La Hacienda De Paz Rehabilitation and Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 43 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (2/5 stars)
- Above-median deficiencies (15 vs median 8.0)
Below average in Texas · Critically understaffed (RN) · Below chain average · $21,645 in fines · Abuse citation
What this means for your family
This facility offers an impressive, modern environment and a standout physical therapy department. However, you must be vigilant about daily hygiene and responsiveness, as multiple families have reported significant delays in basic care and difficulty communicating with management.
Google Reviews
Google Reviews
43 reviews analyzed“Families considering La Hacienda de Paz will find a facility praised for its beautiful, modern building and a highly skilled physical therapy team. However, there are significant and recurring reports of neglect regarding hygiene and responsiveness to call lights, as well as inconsistent communication from the administrative staff.”
Quality Themes
Tap a score for detailsStrengths
- Modern and clean facility
- Excellent physical therapy services
- Professional and caring nursing staff
- Engaging activities and dining options
Concerns
- Slow response to call lights and hygiene needs (mentioned by 3 reviewers)
- Poor administrative communication and accessibility (mentioned by 4 reviewers)
- Inconsistent quality of CNA/nursing care (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner uses highly templated, repetitive responses that rely on directing dissatisfied reviewers to a specific phone number. While they acknowledge the reviewer by name, they rarely address the specific allegations of neglect or poor care, instead using standardized language about 'investigating' or 'addressing concerns.'
Questions for Your Tour
- 1We've heard great things about your physical therapy services; how do you tailor those programs to meet a resident's specific recovery goals?
- 2How do you ensure that call lights are answered promptly, especially during busy shifts or overnight?
- 3What is the best way for our family to stay in regular, clear communication with the administration regarding our loved one's care?
- 4Could you tell us more about the daily activity calendar and the dining options available to residents?
- 5How does the nursing team manage hygiene needs and personal care to ensure every resident feels comfortable and well-attended to?
- 6In the event of a medical emergency after hours, what is the specific protocol for notifying the family and coordinating care?
Personalized based on this facility's data
Key Review Excerpts
“I can honestly say that in my 25 yrs. of being a hospital dentist and a mobile dentist serving nursing facilities, this is one of the best that I have encountered.”
“My mom entered La Hacienda de Paz 8 months ago. She needed 24/7 care and some serious physical therapy from multiple fractures due to a fall. ... That turned out to be the right choice.”
“I went in to check on her every other day and have noticed her clothes are the same. I have brought this up to various people there and have not seen any changes.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
14
measures
3
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents needing more daily help over time
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
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed reports leading to deficiencies including a serious abuse protection violation, indicating significant concerns about resident safety and care quality. The facility shows recurring problems with medication management, resident rights protection, and infection control across multiple surveys from 2023-2025. While the facility has correction dates for most issues, the pattern of repeated deficiencies in critical care areas suggests ongoing operational challenges that families should carefully evaluate.
Dec 10, 2025Routine14
Nursing and Physician Services Deficiencies
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure 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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
May 15, 2025Complaint3
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.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Aug 23, 2024Routine4
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Jul 12, 2023Routine6
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jun 8, 2023Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Federal Penalties
Fine
May 15, 2025
$21,645
Ownership & Operations
Who Operates This Facility
West Wharton County Hospital District
for profit
EAGLE PASS II ENTERPRISES, LLC
RAQUENET JIMENEZ
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 86 of 148
Ownership & Management
Owners
West Wharton County Hospital District
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
43 reviews from families & visitors
Official Website
Visit lahaciendarehabcare.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.