San Rafael Nursing And Rehabilitation Center
3050 SUNNYBROOK RD., Corpus Christi, TX, 78415
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Booker Hospital District
- Certified beds
- 168 · avg 119 residents/day
- Total nursing staff turnover
- 41.3% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 20% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 4 fines · $88,828 total
State licensing & capacity
- License number
- 308433
- Service type
- Medicare/medicaid
- Licensed capacity
- 178 beds
- Bed type breakdown
- 10 licensed-only · 15 Medicare-only · 153 Medicaid/Medicare
- Current license effective
- November 1, 2024
- Current license expires
- November 1, 2027
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Booker Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- San Rafael Ltc Inc
- Administrator
- Ronald C Byers
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (11 on record)
- Steven Ernest Nowotny
Adp of The Snf · since 2024
- Ronald Byers
Adp of The Snf · since 2023
- Billy Schindele 2020 Irrv tr
Adp of The Snf · since 2021
- Booker Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2021
- San Rafael Leasing Llc
Adp of The Snf · since 2021
- San Rafael Operations Inc.
Operational/managerial Control · 100% · since 2021
+ 5 additional owners on the federal record.
Recent change of ownership
November 2021 (4 years ago) · acquired from San Rafael Nursing And Rehabilitation Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 61)
- D0842·Dec 1, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D0760·Dec 1, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- D0727·Dec 1, 2025Complaint
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- D0656·Dec 1, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0842·Oct 27, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- J0805·Oct 27, 2025Complaint
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- D0761·Oct 27, 2025Complaint
Pharmacy Service Deficiencies
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.
- D0684·Oct 27, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal penalties
By year
- 20252 fines · $52K
- 20232 fines · $37K
Most recent events
- Oct 27, 2025Fine · $27K
- Aug 21, 2025Fine · $25K
- Dec 14, 2023Fine · $10K
- Jul 17, 2023Fine · $27K
Largest single fine on record: $27K.
Fire-safety citations
17 Life-Safety-Code citations on file. Most recent: Mar 6, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
San Rafael Nursing and Rehabilitation Center is a 178-bed nursing home in Corpus Christi, licensed since 1971 and operated under Nueces County's Booker Hospital District. CMS rates it 1 star overall, with 1-star ratings on both health inspections and short-stay quality measures. Four fines totaling $88,828 have been assessed. Staff turnover is low relative to Texas peers, and the license is active through November 2027.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates San Rafael 2 stars on staffing. Each resident receives about 168 minutes of nursing care per day — roughly 73 minutes less than at a 4-star-staffing facility in Texas, which puts it among the lower third of Texas nursing homes on this measure. Residents here need more hands-on care than at a typical facility — sicker or less mobile on average — so those 168 minutes stretch thinner than the raw number suggests.
About 4 in 10 nursing staff left in the past year — below Texas's 25th-percentile cutoff, meaning turnover is better than roughly three-quarters of nursing homes in the state. RN turnover is exceptionally low at roughly 2 in 10, also well below state norms. For a long-stay resident, that continuity of familiar nurses matters day to day.
CMS has issued 4 fines totaling $88,828 against this facility. The state median among fined Texas nursing homes is about $20,699; this facility's total is more than four times that figure. About 30% of Texas nursing homes have received no fines at all.
Occupancy runs at roughly 71% of licensed beds — 118 residents in a facility certified for 168. Low occupancy alongside a 1-star overall rating and a significant fine total is a pattern that warrants direct questions about the facility's trajectory.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Reasons behind four CMS fines
CMS has assessed four fines totaling $88,828 here — ask what the violations were, whether they have been corrected, and what systems changed as a result.
Why occupancy is at 71 percent
The facility is running about 50 beds below its certified capacity; ask management what is driving that gap and whether it affects staffing levels or service availability.
Staffing hours on nights and weekends
Reported weekend nursing hours are 2.35 minutes per resident per hour, below the already-low weekday figure — ask how many nurses and aides are on the floor overnight and on weekends.
Short-stay quality outcomes
CMS rates short-stay quality measures at 1 star while long-stay measures rate 4 stars — ask what the facility's data shows on rehab discharge rates and return-to-hospital rates for short-term residents.
Resident Council activity
The facility has a Resident Council but no Family Council — ask how often the Resident Council meets, how concerns get escalated, and how families are kept informed of outcomes.
Management company's role day to day
The facility is licensed to Booker Hospital District but managed by San Rafael LTC Inc — ask which entity sets staffing budgets and handles complaint resolution.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.