Mission Ridge Rehab & Nursing Center
Nursing Home · Refugio, TX
CMS certification number676491
Contact & location
401 Swift StreetRefugio, TX 78377
Refugio County
- Phone
- (361) 526-9223
- ZIP code
- 78377 – all care providers
Facility details
- Certified beds
- 90
- Residents per day
- 41.4 (46% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Refugio II Enterprises, LLC
- Chain
- Creative Solutions in Healthcare (149 facilities, avg 2.1★)
- Medicare certified since
- August 14, 2020
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.19 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.72 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 1.08 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.39 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.89 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 96.9 (state 55.3 · U.S. 45.8)%
- RN turnover
- 100.0 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 4 in the last year
Inspections
- Last standard inspection
- February 26, 2026
- Health deficiencies (last cycle)
- 9.0 (state 9.3 · U.S. 9.3)
- From complaints
- 4
- Citations on record (3 years)
- 25 health · 0 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-14 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-05 |
| 2026-02-26 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-06 |
| 2026-02-26 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-06 |
| 2026-02-26 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-06 |
| 2026-02-26 | 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. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-06 |
| 2026-02-26 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-06 |
| 2026-02-05 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-06 |
| 2025-09-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-06-30 |
| 2025-09-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-12 |
| 2024-11-23 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-11-24 |
| 2024-11-23 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-24 |
| 2024-11-23 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-24 |
| 2024-11-23 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-24 |
| 2024-11-23 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-24 |
| 2024-11-23 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-24 |
| 2024-11-23 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-24 |
| 2024-10-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-10-11 |
| 2024-10-10 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-10-11 |
| 2024-10-10 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-11 |
| 2024-10-10 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-11 |
| 2024-10-10 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-11 |
| 2023-08-03 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-08-04 |
| 2023-08-03 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-08-04 |
| 2023-08-03 | 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. F0578 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-04 |
| 2023-08-03 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-04 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
3 penalties in the last three years, including $37,698 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-09-11 | Fine | $14,325 |
| 2024-11-23 | Fine | $15,216 |
| 2024-10-10 | Fine | $8,157 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Blake, Gary (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Blake, Malisa (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Creative Solutions in Healthcare INC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Huggins, Linda (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Mission Ridge Rehab & Nursing Center?
Mission Ridge Rehab & Nursing Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Mission Ridge Rehab & Nursing Center have?
It has 90 certified beds and cares for about 41 residents per day.
Has Mission Ridge Rehab & Nursing Center been fined?
Yes. CMS lists 3 penalties totaling $37,698 in the last three years.
Who owns Mission Ridge Rehab & Nursing Center?
It is part of Creative Solutions in Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Mission Ridge Rehab & Nursing Center?
(361) 526-9223. The facility is located at 401 Swift Street, Refugio, TX 78377.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.