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Nursing HomeMedicaid

Advanced Rehabilitation & Healthcare of Live Oak

Strong Medicare quality ratings; families often praise exceptional rehabilitation and therapy teams. Still worth an in-person visit.

8221 Palisades Drive, Northeast Side · Live Oak, TX 78233123 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 133 Google reviews

5
4
3
2
1

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What this means for your family

This facility is an excellent choice for short-term rehabilitation, as the therapy and rehab teams receive consistent, high-quality praise. However, if you are considering long-term care, you must be extremely vigilant regarding hygiene, wound care, and medication administration, as multiple families have reported serious neglect in these areas.

Google Reviews

Google Reviews

133 reviews on Google
Families considering this facility will find a highly-regarded rehabilitation and therapy department, with many reviewers praising the professional physical and occupational therapists. However, there are significant and recurring reports of neglect regarding hygiene, medication management, and wound care, particularly in the long-term care sections. While the building itself is frequently described as beautiful and clean, the quality of nursing care appears to fluctuate heavily depending on the specific unit and shift.

Quality Themes

Tap a score for details
Food3.0Staff4.0Clean8.0Activities7.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Exceptional rehabilitation and therapy teams
  • Modern, clean, and visually appealing facility
  • Professional and friendly administrative staff
  • Spacious and well-maintained private rooms

Concerns

  • Neglect regarding hygiene and incontinence care (mentioned by 6 reviewers)
  • Inadequate staffing levels leading to slow response times (mentioned by 5 reviewers)
  • Poor medication management and failure to follow doctor orders (mentioned by 3 reviewers)
  • Issues with wound care and pressure ulcer prevention (mentioned by 3 reviewers)
  • Poor food quality and inconsistent meal delivery (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'17(11)'19(18)'21(21)'23(12)'25(34)'26(3)

Distribution · 134 analyzed

5
80
4
6
3
2
2
6
1
40
12 reviews posted between Sep 25, 2025Sep 26, 2025 · 12 were 5-star

How They Respond to Reviews

0%response rate
Generic

The owner uses highly templated, repetitive responses that rely on standardized scripts. While they acknowledge the feedback, they rarely address the specific details of the complaints, instead defaulting to boilerplate apologies or requests to speak with the Administrator.

Questions for Your Tour

  • 1We've heard wonderful things about your rehabilitation and therapy teams; could you tell us more about how they work with residents to regain their independence?
  • 2With the facility being so modern and visually appealing, what kind of daily activities or social outings do you organize to keep residents engaged?
  • 3How does your nursing team ensure that medication schedules and specific doctor's orders are strictly followed every day?
  • 4What specific protocols do you have in place to ensure residents receive timely assistance with hygiene and personal care needs?
  • 5How does the facility manage wound care and preventative measures to ensure skin integrity for residents?
  • 6Can you tell us a bit about the dining experience, specifically regarding meal consistency and how you incorporate resident preferences?

Personalized based on this facility's data


Key Review Excerpts

The therapy team is truly dedicated to helping residents achieve their goals, offering personalized support every step of the way.

Rehab patient's family · 2025★★★★★

My grandmother has been here for a few months and during that time she developed a severe bedsore that staff completely ignored.

Long-term resident's family · 2025☆☆☆☆

The nurses were outstanding as well as the Rehab Department.

Rehab patient's family · 2026★★★★★
Source: 133 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.62hrs
82%
Registered nurses for medical care
Total Nursing
3.58hrs
87%
All nurses + aides combined
Staff Turnover
57%
Lower is better (< 30% = good)
RN Turnover
53%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

14

measures

Mixed Results

3

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility3.5%
Better than Avg
Here
3.5%
US
15.3%
TX
14.9%
Bexar
14.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.8%
Better than Avg
Here
6.8%
US
15.4%
TX
9.4%
Bexar
10.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility8.6%
Better than Avg
Here
8.6%
US
14.4%
TX
16.1%
Bexar
16.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility4.4%
Mixed vs Avgs
Here
4.4%
US
12.1%
TX
2.5%
Bexar
1.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Bexar
94.0%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility17.6%
Better than Avg
Here
17.6%
US
19.5%
TX
18.4%
Bexar
22.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility99.4%
Better than Avg
Here
99.4%
US
79.7%
TX
88.0%
Bexar
83.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.3%
Better than Avg
Here
99.3%
US
81.8%
TX
89.2%
Bexar
80.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Bexar
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
2penalties
Near state avg (9.1)
18 complaint-triggered
$12,424 in fines

Families have filed multiple complaints triggering inspections, including a serious recent abuse protection violation that reached severity level J. The facility has persistent issues with safety hazards, nutrition and dietary services, and infection control across multiple years, though all deficiencies show correction dates. With 51 total violations across 11 surveys, this facility demonstrates ongoing compliance challenges despite corrective actions.

Nov 18, 2025Complaint
2
0726Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

May 23, 2025Routine
10
0576Potential for harm · PatternCorrected

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0698Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Apr 17, 2025Complaint
6
0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Feb 12, 2025Complaint
3
0807Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0805Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Jan 17, 2025Complaint
1
0600Immediate jeopardy · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Sep 12, 2024Complaint
1
0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Federal Penalties

Fine

Jan 17, 2025

$8,407

Fine

Jun 1, 2024

$4,017

Ownership & Operations

Who Operates This Facility

Owner / Operator

Hamilton County Hospital District

Organization Type

for profit

Management Company

LIVE OAK HC LLC

Administrator

TRACI MCINTOSH

Chain Affiliation

Chain Name

Ruby Healthcare

Chain Size

7 facilities nationwide

Chain avg rating: 3.3/5 · Rank 3 of 7

Ownership & Management

Key personnel

Hooper, GradyOfficer / DirectorLive Oak Hc, LLCManagerMcintosh, TraciManagerOommen, BijuManagerMcintosh, TraciAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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