Mission Ridge Rehab & Nursing Center in Refugio, TX has an overall rating of 2 out of 5 stars, with especially weak staffing at 1 out of 5 and reported nurse staffing below the federal benchmark (3.03 vs. 4.1 hours per resident per day). It also has $37,698 in fines in the last 24 months and a recent federal penalty, while the health inspection rating is 3 out of 5 and quality measures are 2 out of 5.
Last inspection: February 26, 2026Penalties, last 24 months: $37,698recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0345.
Staffing detail
Registered nurses
0.50
Licensed practical nurses
1.07
Nurse aides
1.47
Weekend nursing
2.75
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
8%6.5%Improving
Residents with a fall causing major injury
5.1%7.7%Worsening
Residents with pressure ulcers (bedsores)
14.9%6.6%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
5.9%2.9%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
15.6%22.6%Worsening
Residents whose ability to walk got worse
20.6%8.7%Improving
Long-stay residents on antianxiety or sleep medication
23.5%14.3%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
2.5%9.6%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—100%—
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to ensure residents were free from significant medication errors. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $14,325 was recorded.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $15,216 was recorded.
PENALTY
A federal fine of $8,157 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $37,698 in total fines.
Federal fine
Sep 11, 2025
$14,325
Federal fine
Nov 23, 2024
$15,216
Federal fine
Oct 10, 2024
$8,157
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.3 stars avg
Occupancy
41.6 residents on an average day (46% of 90 beds)
Resident voice
Resident council
Medicare history
Certified for 5 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.