Advanced Rehabilitation & Healthcare of Live Oak
8221 Palisades Drive · Live Oak, TX · 78233 · 2106003700
123 certified beds For profit - Corporation Chain: Ruby Healthcare
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.58 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.62 | 0.55–0.75 |
| Weekend hours / resident-day | 3.19 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | 2 · $12,424 |
Inspection citations (41 in the current record)
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Potential for harm · D November 18, 2025 · found via complaint
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.
Corrected November 19, 2025 · Nursing and Physician Services
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Potential for harm · D November 18, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 19, 2025 · Infection Control
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Potential for harm · E May 23, 2025
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected May 24, 2025 · Resident Rights
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Potential for harm · D May 23, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 23, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 24, 2025 · Quality of Life and Care
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Potential for harm · D May 23, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 24, 2025 · Quality of Life and Care
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Potential for harm · E May 23, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 24, 2025 · Quality of Life and Care
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Potential for harm · E May 23, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 24, 2025 · Nutrition and Dietary
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Potential for harm · E May 23, 2025
Provide and implement an infection prevention and control program.
Corrected May 24, 2025 · Infection Control
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Potential for harm · D April 17, 2025 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected April 18, 2025 · Resident Rights
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Potential for harm · D April 17, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 17, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 12, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 13, 2025 · Quality of Life and Care
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Potential for harm · D February 12, 2025 · found via complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected February 13, 2025 · Nutrition and Dietary
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Potential for harm · E February 12, 2025 · found via complaint
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected February 13, 2025 · Nutrition and Dietary
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Immediate jeopardy · J January 17, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 13, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 12, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected September 13, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 1, 2024 · found via complaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected June 2, 2024 · Resident Rights
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Potential for harm · E April 5, 2024
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected April 12, 2024 · Resident Rights
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Potential for harm · D April 5, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected April 12, 2024 · Resident Rights
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Potential for harm · E April 5, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected April 6, 2024 · Resident Rights
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Potential for harm · E April 5, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 12, 2024 · Quality of Life and Care
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Potential for harm · E April 5, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 12, 2024 · Quality of Life and Care
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Potential for harm · E April 5, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 12, 2024 · Quality of Life and Care
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Potential for harm · E April 5, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected April 12, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 17, 2025 | Fine | $8,407 |
| June 1, 2024 | Fine | $4,017 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675437 · certified since July 28, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.