Cornerstone Gardens Llp
763 MARLANDWOOD RD, Temple, TX, 76502
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
- Certified beds
- 130 · avg 91 residents/day
- Total nursing staff turnover
- 53.5% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 66.7% — higher 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 · $15,757 total
State licensing & capacity
- License number
- 143890
- Service type
- Medicare/medicaid
- Licensed capacity
- 130 beds
- Bed type breakdown
- 6 Medicare-only · 124 Medicaid/Medicare
- Current license effective
- October 17, 2024
- Current license expires
- October 17, 2027
- Initial license date
- October 17, 2008
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Cornerstone Gardens Llp (LIMITED PARTNERSHIP)
- Administrator
- Mr. Ryan A Holler
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (8 on record)
- Aval-na'ree s Green
Adp of The Snf · since 2025
- Jason Arnold
Adp of The Snf · since 2025
- Mitchell Todd Montgomery
Adp of The Snf · since 2025
- Raymond Montgomery
Adp of The Snf · since 2025
- Ryan Holler
Adp of The Snf · since 2025
- Pamela Daniel
W-2 Managing Employee · since 2014
+ 2 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, 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 15)
- D0880·May 29, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·May 29, 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.
- E0761·May 29, 2025
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.
- D0695·May 29, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0677·May 29, 2025
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E0550·May 29, 2025
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E0812·Apr 27, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- J0697·Apr 27, 2024
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Federal penalties
By year
- 20241 fine · $16K
Most recent events
- Apr 27, 2024Fine · $16K
Fire-safety citations
7 Life-Safety-Code citations on file. Most recent: Apr 27, 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
Cornerstone Gardens is a 130-bed nursing home in Temple, TX, licensed through October 2027 and certified for both Medicare and Medicaid. CMS rates it 3 stars overall, with a 2-star staffing rating and a 4-star quality-measures rating. The facility is operating at roughly 70% of its licensed beds — about 91 residents on an average day. One CMS fine of $15,757 is on record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars — about 225 minutes of nursing care per resident per day, roughly 16 minutes less than at a 4-star-staffing facility in Texas. That puts this facility among the bottom third of Texas nursing homes on staffing: about 32% of facilities in the state share this rating tier. On quality measures, CMS rates long-stay outcomes at 5 stars — the top tier — while short-stay outcomes rate 3 stars. Those two numbers move independently: long-stay ratings reflect how residents who live here full-time are doing over time; short-stay ratings reflect people recovering from a hospitalization or procedure. One CMS fine of $15,757 is on record. The state median fine among facilities that have any fine at all is about $20,699, and roughly 30% of Texas nursing homes have no fines at all. The facility is running at about 70% occupancy — 91 residents in 130 licensed beds. That level of vacancy is lower than typical; paired with the 2-star staffing rating, it is a concrete detail to ask about directly.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on weekends
CMS data shows weekend nursing hours averaging about 2.77 hours per resident per day — ask how weekend staffing compares to weekday coverage and whether care routines change.
Why occupancy sits at 70%
With roughly 40 beds unoccupied on an average day, ask whether the vacancy reflects a recent census decline, referral slowdowns, or planned capacity changes.
RN presence during a typical shift
Reported RN hours come to about 20 minutes per resident per day — ask which shifts have a registered nurse on-site and when a charge nurse covers instead.
Long-stay quality outcomes in practice
CMS rates long-stay quality measures at 5 stars; ask which specific outcomes — such as pressure injuries, falls, or medication use — drive that rating so you can compare to your parent's needs.
The 2023 fine and what changed
A $15,757 CMS fine is on record; ask what the cited deficiency was, how the facility responded, and what monitoring is in place now.
Resident Council participation
The facility has a Resident Council but no Family Council; ask how family members currently raise concerns and whether a family forum is planned.
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.