Deficiency Index

La Vida Serena Nursing and Rehabilitation

Del Rio, Texas · CCN 675800

22 surveys since 2010, 5 of them producing a finding at harm level or worse.

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

Citations on record
101
Surveys
22
Harm or worse
5
Immediate jeopardy
0
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse5

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file15/22

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

The facility

Certified beds
120
Ownership
For profit - Limited Liability company
Chain
CREATIVE SOLUTIONS IN HEALTHCARE
County
Val Verde · rural
Medicare-certified since
1999

CMS ratings

Overall
3
Health inspection
4
Staffing
1
Quality measures
3

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 377 for-profit facilities of 100–127 beds in Texas.

Last survey on record

Dec 12, 2025

332 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 day2.873.25
Registered-nurse hours per resident day0.25—

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

Enforcement

Fines
$8,404 across 1 penalty

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 jeopardyJ—K—L—
Actual harmG28.7%H—I—
No harm, potential for more than minimalD1147.8%E834.8%F—
No harm, potential for minimalA—B14.3%C14.3%
CMS’s current file: 23 of the 101 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6092×

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

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6892×

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

  • F8422×

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

In the surveyor’s words

From the most serious findings on record at La Vida Serena Nursing and Rehabilitation, in the surveyor’s own words.

  • Actual harm, isolatedF657May 8, 2025

    Based on the interviews and record review, the facility failed to review and revise Resident Care Plans after each assessment for 1 of 3 Residents (Resident # 1) whose records were reviewed for care plan revision/timing, The kardex of Resident # 1 was not updated to reflect the required extensive assistance with 2 persons for transfers via mechanical lift . These deficient practices could affect any resident and contribute to the Residents not receiving the care and services they need. […]

  • Actual harm, isolatedF689May 8, 2025

    Based on observations, interviews, and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 2 residents (Resident #1) reviewed for accident hazards and supervision, On 03/07/2025, Resident #1 was transferred by CNA (A) using a standing pivot transfer x 1 staff instead of a mechanical lift. During transfer, Resident #1 was injured, resulting in a laceration to the left lower calf requiring 13 stitches. The non-compliance was identified as past non-compliance. The PNC began on 3/7/25 and ended on 3/09/25. […]

  • No harm, potential for more than minimal, widespreadF812Apr 2, 2021

    Based on observation, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation, in that: 1. The table-mounted can opener had sticky black and brown grime on the blade and along the base of the equipment. 2. There was an opened bag of seasoning inside an open zip-locked bag without a label or date in the dry storage room. 3. A container of brown sugar was not properly sealed in the dry storage room. 4. The FSD's hair restraint did not cover all her hair. These deficient practices could affect the residents who ate food from the kitchen and put them at risk for foodborne illness. Findings were: 1. […]

  • No harm, potential for more than minimal, patternF565Dec 12, 2025

    Based on interview and record review, the facility failed to consider the views of the resident or family group and act promptly upon the grievances and recommendations of such groups concerning issues of resident care and life in the facility or to demonstrate their response and rationale for such response for 1 of 1 Resident Council group reviewed. The facility failed to follow up on concerns and requests expressed in Resident Council meetings June 2025 through November 2025. The facility failed to provide the Resident Council group with a response, actions, and rationale taken regarding their concerns. This failure placed residents at risk of not having their grievances followed up and addressed. […]

  • No harm, potential for more than minimal, patternF865Dec 12, 2025

    Based on interview and record review, the facility failed to implement and maintain a comprehensive Quality Assurance & Performance Improvement Program (QAPI) Plan, disclose records upon request, and have governance and leadership for 1 of 1 QAPI Program Plan reviewed. The facility failed to maintain an effective, comprehensive QAPI program and plan that addresses the full range of services the facility provides. The facility failed to ensure the QAPI Program uses performance indicator data, resident and staff input, and other information to identify and prioritize problems and opportunities. […]

Read 23 findings in full →The most serious and the most recent: 23 of 101 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 12, 2025Standard6 findings
  • May 8, 2025Complaint3 findings · 2 harm
  • Sep 19, 2024Standard2 findings
  • Jul 11, 2024Complaint2 findings
  • Aug 16, 2023Standard5 findings
  • Aug 3, 2023Complaint3 findings
  • Jun 30, 2022Standard3 findings
  • Aug 27, 2021Complaint1 finding
Show the 14 earlier surveys
  • Apr 2, 2021Standard6 findings
  • Nov 1, 2020Complaint1 finding
  • Apr 14, 2020Complaint2 findings
  • Jul 25, 2019Standard1 finding
  • Jul 20, 2018Standard6 findings
  • Jun 15, 2017Standard4 findings
  • May 26, 2016Standard5 findings
  • Apr 7, 2016Complaint1 finding
  • Apr 10, 2015Standard8 findings
  • Jan 31, 2014—4 findings
  • Dec 28, 2012—1 finding
  • Nov 17, 2012Standard23 findings · 3 harm
  • Nov 11, 2011—4 findings
  • Dec 7, 2010—10 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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