Live Oak Nursing And Rehabilitation Center
2951 HWY 281, George West, TX, 78022
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
- For profit - Individual · Chain: Wellsential Health
- Certified beds
- 96 · avg 78 residents/day
- Total nursing staff turnover
- 30.2% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 16.7% — 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)
- 1 fine · $56,980 total
State licensing & capacity
- License number
- 143006
- Service type
- Medicare/medicaid
- Licensed capacity
- 96 beds
- Bed type breakdown
- 96 Medicaid/Medicare
- Current license effective
- July 24, 2024
- Current license expires
- July 24, 2027
- Initial license date
- January 14, 1993
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Uvalde County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Regency Ihs Of Rockport, Llc
- Administrator
- Patrick Lawrence
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Wellsential Health chain — 67 facilities. Chain-wide average overall rating 2.8 / 5.
Parent entity
Jack And Nancy Dwyer Workforce Development Center Inc
Disclosed owners (32 on record)
- Regency Ihs of George West Llc
Adp of The Snf · since 2025
- Regency Integrated Health Services Llc
Adp of The Snf · since 2025
- Uvalde County Hospital Authority
Adp of The Snf · since 2025
- Elliot j Mandelbaum
Indirect Ownership Interest · since 2025
- Letitia Lara
Adp of The Snf · since 2025
- Steven m Dayton
Operational/managerial Control · since 2025
+ 26 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, 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 16)
- D0600·Aug 13, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- K0760·May 22, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- E0695·May 22, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0842·Apr 16, 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.
- D0656·Apr 16, 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.
- D0637·Apr 16, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
- D0600·Apr 16, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0550·Apr 16, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Federal penalties
By year
- 20251 fine · $57K
Most recent events
- May 22, 2025Fine · $57K
Fire-safety citations
1 Life-Safety-Code citation on file. Most recent: Feb 3, 2023. 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
Live Oak Nursing And Rehabilitation Center is a 96-bed nursing home in George West, Texas, licensed for Medicare and Medicaid. CMS rates it 2 stars overall, with a 2-star health inspection rating and a 3-star staffing rating. One CMS fine totaling $56,980 has been assessed. Long-stay quality measures rate 5 stars, while staffing hours per resident run below the 4-star threshold for Texas.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 3 stars on staffing — placing it in roughly the middle fifth of Texas nursing homes on that measure. Each resident receives about 190 minutes of nursing care per day, approximately 51 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility — more dependent or medically complex on average — so the same staffing hours stretch thinner than the raw minutes suggest.
About 3 in 10 nursing staff left in the past year — an exceptionally low rate, better than roughly three-quarters of nursing homes in Texas. RN turnover follows the same pattern: roughly 2 in 10 registered nurses left over the same period, also below the state's 25th-percentile cutoff. A long-stay resident here is less likely to cycle through multiple primary caregivers than at most Texas facilities.
One CMS fine totaling $56,980 has been assessed. About 30% of Texas nursing homes have had no fines at all; $56,980 is also nearly three times the Texas median fine amount of $20,699. The 2-star health inspection rating reflects the underlying inspection record that generated this fine.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
What drove the $56,980 fine
Ask what the CMS citation was for and what specific changes were made in response, since the fine is nearly three times the Texas median.
Staffing on nights and weekends
Reported weekend nursing hours run lower than weekday figures — ask how many nurses and aides are on the floor during nights and weekends specifically.
How care plans address higher-need residents
Residents here require more hands-on care than at a typical facility on average; ask how care plans are reviewed and updated as a resident's needs change.
Resident Council meeting frequency
A Resident Council is listed but no Family Council — ask how often the Resident Council meets and how family members can raise concerns outside of that channel.
Management company's day-to-day role
The facility is licensed under Uvalde County Hospital Authority but managed by Regency IHS of Rockport — ask which entity sets staffing levels 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.