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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasAdvanced Rehabilitation & Healthcare of Live Oak

Advanced Rehabilitation & Healthcare of Live Oak

8221 Palisades Drive, Live Oak, TX 782332106003700
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
2/5
Quality
5/5
Beds
123
certified
2 fine(s) totaling $12,424

Key Findings

• CMS rates this facility 3/5 stars (average)

• Has 123 certified beds with an average of 114.1 residents per day (93% occupancy)

• Last health inspection found 15 deficiencies (inspected May 23, 2025)

• Has been fined a total of $12,424 across 2 fine(s)

• Total nursing staff: 3.13 hours per resident per day

• Staff turnover rate: 56.8% (high)

• Part of the Ruby Healthcare chain (7 facilities)

Advanced Rehabilitation & Healthcare of Live Oak is a 3-star Medicare and Medicaid certified nursing home in Live Oak, Texas with 123 certified beds. It has been operating since 1994. The facility scored at average compared to Texas facilities.

Beds
123
Avg Residents/Day
114.1
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jul 28, 1994
Sprinklers
Yes
Council
Resident
County
Bexar
Last Inspection
May 23, 2025
Deficiencies (Cycle 1)
15
Weighted Score
99.0
Infection Citations
1

Deficiency Citations (42)

F0726Potential for Harm

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.

Survey: Nov 18, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 18, 2025Corrected: NoCycle: 1
F0585Potential for Harm

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Survey: Apr 17, 2025Corrected: NoCycle: 1
F0609Potential for Harm

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

Survey: Apr 17, 2025Corrected: NoCycle: 1
F0842Potential for Harm

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

Survey: Apr 17, 2025Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: Feb 12, 2025Corrected: NoCycle: 1
F0805Potential for Harm

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Survey: Feb 12, 2025Corrected: NoCycle: 1
F0807Potential for Harm

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Survey: Feb 12, 2025Corrected: NoCycle: 1
F0576Potential for Harm

Ensure residents have reasonable access to and privacy in their use of communication methods.

Survey: May 23, 2025Corrected: NoCycle: 1
F0656Potential for Harm

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

Survey: May 23, 2025Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: May 23, 2025Corrected: NoCycle: 1
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: May 23, 2025Corrected: NoCycle: 1
F0698Potential for Harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey: May 23, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: May 23, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 23, 2025Corrected: NoCycle: 1
F0600Immediate Jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Jan 17, 2025Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Sep 12, 2024Corrected: NoCycle: 2
F0622Potential for Harm

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Survey: Jun 1, 2024Corrected: NoCycle: 2
F0576Potential for Harm

Ensure residents have reasonable access to and privacy in their use of communication methods.

Survey: Apr 5, 2024Corrected: NoCycle: 2
F0582Potential for Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey: Apr 5, 2024Corrected: NoCycle: 2
F0584Potential for Harm

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.

Survey: Apr 5, 2024Corrected: NoCycle: 2
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Apr 5, 2024Corrected: NoCycle: 2
F0689Potential for Harm

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

Survey: Apr 5, 2024Corrected: NoCycle: 2
F0698Potential for Harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey: Apr 5, 2024Corrected: NoCycle: 2
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Apr 5, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Apr 5, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Apr 5, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Apr 5, 2024Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Apr 5, 2024Corrected: NoCycle: 2
F0565Potential for Harm

Honor the resident's right to organize and participate in resident/family groups in the facility.

Survey: Apr 5, 2024Corrected: NoCycle: 2

+ 12 more deficiencies

Total Fines
$12,424
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineJun 1, 2024
$4,017
FineJan 17, 2025
$8,407

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.67 hrs
National avg: 2.35 hrs
LPN0.86 hrs
National avg: 0.86 hrs
RN0.60 hrs
National avg: 0.68 hrs
Total Nursing3.13 hrs
National avg: 3.89 hrs
Weekend Total2.83 hrs
National avg: 0.00 hrs
Physical Therapist0.12 hrs
National avg: 0.07 hrs
Total Turnover
56.8%
RN Turnover
55.6%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (5)

NameRoleTypeOwnership %Since
HAMILTON COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Apr 1, 2023
LIVE OAK HC, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2023
MCINTOSH, TRACIOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2023
OOMMEN, BIJUOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2023
HOOPER, GRADYCORPORATE DIRECTORIndividualN/AApr 1, 2023

Frequently Asked Questions

What is the CMS rating for Advanced Rehabilitation & Healthcare of Live Oak?▾
Advanced Rehabilitation & Healthcare of Live Oak has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 2/5, and quality measures rating of 5/5. This facility is rated average.
Has Advanced Rehabilitation & Healthcare of Live Oak had any health inspection violations?▾
Advanced Rehabilitation & Healthcare of Live Oak had 15 deficiency citations in its most recent health inspection (May 23, 2025). The facility has been fined a total of $12,424 across 2 fine(s). It also has 1 infection control citation(s).
What are the staffing levels at Advanced Rehabilitation & Healthcare of Live Oak?▾
Advanced Rehabilitation & Healthcare of Live Oak provides 3.13 total nursing staff hours per resident per day, including 0.60 RN hours, 0.86 LPN hours, and 1.67 nurse aide hours. The total staff turnover rate is 56.8%.
How many beds does Advanced Rehabilitation & Healthcare of Live Oak have?▾
Advanced Rehabilitation & Healthcare of Live Oak has 123 certified beds with an average of 114.1 residents per day, resulting in approximately 93% occupancy. The facility is For profit - Corporation owned and is part of the Ruby Healthcare chain.

Part of Ruby Healthcare

This chain operates 7 facilities. View all →