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Nursing homeFAID #14104

Advanced Rehabilitation & Healthcare of Live Oak

8221 PALISADES DRIVE, LIVE OAK, TX, 78233

(210) 600-3700

123 licensed beds

CMS rates Advanced Rehabilitation & Healthcare of Live Oak 3 out of 5 overall. Federal inspectors issued 57 citations across 15 inspections in the last three years, with $12,424 in fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall2/5 health inspections2/5 staffing5/5 quality measuresSource: CMS Care Compare

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Photo of ADVANCED REHABILITATION & HEALTHCARE OF LIVE OAK

Photo via Google · Advanced Rehabilitation and Healthcare of Live Oak

Address

8221 Palisades Drive

Live Oak, TX 78233

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Public record summary

What we can show you for free.

Bed capacity

123

CMS facility ID

675437

Care type

Nursing home

County

Bexar

Facility name

Advanced Rehabilitation & Healthcare of Live Oak

Street address

8221 PALISADES DRIVE

City / state / ZIP

Live Oak, TX 78233

Phone

(210) 600-3700

Website

avirhg.com

About this facility — Advanced Rehabilitation & Healthcare of Live Oak

Advanced Rehabilitation & Healthcare of Live Oak is a Medicare/Medicaid-certified skilled nursing facility in Live Oak, Texas. It is licensed for 123 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 1 senior care facility in Live Oak and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Advanced Rehabilitation & Healthcare of Live Oak 57 times across 15 inspections in the last three years, including 5 food-safety citations, and CMS has imposed $12,424 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Ruby Healthcare

Ownership type

For profit - Corporation

Registered owners & officers

Hooper, Grady

Director — since 2023

Live Oak Hc, Llc

Operational control — since 2023

Mcintosh, Traci

Operational control · Additional disclosable party — since 2023

Oommen, Biju

Operational control · Additional disclosable party — since 2023

Regulatory standing

Licensed / certified since

1994-07-28

CMS overall rating

3 of 5 stars

Health deficiencies

12 at the last standard inspection

Federal fines

$12,424 total

Last standard inspection

2026-07-17

Nurse staffing

3.4 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges

$394 per day (≈ $11,980/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

69% Medicaid · 14% Medicare · 17% private/other

Occupancy

86% (fiscal year 2024)

Vs. state median

42% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

123

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.

2026-07-17Health inspection8 citations

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2026-07-22

F-0584

E · No harm found

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2026-07-22

F-0687

D · No harm found

Provide appropriate foot care.

Corrected 2026-07-22

F-0689

D · No harm found

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

Corrected 2026-07-22

F-0695

D · No harm found

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

Corrected 2026-07-22

F-0812

F · No harm foundFood safety

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

Corrected 2026-07-22

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-07-22

F-0908

F · No harm found

Keep all essential equipment working safely.

Corrected 2026-07-22

2026-07-01Health inspectionComplaint-triggered1 citation

F-0842

D · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-07-02

12 earlier / fire-safety inspections (48 citations)

2026-05-15Health inspectionComplaint-triggered1 citation

F-0584

E · No harm foundFrom a complaint

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2026-05-16

2025-11-18Health inspectionComplaint-triggered2 citations

F-0726

D · No harm foundFrom a complaint

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2025-11-19

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-11-19

2025-05-23Health inspection7 citations

F-0576

E · No harm found

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2025-05-24

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-05-24

F-0689

E · No harm found

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

Corrected 2025-05-24

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-05-24

F-0698

E · No harm found

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-05-24

F-0812

E · No harm foundFood safety

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

Corrected 2025-05-24

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-05-24

2025-04-17Health inspectionComplaint-triggered3 citations

F-0585

D · No harm foundFrom a complaint

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2025-04-18

F-0609

D · No harm foundFrom a complaint

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

Corrected 2025-04-18

F-0842

E · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-04-18

2025-02-12Health inspectionComplaint-triggered3 citations

F-0689

D · No harm foundFrom a complaint

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

Corrected 2025-02-13

F-0805

D · No harm foundFood safetyFrom a complaint

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2025-02-13

F-0807

E · No harm foundFood safetyFrom a complaint

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Corrected 2025-02-13

2025-01-17Health inspectionComplaint-triggered1 citation

F-0600

J · Immediate jeopardyFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-11-13

2024-09-12Health inspectionComplaint-triggered1 citation

F-0641

D · No harm foundFrom a complaint

Ensure each resident receives an accurate assessment.

Corrected 2024-09-13

2024-06-01Health inspectionComplaint-triggered1 citation

F-0622

D · No harm foundFrom a complaint

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2024-06-02

2024-04-05Health inspectionComplaint-triggered13 citations

F-0550

E · No harm foundFrom a complaint

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

Corrected 2024-04-12

F-0565

E · No harm foundFrom a complaint

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2024-04-12

F-0576

E · No harm found

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2024-04-12

F-0582

D · No harm found

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-04-12

F-0584

E · No harm found

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-04-06

F-0609

E · No harm foundFrom a complaint

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

Corrected 2024-04-12

F-0684

E · No harm found

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

Corrected 2024-04-12

F-0689

E · No harm found

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

Corrected 2024-04-12

F-0698

E · No harm found

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-04-12

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-04-12

F-0761

D · No harm found

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.

Corrected 2024-04-12

F-0812

F · No harm foundFood safety

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

Corrected 2024-04-12

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-04-06

2026-07-17Fire-safety inspection11 citations

E-0020

F · No harm found

Establish policies and procedures including evacuation.

Corrected 2026-07-22

K-0211

D · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2026-07-22

K-0222

D · No harm found

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.

Corrected 2026-07-22

K-0223

E · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2026-07-22

K-0293

E · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2026-07-22

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2026-07-22

K-0345

D · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2026-07-22

K-0351

F · No harm found

Install an approved automatic sprinkler system.

Corrected 2026-07-22

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-07-22

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2026-07-22

K-0914

F · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2026-07-22

2025-05-23Fire-safety inspection3 citations

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-29

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-05-29

K-0741

D · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-05-29

2024-04-05Fire-safety inspection2 citations

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-06

K-0741

E · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-04-06

Federal penalties

2025-01-17Fine$8,407

2024-06-01Fine$4,017

Total fines$12,424

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675437.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 86% of nursing homes in the state

State median: 33

Federal fines, 3 years

$12,424

More than 44% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

3.4

Higher than 59% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

51%

Higher than 53% of nursing homes in the state

State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 14 and worse on 1. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	10.0%	15.8%	13.5%	Better than state
Lose too much weight	2.8%	2.9%	5.1%	Near state average
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	0.3%	0.8%	1.5%	Better than state
Have depressive symptoms	5.0%	2.3%	13.5%	Worse than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	2.4%	3.2%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	96.4%	93.7%	Near state average
Ability to walk independently worsened	7.7%	12.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	17.8%	17.8%	19.5%	Near state average
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.0%	95.3%	Near state average
With pressure ulcers	2.3%	3.7%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	11.8%	12.5%	18.3%	Near state average
Received an antipsychotic medication	4.8%	9.8%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	1.57	2.05	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	1.60	1.97	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	99.6%	88.7%	82.3%	Better than state
Newly received an antipsychotic medication	0.0%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	100.0%	85.4%	80.1%	Better than state
Were rehospitalized after a nursing home admission	27.0%	25.5%	23.4%	Near state average
Had an outpatient emergency department visit	9.0%	12.2%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0689 4 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 4 inspections. Provide and implement an infection prevention and control program.
F-0584 3 inspections. Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
K-0353 3 inspections. Inspect, test, and maintain automatic sprinkler systems.
F-0842 2 inspections. Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Brooke Army Medical Center (ft Sam Houston), about 8.4 miles.
Baptist Neighborhood Hospital Thousand Oaks, about 9.2 miles. CMS rating 5 of 5.
Methodist Hospital Stone Oak, about 9.9 miles. CMS rating 4 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Avir At Converse, Converse, about 1.5 miles. CMS rating 1 of 5.
Army Residence Community, San Antonio, about 2.4 miles. CMS rating 5 of 5.
Crestway Nursing & Rehabilitation, San Antonio, about 2.5 miles. CMS rating 1 of 5.
Trucare Living Centers - Selma, Selma, about 2.6 miles. CMS rating 2 of 5.
San Antonio Wellness & Rehabilitation, San Antonio, about 4.0 miles. CMS rating 3 of 5.

Visitor reviews

What people say on Google.

3.5143 ratings on Google

★★★★★Whit · 2026-06-30 · via Google
“Beautiful facility! The Social Worker Tiffany was amazing and was able to assist and provide great resources even before the discharge date so that we had all the information we needed ahead of time. The CNA’s were attentive. Our family was at ease with the help and guidance from Tiffany. Thank you again!”

★★★★★David Pearson Aqua · 2026-07-31 · via Google
“Kelly Drury was the coordinator that put together the application for my mother the experience was pleasant. She did a great job. We were able to move in within just a week of getting the application process.”

★★★★★George L · 2026-07-27 · via Google
“Avir at Live Oak, what a beautiful facility!! The staff are friendly and nice, the building is super clean and the residents are happy and well cared for. Private rooms are available for rehab stay so If you are in search of a top notch facility for your loved one, I definitely recommend Avir Live Oak!”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

Locked

The 57 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered