Deficiency Index

Dogwood Trails Manor

Woodville, Texas · CCN 675152

21 surveys since 2011. The first finding at harm level was recorded in 2024.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
64
Surveys
21
Harm or worse
2
Immediate jeopardy
2
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records.

Beyond CMS’s monthly file13/21

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
90
Ownership
For profit - Corporation
Chain
CREATIVE SOLUTIONS IN HEALTHCARE
County
Tyler · rural
Medicare-certified since
1993

CMS ratings

Overall
1
Health inspection
2
Staffing
1
Quality measures
1

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 164 for-profit facilities of 66–99 beds in Texas.

Last survey on record

Mar 4, 2026

250 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.383.22
Registered-nurse hours per resident day0.19—
Annual nurse turnover93.9%53.9%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$23,104 across 2 penalties
Abuse icon
Flagged by CMS on Care Compare

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ211.1%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1477.8%E15.6%F15.6%
No harm, potential for minimalA—B—C—
CMS’s current file: 18 of the 64 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6022×

    Protect each resident from the wrongful use of the resident's belongings or money.

  • F6092×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F6892×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F5801×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F6101×

    Respond appropriately to all alleged violations.

In the surveyor’s words

From the most serious findings on record at Dogwood Trails Manor, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF689Jul 11, 2025

    Based on observation, interview, and record review, the facility failed to ensure residents received adequate supervision to prevent accidents for 2 of 8 residents (Resident #1 and Resident #2) reviewed for supervision to prevent accidents. The facility failed to ensure Resident #2 was free from physical abuse when Resident #1 hit Resident #2 on 06/08/25 on the secure unit. The facility failed to provided training regarding 1-1 or notify management of 1-1 status. CNA A was the only staff assigned to the unit. After the altercation, CNA A was also assigned to provide 1-1 for 1.5 hours for Resident #1 but took Resident #2 with her as she cared for other residents and did not provide 1-1 for Resident #1. […]

  • Immediate jeopardy, isolatedF689Apr 4, 2024

    Based on interview and record review the facility failed to ensure the resident environment remained as free of accident hazards as was possible and each resident received adequate supervision and assistance devices to prevent accidents for 1 of 10 residents (Resident #1) reviewed for accidents and supervision. 1. The facility failed to ensure Resident #1 did not sustain injuries of unknown origin. On 03/10/24 Resident #1 was diagnosed with a comminuted (broken in two places) intertrochanteric left femur (thigh bone) fracture with varus angulation, comminuted intertrochanteric right femur fracture with varus (inwards) angulation, and anteriorly displaced distal fracture fragment of the right femoral fracture, and an acute angulated displaced fracture of the left proximal humeral diaphysis… […]

  • No harm, potential for more than minimal, widespreadF727Jul 24, 2024

    Based on interview, observation, and record review, the facility failed to use the services of a registered nurse for 8 consecutive hours 7 days a week for 1 of 4 quarters of 2024 (Fiscal Year Quarter 2 January 1-March 1) PBJ reports reviewed for RN coverage. The facility did not have RN coverage for 8 consecutive hours on 01/25/2024, 01/26/2024, 01/27/2024, and 01/28/2024. This failure could place residents at risk of lack of nursing oversight and a higher level of care. Findings included: Record review of the CMS PBJ reports indicated Quarter 2 2024 (January 1-March 1) there were no consecutive 8 hours of RN coverage on 01/25/2024 (Thursday), 01/26/2024 (Friday), 01/27/2024 (Saturday), and 01/28/2024 (Sunday). […]

  • No harm, potential for more than minimal, patternF755May 19, 2025

    Based on interview and record review the facility failed to provide pharmaceutical services that determine that drug records were in order and that an account of all controlled drugs were maintained and periodically reconciled for 1 of 2 nurses' medication carts (100/300/unit nurses' medication cart) reviewed for pharmacy services. The facility failed to ensure the 100/300/unit nurses' medication cart Controlled Drugs Audit Record was signed off before and after each shift for October 2024, November 2024, December 2024, January 2025, February 2025, March 2025, and April 2025. The Audit Record had a total of 28 missing nurse signatures. […]

  • No harm, potential for more than minimal, isolatedF602Mar 4, 2026

    Based on observation, interview, and record review, the facility failed to ensure the right to be free from misappropriation of resident property for 1 of 7 residents reviewed for misappropriation of resident property. (Resident #1) The facility failed to keep Resident #1 free of misappropriation of property when HSK A took Resident #1's Android cell phone, changed her account password, ordered an iPhone 15, and was having it delivered to his address, and was trying to order an IPhone 17. This failure could place residents at risk for decreased quality of life, misappropriation of property, and compromised dignity. Findings included:Record review of a face sheet dated 03/04/26 indicated Resident #1 was an [AGE] year-old female admitted on [DATE]. […]

Read 20 findings in full →The most serious and the most recent: 20 of 64 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 4, 2026Complaint1 finding
  • Nov 21, 2025Complaint1 finding
  • Aug 20, 2025Standard4 findings
  • Jul 11, 2025Complaint3 findings · 1 harm
  • May 19, 2025Complaint4 findings
  • Jul 24, 2024Standard2 findings
  • Jun 19, 2024Complaint1 finding
  • Apr 4, 2024Complaint2 findings · 1 harm
Show the 13 earlier surveys
  • May 3, 2023Complaint1 finding
  • Mar 16, 2022Standard1 finding
  • Sep 1, 2021Infection control1 finding
  • Oct 23, 2019Standard7 findings
  • Nov 28, 2018Standard10 findings
  • Oct 25, 2017Standard3 findings
  • Nov 3, 2016Complaint1 finding
  • Sep 8, 2016Standard5 findings
  • Aug 5, 2015Standard5 findings
  • Jul 16, 2014Standard7 findings
  • Mar 18, 2014Complaint2 findings
  • Jul 3, 2012—1 finding
  • Aug 11, 2011—2 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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