CareWitness
Federal record · CMS Care Compare · CCN 676491 · Processed JUN 1 2026
CareWitnessTexasRefugioNursing HomesMission Ridge Rehab & Nursing Center

Mission Ridge Rehab & Nursing Center

401 Swift Street, Refugio, TX, 78377

Type
Nursing home
Medicare/Medicaid certified · CCN 676491

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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 June 2026.

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CMS Star Ratings

Overall2 / 5
Health inspections3 / 5
Staffing1 / 5
Quality measures2 / 5

Facility & Staffing

Ownership
For profit - Limited Liability company · Chain: Creative Solutions In Healthcare
Certified beds
90 · avg 42 residents/day
Administrators who left
1 departednear the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare

Enforcement & Citations

Fines (past 3 years)
3 fines · $37,698 total

Medicare certification

CMS Certification Number
676491
Certified beds
90 beds · avg 42 residents/day
Ownership type
For profit - Limited Liability company
Continuing-care community
No

CMS Care Compare, processing date June 1, 2026

Ownership & operations

Legal business name
Refugio Ii Enterprises, Llc
Chain affiliation
Creative Solutions In Healthcare

CMS Care Compare, processing date June 1, 2026

Federal ownership record

For-profitLlc

Chain affiliation

Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.3 / 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 May 2026.

Federal inspection record

24 health citations on file2 immediate-jeopardy findings14 from complaints3 federal fines totalling $38K

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 24)

  • D0880·Feb 26, 2026

    Infection Control Deficiencies

    Provide and implement an infection prevention and control program.

  • E0812·Feb 26, 2026

    Nutrition and Dietary Deficiencies

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • E0760·Feb 26, 2026

    Pharmacy Service Deficiencies

    Ensure that residents are free from significant medication errors.

  • D0578·Feb 26, 2026

    Resident Rights Deficiencies

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

  • D0550·Feb 26, 2026

    Resident Rights Deficiencies

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • D0583·Feb 5, 2026Complaint

    Resident Rights Deficiencies

    Keep residents' personal and medical records private and confidential.

  • 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.

View the full inspection history on CMS Care Compare →

Federal penalties

By year

  • 20251 fine · $14K
  • 20242 fines · $23K

Most recent events

  • Sep 11, 2025Fine · $14K
  • 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 Jun 1, 2026.

Facility background report

The entire federal paper trail on this facility, in one report.

We compile everything the government publishes about Mission Ridge Rehab & Nursing Centerinto 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.

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Where 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.