Village Creek Rehabilitation and Nursing Center
705 N Main St, Lumberton, TX 77657 · CCN 675975
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★☆ 4
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- Government - Hospital district
- Certified beds
- 120
- Avg residents/day
- 69.4
- Phone
- 4097550100
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-01-15 | 7 | 9.1 | 9.5 | -2.1 better |
| 2 | 2023-11-29 | 14 | 9.4 | 9.8 | +4.6 worse |
| 3 | 2022-10-05 | 10 | 8.1 | 9.3 | +1.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.40 | 47.7% |
| RN staffing (reported) | 0.26 | 66.7% |
| Total nurse staffing (adjusted) | 3.51 | — |
Fines & penalties
- Total fines
- $74,823
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- NEXION HEALTH
- Facilities in chain
- 52
- Chain avg overall
- 2.30 / 5
Inspection citations (31)3 immediate jeopardy
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-12-05 · Health · corrected 2025-12-06
Potential for more than minimal harm
- DF0761Ensure 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.2025-12-05 · Health · corrected 2025-12-06
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-21 · Health
Immediate jeopardy
- DF0584Honor 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.2025-01-15 · Health · corrected 2025-01-16
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-15 · Health · corrected 2025-01-16
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2025-01-15 · Health · corrected 2025-01-16
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-01-15 · Health · corrected 2025-01-16
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-11-21 · Health · corrected 2024-11-22
Immediate jeopardy
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-11-21 · Health · corrected 2024-11-22
Potential for more than minimal harm
- JF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-11-21 · Health · corrected 2024-11-22
Immediate jeopardy
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-11-21 · Health · corrected 2024-11-22
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2023-11-29 · Health · corrected 2023-11-30
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-11-29 · Health · corrected 2023-11-30
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-11-29 · Health · corrected 2023-11-30
Potential for more than minimal harm
- EF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-11-29 · Health · corrected 2023-11-30
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-29 · Health · corrected 2023-11-30
Potential for more than minimal harm
- EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-11-29 · Health · corrected 2023-11-30
Potential for more than minimal harm
- EF0761Ensure 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.2023-11-29 · Health · corrected 2023-11-30
Potential for more than minimal harm
- EF0836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.2023-11-29 · Health · corrected 2023-11-30
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-11-29 · Health · corrected 2023-11-30
Potential for more than minimal harm
- EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2023-11-29 · Health · corrected 2023-11-30
Potential for more than minimal harm
- EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-10-31 · Health · corrected 2023-11-01
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-10-31 · Health · corrected 2023-11-01
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-10-31 · Health · corrected 2023-11-01
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-10-31 · Health · corrected 2023-11-01
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-10-31 · Health · corrected 2023-11-01
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2022-10-05 · Health · corrected 2022-10-06
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-10-05 · Health · corrected 2022-10-06
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-10-05 · Health · corrected 2022-10-06
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-10-05 · Health · corrected 2022-10-06
Potential for more than minimal harm
- DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2022-10-05 · Health · corrected 2022-10-06
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| SWEENY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2017-04-01 |
| NEXION HEALTH AT LUMBERTON, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-01 |
| FALLON, JOHN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-01 |
| KIRLEY, FRANCIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-01 |
| LEE, BRIAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-01 |
| OSWALD, JOHN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-03-22 |
| PIERCE, DANIEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-03-16 |
| RINER, MEERA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-01 |
| PARK, KELLY | Individual | CORPORATE OFFICER | — | 2019-08-01 |
Other facilities in Lumberton
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.