Liberty Health Care Center
1206 N TRAVIS ST, Liberty, TX, 77575
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: Health Services Management
- Certified beds
- 118 · avg 57 residents/day
- Total nursing staff turnover
- 69.6% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 80% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $392,920 total
State licensing & capacity
- License number
- 311972
- Service type
- Medicare/medicaid
- Licensed capacity
- 118 beds
- Bed type breakdown
- 27 Medicare-only · 91 Medicaid/Medicare
- Current license effective
- June 1, 2024
- Current license expires
- June 1, 2027
- Initial license date
- August 14, 1975
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Winniestowell Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Hsmtxliberty Llc
- Administrator
- Bailey Jarvis
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Health Services Management chain — 16 facilities across 2 states. Chain-wide average overall rating 3.1 / 5.
Disclosed owners (9 on record)
- Hsmtx/liberty, Llc
Adp of The Snf · since 2025
- Adam Revia
Operational/managerial Control · since 2024
- Edward r Murrell
Corporate Director · since 2024
- Health Services Management, Inc.
Adp of The Snf · since 2024
- Jerome Charles Wasserstein
Adp of The Snf · since 2024
- Joshua l White
Operational/managerial Control · since 2024
+ 3 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 17)
- E0602·Nov 24, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
- D0695·Aug 20, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0656·Aug 20, 2025
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.
- E0760·Jul 17, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- J0689·May 9, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- J0656·May 9, 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.
- D0610·May 9, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
- D0609·May 9, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Federal penalties
By year
- 20251 fine · $393K
Most recent events
- May 9, 2025Fine · $393K
Fire-safety citations
1 Life-Safety-Code citation on file. Most recent: Jun 25, 2024. 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
Liberty Health Care Center is a 118-bed nursing home in Liberty, TX, licensed to Winniestowell Hospital District and managed by Hsmtxliberty LLC. CMS rates it 1 star overall, with 1-star ratings on both health inspections and staffing. One fine totaling $392,920 has been issued — nearly 19 times the Texas median fine. About 57 of 118 licensed beds are occupied, putting the facility at roughly 48% capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 1 star on staffing — the lowest tier, shared by about 38% of Texas nursing homes. Each resident receives about 203 minutes of nursing care per day, roughly 38 minutes less than at a 4-star-staffing facility in Texas. RN coverage is especially thin at 17 minutes per resident per day, compared to 37 minutes at the 4-star threshold.
About 7 in 10 nursing staff left in the past year. RN turnover is higher still — roughly 8 in 10 RNs departed. A long-stay resident will likely go through two or three primary caregivers over the course of a year.
One CMS fine totaling $392,920 has been issued — nearly 19 times the Texas state median fine of $20,699. About 30% of Texas nursing homes have received no fines at all.
The facility is operating at roughly 48% of its 118 licensed beds, with about 57 residents per day. This level of vacancy, paired with the fine, staffing, and turnover figures above, is a pattern that warrants direct questions to management.
CMS rates quality of care 4 stars overall, with a 5-star rating for long-stay residents — the highest tier. Short-stay residents (those recovering from a hospitalization) rate 3 stars. The gap between the 1-star operational ratings and the 4–5 star outcome scores is an unusual combination in the data.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
The $392,920 fine
Ask what the citation was for, what has changed since, and whether any corrective action plan is still open.
RN coverage on night and weekend shifts
Reported RN hours average 17 minutes per resident per day; ask specifically how many RNs are on duty overnight and on weekends.
Staff turnover and care continuity
With roughly 7 in 10 nursing staff leaving in the past year, ask how the facility assigns consistent caregivers to long-stay residents.
Why so many beds are empty
Only about 57 of 118 beds are filled; ask whether the low census reflects admissions being paused, referral relationships, or another cause.
Administrator tenure and transition
One administrator change was recorded in the past year; ask how long the current administrator has been in the role and who oversees day-to-day operations.
How strong quality scores are sustained
Long-stay quality of care rates 5 stars despite 1-star staffing; ask what care-plan processes or oversight account for that gap.
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.