Charles
Individual
operational/managerial control2024-03-18
Partin, Todd
Individual
operational/managerial control2013-02-28
Thomas, Amy
Individual
operational/managerial control2018-04-01

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 Bowie County.