Mission Ridge Rehab & Nursing Center
401 SWIFT STREET, Refugio, TX, 78377
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 - Limited Liability company · Chain: Creative Solutions In Healthcare
- Certified beds
- 90 · avg 42 residents/day
- Total nursing staff turnover
- 45.9% — 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
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $23,373 total
State licensing & capacity
- License number
- 308120
- Service type
- Medicare/medicaid
- Licensed capacity
- 90 beds
- Bed type breakdown
- 16 Medicare-only · 74 Medicaid/Medicare
- Current license effective
- March 1, 2025
- Current license expires
- March 1, 2028
- Initial license date
- July 24, 2020
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Refugio Ii Enterprises, Llc (Limited Liability Company (LLC))
- Operator / manager
- Creative Solutions In Healthcare, Inc
- Administrator
- Antonio Villanueva
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (5 on record)
- Creative Solutions in Healthcare Inc
Operational/managerial Control · 100% · since 2022
- Gary r Blake
5% or Greater Indirect Ownership Interest · 50% · since 2021
- Honor x Enterprises, Llc
5% or Greater Direct Ownership Interest · 100% · since 2021
- Linda f Huggins
W-2 Managing Employee · since 2021
- Malisa a Blake
5% or Greater Indirect Ownership Interest · 50% · since 2021
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 22)
- J0689·Sep 11, 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.
- D0684·Sep 11, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0842·Nov 23, 2024Complaint
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.
- G0684·Nov 23, 2024Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0609·Nov 23, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E0880·Nov 23, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0761·Nov 23, 2024
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.
- D0657·Nov 23, 2024
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Federal penalties
By year
- 20242 fines · $23K
Most recent events
- Nov 23, 2024Fine · $15K
- Oct 10, 2024Fine · $8,157
Largest single fine on record: $15K.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Mission Ridge Rehab & Nursing Center is a 90-bed Medicare/Medicaid nursing home in Refugio, TX, managed by Creative Solutions In Healthcare. CMS rates it 3 stars overall, with a 2-star quality-measures rating and a 1-star short-stay rating. The facility is operating at roughly 46% of licensed capacity — about 42 residents on an average day. Two CMS fines totaling $23,373 have been assessed. License is active through March 2028.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 3 stars. Each resident receives about 175 minutes of nursing care per day — roughly 66 minutes less than at a 4-star-staffing facility in Texas. Residents here tend to need more hands-on care than at a typical facility — less mobile or more medically complex on average — so those 175 minutes stretch thinner than the raw number suggests.
RN turnover is exceptionally low: roughly 2 in 10 registered nurses left in the past year, better than about three-quarters of nursing homes in Texas on that measure. Overall nursing staff turnover sits at 45.9%, just above the Texas 25th-percentile cutoff of 42% but below the state median of 50%.
One administrator has turned over in the past year. This falls into an elevated tier — not full instability, but a change residents and staff feel.
Two CMS fines totaling $23,373 have been assessed. The state median for fined facilities in Texas is $20,699; about 30% of Texas nursing homes have no fines at all.
The facility is operating at roughly 46% of its 90 licensed beds — about 42 residents on an average day. That level of low occupancy, alongside the 2-star quality-measures rating and 1-star short-stay rating, is a combination that warrants close attention when visiting.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Short-stay quality rating explanation
CMS rates this facility 1 star on short-stay quality measures — ask which specific outcomes drove that rating and what has changed since.
Why occupancy is so low
With roughly 42 residents in a 90-bed building, ask what accounts for the low census and whether any planned changes to admissions or services are expected.
Administrator transition and continuity
One administrator left in the past year — ask who is currently in the role, how long they have been in place, and how care-plan oversight was handled during the transition.
Staffing on nights and weekends
Reported weekend nursing hours run at 2.51 hours per resident per day — ask how weekend staffing compares to weekday levels and how call-outs are covered.
Details behind the two CMS fines
Two fines totaling $23,373 have been assessed — ask what deficiencies triggered them and what corrective steps were taken.
Care planning for short-stay residents
Given the 1-star short-stay quality rating, ask specifically how the facility tracks and reviews outcomes for residents coming in for rehabilitation after a hospital stay.
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.