Nursing HomeMedicaid Investigative

Live Oak Nursing and Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

2951 Hwy 281, George West, TX 78022|96 beds|Licensed & Active

2/5

Medicare

Inspection

Quality

Staffing

Google rating

4.2/5

based on 22 Google reviews

(361) 449-2532 Directions Website

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2/ 10

low Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Low overall rating (2/5 stars)

Below average in Texas · Below recommended RN staffing · Below chain average · $56,980 in fines

Source: Medicare data

What this means for your family

This facility is an excellent choice for rehabilitation, with multiple families reporting significant physical improvements through their PT and OT programs. However, you should verify their current communication protocols, as past frustrations regarding phone responsiveness and a single serious allegation regarding medication administration warrant careful inquiry during your tour.

Google Reviews

22 reviews on Google

“Families considering Live Oak will find a facility highly praised for its exceptional physical and occupational therapy teams, which have significantly improved patient independence. While the clinical and rehab staff receive consistent praise for being compassionate and professional, there is a critical warning regarding communication responsiveness and a single severe allegation regarding medication administration.”

Quality Themes

Tap a score for details

Strengths

Exceptional physical and occupational therapy
Compassionate and caring nursing staff
Welcoming and professional atmosphere
Dedicated social work and care management

Concerns

Difficulty reaching staff by phone

Rating Trends

Tap a year to see what changed

Distribution · 23 analyzed

How They Respond to Reviews

77%response rate

Good

The owner provides highly personalized responses to positive reviews, frequently naming specific staff members mentioned by reviewers. For negative feedback, the owner maintains a professional, non-defensive tone and provides a clear channel for resolution.

Questions for Your Tour

1I noticed you are very active in responding to feedback from families; how does the administration typically use resident and family input to improve care?
2Since therapy is such a highly regarded part of your facility, could you tell us more about how the physical and occupational therapy programs are integrated into a resident's daily routine?
3What specific protocols are in place to ensure medication is administered accurately and safely for every resident?
4If a medical emergency occurs during the night or over the weekend, what is the immediate process for notifying the family and coordinating care?
5What are some of the favorite social activities or group events that the residents currently enjoy here?
6What is the best way for us to stay in regular contact with the nursing staff or care managers if we have a quick question or update?

Personalized based on this facility's data

Key Review Excerpts

“I am an outpatient here for OT and PT therapy. They have help change my life for the better, I’m stronger and more independent than I thought I could be since my flare up.”

Outpatient therapy patient · 2025★★★★★

“The care there is great. The physical Therepy helped my mom tremendously. When she was went home, she was stronger than she had been in years.”

Short-term rehab family member · 2024★★★★★

“Sometimes when you walk into a nursing and rehab center, you are overwhelmed by the depressing atmosphere. This is far from true for Live Oak Nursing and Rehabilitation. It is very welcoming and professional.”

Long-term resident's family · 2024★★★★★

Source: 22 Google reviews

Quality Measures

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

Medicare Rating

5/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

😔

Residents with depression symptoms

↓ Lower is better

This Facility0.0%

Better than Avg

Here

0.0%

12.1%

2.5%

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

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility6.4%

Better than Avg

Here

6.4%

14.4%

16.1%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility5.8%

Better than Avg

Here

5.8%

15.3%

14.9%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility10.6%

Better than Avg

Here

10.6%

19.4%

14.2%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility6.8%

Better than Avg

Here

6.8%

15.4%

9.4%

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility23.4%

Worse than Avg

Here

23.4%

19.5%

18.4%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility73.3%

Worse than Avg

Here

73.3%

79.7%

88.0%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility87.6%

Mixed vs Avgs

Here

87.6%

81.8%

89.2%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.0%

Better than Avg

Here

0.0%

1.6%

1.5%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies

1penalties

Well below state avg (9.1)

12 complaint-triggered

$56,980 in fines

This facility has a concerning pattern of 11 complaint-triggered deficiencies, indicating families have filed reports about care problems. The most recurring issues involve resident assessment and care planning, resident rights violations, and protection from abuse and neglect. Recent 2025 complaints cite serious concerns including medication errors and failure to protect residents from abuse, though the facility reports correcting all violations.

Mar 18, 2026Complaint1 finding

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.

Aug 13, 2025Complaint1 finding

0600Potential for harm · IsolatedCorrected

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.

May 22, 2025Complaint1 finding

0760Immediate jeopardy · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

May 22, 2025Routine1 finding

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Apr 16, 2025Complaint5 findings

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0600Potential for harm · IsolatedCorrected

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.

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

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.

0842Potential for harm · IsolatedCorrected

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.

Mar 21, 2024Complaint3 findings

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

May 22, 2025

$56,980

Ownership & Operations

Who Operates This Facility

Owner / Operator

Uvalde County Hospital Authority

Organization Type

for profit

Management Company

REGENCY IHS OF ROCKPORT, LLC

Administrator

PATRICK LAWRENCE

Chain Affiliation

Chain Name

Wellsential Health

Chain Size

68 facilities nationwide

Chain avg rating: 2.8/5 · Rank 60 of 67

Ownership & Management

Owners

Uvalde County Hospital Authority

Owner · Organization

100%

Regency Ihs of George West LLC

Owner · Organization

Dayton, Steven

Owner

Dekowski, Donovan

Owner

Graves, Tracy

Owner

Lara, Letitia

Owner

Lawrence, Patrick

Owner

Csv Rhea Management Holdco, LLC