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    Nursing home · Refugio, TX

    Mission Ridge Rehab & Nursing Center

    401 Swift Street, Refugio, TX 78377

    CMS certification number: 676491 · Updated October 1, 2026

    Request care assistance3615269223Directions

    At a glance

    Official CMS profile

    CMS overall rating

    3 / 5

    Certified beds

    90

    Residents / day

    39.1

    Ownership

    For profit - Limited Liability company

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    For profit - Limited Liability company
    County
    Refugio
    Certified beds
    90
    Average residents per day
    39.1
    First certified
    August 14, 2020

    CMS quality ratings

    Overall
    3 / 5
    Health inspections
    3 / 5
    Staffing
    3 / 5
    Quality measures
    3 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Refugio, Texas. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    3.00
    County peers
    Not reported
    n=0
    State peers
    2.75

    Nurse hours / resident / day

    This home
    3.22
    County peers
    Not reported
    n=0
    State peers
    3.42
    n=1151

    Weekend nurse hours / resident / day

    This home
    2.90
    County peers
    Not reported
    n=0
    State peers
    2.99
    n=1151

    Nursing staff turnover (%)

    This home
    48.50
    County peers
    Not reported
    n=0
    State peers
    50.80
    n=1095

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 9.9% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • CMS reports 48.5% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    0
    Health citations
    25
    Resident measures
    17
    Ownership records
    4
    Penalties
    3
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    3.21584
    Reported RN Staffing Hours per Resident per Day
    0.80796
    Reported LPN Staffing Hours per Resident per Day
    1.03477
    Reported Nurse Aide Staffing Hours per Resident per Day
    1.37311
    Total number of nurse staff hours per resident per day on the weekend
    2.89673
    Registered Nurse hours per resident per day on the weekend
    0.69595
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.02632
    Total nursing staff turnover
    48.5
    Registered Nurse turnover
    20.0
    Number of administrators who have left the nursing home
    4
    Chain Name
    CREATIVE SOLUTIONS IN HEALTHCARE
    Number of Facilities in Chain
    150
    Chain Average Overall 5-star Rating
    2.3
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    TX
    Urban
    N
    Chain ID
    169
    Latitude
    28.3094
    Location
    401 Swift Street,Refugio,TX,78377
    ZIP Code
    78377
    City/Town
    Refugio
    Longitude
    -97.279
    QM Rating
    3
    Abuse Icon
    N
    Chain Name
    CREATIVE SOLUTIONS IN HEALTHCARE
    County/Parish
    Refugio
    Provider Name
    Mission Ridge Rehab & Nursing Center
    Provider Type
    Medicare and Medicaid
    Overall Rating
    3
    Ownership Type
    For profit - Limited Liability company
    Number of Fines
    3
    Processing Date
    2026-10-01
    Staffing Rating
    3
    Provider Address
    401 Swift Street
    Telephone Number
    3615269223
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    REFUGIO II ENTERPRISES, LLC
    Long-Stay QM Rating
    3
    High Performing Icon
    N
    Short-Stay QM Rating
    Not reported
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.41945
    Chain Average QM Rating
    3.4
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    3
    Number of Certified Beds
    90
    Provider SSA County Code
    876
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    0
    Registered Nurse turnover
    20.0
    Total Number of Penalties
    3
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    1.00652
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    48.5
    Chain Average Staffing Rating
    1.4
    Number of Facilities in Chain
    150
    Short-Stay QM Rating Footnote
    2
    CMS Certification Number (CCN)
    676491
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    37698.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    36
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    68.750
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    39.1
    Chain Average Overall 5-star Rating
    2.3
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    167
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    2.7
    Rating Cycle 1 Health Deficiency Score
    36
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    167
    Rating Cycle 1 Standard Survey Health Date
    2026-02-26
    Rating Cycle 2 Standard Health Survey Date
    2024-11-23
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.79643
    Case-Mix RN Staffing Hours per Resident per Day
    0.69615
    Reported RN Staffing Hours per Resident per Day
    0.80796
    Adjusted LPN Staffing Hours per Resident per Day
    1.02000
    Case-Mix LPN Staffing Hours per Resident per Day
    0.86748
    Reported LPN Staffing Hours per Resident per Day
    1.03477
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    7
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    14
    Rating Cycle 1 Number of Standard Health Deficiencies
    5
    Rating Cycle 2 Number of Standard Health Deficiencies
    7
    Reported Licensed Staffing Hours per Resident per Day
    1.84273
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    2
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    1.35351
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    2.36266
    Number of administrators who have left the nursing home
    4
    Reported Nurse Aide Staffing Hours per Resident per Day
    1.37311
    Adjusted Total Nurse Staffing Hours per Resident per Day
    3.16993
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    3.92629
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    10
    Reported Total Nurse Staffing Hours per Resident per Day
    3.21584
    Registered Nurse hours per resident per day on the weekend
    0.69595
    Date First Approved to Provide Medicare and Medicaid Services
    2020-08-14
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.02632
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    2.85538
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    3.45542
    Total number of nurse staff hours per resident per day on the weekend
    2.89673

    COMMUNITY EXPERIENCE

    Reviews of Mission Ridge Rehab & Nursing Center

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026