Nursing HomeInspections

Mission Ridge Rehab & Nursing Center

Nursing home in Refugio, TX

Medicare & Medicaid certified2★ overall (CMS)

Call (361) 526-9223Send a messageMap ↗

Public-record details

Address
401 Swift Street, Refugio, TX 78377
Phone
(361) 526-9223
Listed under
For-profit
Medicare CCN
676491
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
3 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
90
Average residents per day
41
Ownership
For-profit, limited Liability company
Legal business name
Refugio II Enterprises, LLC
Chain
Creative Solutions in Healthcare (149 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 14, 2020
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 676491. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 26, 2026. CMS lists 25 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 3, 2023 to May 14, 2026): 15 from complaint inspections, 3 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
May 14, 2026Ensure 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…
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 26, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Feb 26, 2026Honor 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…
Resident Rights		D
Potential for more than minimal harm, isolated
Feb 26, 2026Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Feb 26, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service		E
Potential for more than minimal harm, pattern
Feb 26, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Feb 5, 2026Keep residents' personal and medical records private and confidential.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 11, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 11, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Nov 23, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 23, 2024PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Nov 23, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 25. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $37,698 in the last three years.

Sep 11, 2025Fine: $14,325
Nov 23, 2024Fine: $15,216
Oct 10, 2024Fine: $8,157

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.19 hours
Registered nurse (RN) time per resident per day
0.72 hours
Nurse aide time per resident per day
1.39 hours
Total nurse staffing on weekends
2.89 hours
Nursing staff turnover (yearly)
97%
RN turnover (yearly)
100%
Administrators who left in the past year
4

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.