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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 82 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 46% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 10 findings, above the TX average of 9.1. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Families should approach this facility with caution due to significant reports of severe neglect, including bedsores, improper hygiene, and inadequate staffing. While many reviewers praise the modern, beautiful building and certain administrative staff members, there is a recurring pattern of serious medical and safety concerns during shifts with high turnover.
Quality Themes
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Concerns
Rating Trends
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Distribution · 83 analyzed
The owner uses highly repetitive, templated responses that follow a nearly identical structure for every review. While they acknowledge the reviewer by name, they fail to address any of the specific, serious allegations regarding staffing, administration, or patient care.
Personalized based on this facility's data
Key Review Excerpts
“The facility is absolutely beautiful, everything from the design to the technology is modern, clean, and clearly built with both comfort and safety in mind.”
“My mother is there and the care is terrible she has gotten multiple bed sore and the business office is saying that she is being evicted for nonpayment.”
“The admissions director, Shay Harris, is truly amazing! She is the epitome of someone who goes above and beyond!”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
13
measures
2
measures
2
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Multiple families have filed complaints against this facility, triggering 8 investigations that revealed deficiencies in care planning, medication management, and nutrition services. Recurring issues include incomplete care plans (appearing in 2023, 2024, and 2025), medication errors, and problems with food service and resident activities. Most deficiencies show correction dates, though some recent issues from December 2025 lack correction plans.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
Administration Deficiencies
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Federal Penalties
Fine
Aug 17, 2023
$8,514
West Wharton County Hospital District
for profit
DESOTO I ENTERPRISES, LLC
JONATHAN HARRIS
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 56 of 148
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
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Google Reviews
82 reviews from families & visitors
Official Website
Visit fivepointsdesoto.com
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Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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