Advanced Rehabilitation & Healthcare Of Live Oak
8221 Palisades Drive, Live Oak, TX, 78233
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Order the reportFederal 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 June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Ruby Healthcare
- Certified beds
- 123 · avg 117 residents/day
- Total nursing staff turnover
- 57.1% — near the Texas averageTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 52.9% — near the Texas averageTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $12,424 total
- Infection control citations
- 1
Medicare certification
- CMS Certification Number
- 675437
- Certified beds
- 123 beds · avg 117 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Hamilton County Hospital District
- Chain affiliation
- Ruby Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Ruby Healthcare chain — 7 facilities. Chain-wide average overall rating 3.0 / 5.
Disclosed owners (5 on record)
- Biju Oommen
Operational/managerial Control · since 2023
- Grady Hooper
Corporate Director · since 2023
- Hamilton County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2023
- Live Oak Hc, Llc
Operational/managerial Control · 100% · since 2023
- Traci Mcintosh
Operational/managerial Control · since 2023
Recent change of ownership
April 2023 (3 years ago) · acquired from Advanced Rehabilitation & Healthcare of Live Oak
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 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 41)
- D0880·Nov 18, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0726·Nov 18, 2025Complaint
Nursing and Physician Services Deficiencies
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.
- E0880·May 23, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·May 23, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0698·May 23, 2025
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D0690·May 23, 2025
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E0689·May 23, 2025
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0656·May 23, 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.
Federal penalties
By year
- 20251 fine · $8,407
- 20241 fine · $4,017
Most recent events
- Jan 17, 2025Fine · $8,407
- Jun 1, 2024Fine · $4,017
Largest single fine on record: $8,407.
Fire-safety citations
9 Life-Safety-Code citations on file. Most recent: May 23, 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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Advanced Rehabilitation & Healthcare Of Live Oakinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.