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Nursing HomeMedicaid Investigative

Mission Ridge Rehab & Nursing Center

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

401 Swift Street, Refugio, TX 7837790 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
5.0/5

based on 11 Google reviews

5
4
3
2
1
Mission Ridge Rehab & Nursing Center Nursing Home in Refugio, TX — Street View
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1/ 10
low Risk

Quality Concerns Identified

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

  • Above-median deficiencies (9 vs median 8.0)

Above average in Texas · Below recommended RN staffing · $23,373 in fines

Source: Medicare data

What this means for your family

Mission Ridge is an excellent choice if you are looking for a clean, updated facility with a highly attentive and friendly staff. The quality of the rehabilitation team and the dining services are standout features that provide peace of mind for families.

Google Reviews

Google Reviews

11 reviews analyzed
Families considering Mission Ridge can expect a clean, welcoming, and updated facility with a highly praised staff that is described as friendly and attentive. Reviewers consistently highlight the quality of the food, the excellence of the rehab team, and a positive atmosphere where residents appear happy and well-cared for.

Quality Themes

Tap a score for details
Food5.0Staff10.0Clean10.0Activities5.0MedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Friendly and professional staff
  • Clean and well-maintained facility
  • High-quality food and dining
  • Excellent rehabilitation team
  • Engaging resident activities

Rating Trends

Tap a year to see what changed

2345.02021(1)5.02022(2)5.02023(3)5.02024(4)5.02025(2)

Distribution

5
11
4
0
3
0
2
0
1
0

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about the dining experience here; could you tell us more about the meal options and how much variety there is for residents?
  • 2The rehabilitation team comes highly recommended, so could you explain how the therapy process works for someone transitioning back to home life?
  • 3Since the facility is so well-maintained and clean, what are your daily routines for ensuring the resident living areas stay comfortable and hygienic?
  • 4We'd love to hear more about the daily schedule—what kind of engaging activities or social events do you host to keep residents connected?
  • 5With the staff being described as so friendly and professional, how do you ensure that level of personalized care is maintained during busy shifts?
  • 6In the event of a sudden change in health or a medical emergency during the night, what is your protocol for getting immediate care for a resident?

Personalized based on this facility's data


Key Review Excerpts

Great food, staff that goes out of their way to meet everyones needs. The residents are happy and well cared for at all times, I am glad we chose this nursing facility for my loved one.

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

As I walked around I noted the staff to be genuinely friendly, the facility was clean and the residents appeared happy and well cared for.

Visitor · 2024★★★★★

This facility is so clean and very inviting! The staff is friendly, the rooms are spacious, the food is tasty, and the rehab team is excellent.

Family member · 2023★★★★★
Source: 11 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.50hrs
66%
Registered nurses for medical care
Total Nursing
3.03hrs
74%
All nurses + aides combined

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 · 16 measures

Medicare Rating
2/ 5
Better Than Avg

12

measures

Worse Than Avg

4

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility9.3%
Better than Avg
Here
9.3%
US
19.4%
TX
14.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.5%
Better than Avg
Here
6.5%
US
15.4%
TX
9.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility22.5%
Worse than Avg
Here
22.5%
US
14.4%
TX
16.1%
💉

Residents vaccinated for pneumonia

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

Residents whose walking got worse

↓ Lower is better
This Facility19.5%
Worse than Avg
Here
19.5%
US
15.3%
TX
14.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
💊

Short-stay residents newly given antipsychotics

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

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
3penalties
Near state avg (9.1)
14 complaint-triggered
$23,373 in fines

Families have filed numerous complaints triggering 13 out of 22 deficiencies, indicating ongoing concerns about care quality, accident prevention and safety, and care planning. The facility shows persistent issues with accident hazards appearing in multiple years, problems with appropriate treatment and care, and repeated infection control violations. While all deficiencies show correction dates, the high volume of complaint-driven citations suggests families should carefully evaluate current conditions during visits.

Feb 26, 2026Routine
5
0760ModerateCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0550MinorCorrected

Resident Rights Deficiencies

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

0578MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Feb 5, 2026Complaint
1
0583MinorCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Sep 11, 2025Complaint
2
0689Severe

Quality of Life and Care Deficiencies

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

0684MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Nov 23, 2024Complaint
3
0684ModerateCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0842MinorCorrected

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.

Nov 23, 2024Routine
4
0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0645MinorCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0657MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0761MinorCorrected

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.

Oct 10, 2024Complaint
5
0689SevereCorrected

Quality of Life and Care Deficiencies

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

0656ModerateCorrected

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.

0623MinorCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0657MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0921MinorCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Federal Penalties

Fine

Sep 11, 2025

$14,325

Fine

Nov 23, 2024

$15,216

Fine

Oct 10, 2024

$8,157

Ownership & Operations

Who Operates This Facility

Owner / Operator

Refugio II Enterprises, LLC

Organization Type

for profit

Management Company

CREATIVE SOLUTIONS IN HEALTHCARE, INC

Administrator

ANTONIO VILLANUEVA

Chain Affiliation

Chain Name

Creative Solutions in Healthcare

Chain Size

149 facilities nationwide

Chain avg rating: 2.7/5 · Rank 66 of 148

Ownership & Management

Key personnel

Huggins, LindaW-2 Managing EmployeeCreative Solutions in Healthcare INCManagerBlake, GaryManagerBlake, MalisaManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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