Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

THE COURTYARD REHABILITATION AND HEALTHCARE CENTER

VICTORIA, TX · 56 certified beds · Last Life Safety survey September 19, 2025

CMS Certification Number 675766 · first certified October 1998

Ownership

Operated by THE ENSIGN GROUP · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

11
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within TX

11 citations — more than 69% of the 1,177 certified nursing homes in TX. Compared within TX rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 5 citations; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens October 2026 — about 1 month from now. This facility’s last Life Safety survey was September 2025. Facilities in TX are typically surveyed 13–14 months after the last one (median 14), measured over 1,905 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 11 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in TX, and nationally. Surveyors differ markedly between states, so the TX figure is the meaningful one.

This facility11TX median7National median11
Citations on file over three years, compared
MeasureCitations
This facility11
Median facility in TX7
Median facility nationally11

Survey history

Citations at each Life Safety survey
32023-0632024-0852025-09
Citations at each Life Safety survey
Survey dateCitations
June 30, 20233
August 23, 20243
September 19, 20255

Most-cited tags

Most-cited tags at this facility
K-02113K-05213K-07411K-02001K-09161K-02931K-07121
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.32025-09-19
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.32025-09-19
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12024-08-23
K-0200Meet other general requirements.12023-06-30
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.12025-09-19
K-0293Have properly located and lighted "Exit" signs.12025-09-19
K-0712Have simulated fire drills held at unexpected times.12025-09-19

What the citations cover

Citations by CMS category
  • Egress Deficiencies 5
  • Services Deficiencies 3
  • Miscellaneous Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
Citations by CMS category
CategoryCitations
Egress Deficiencies5
Services Deficiencies3
Miscellaneous Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

September 19, 2025 — 5 citations

Citations issued on September 19, 2025
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (September 22, 2025)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (September 22, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.No revisit needed
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (September 22, 2025)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (October 2, 2025)

August 23, 2024 — 3 citations

Citations issued on August 23, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Waiver has been granted (August 21, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Waiver has been granted (August 21, 2024)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (August 24, 2024)

June 30, 2023 — 3 citations

Citations issued on June 30, 2023
TagWhat the surveyor checksStatus
K-0200Meet other general requirements.Deficient, Provider has date of correction (August 12, 2023)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (July 27, 2023)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (July 27, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.