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Public Record

Villa Haven Health and Rehabilitation Center

Nursing HomeBreckenridge, TXCMS 675279
20 citations on record

From CMS

Facility profile

CMS overall rating
5 / 5

*CMS Five-Star

Certified beds
92

*CMS

Avg. residents per day
31.3

*CMS

Inspection record

On record from CMS

Citations on record
20

*CMS

Inspections on file
9

*CMS

Last inspection
2026-03-13

*CMS

Citations

20 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0521Generalno actual harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  • 0321Generalpotential for harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  • 0041Generalpotential for harm

    Implement emergency and standby power systems.

  • 0372Generalpotential for harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  • 0761Generalpotential for harm

    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.

  • 0949Generalpotential for harm

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

  • 0916Generalpotential for harm

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

  • 0844Generalno actual harm

    Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.

  • 0521Generalno actual harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  • 0657Generalpotential for harm

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

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0812Generalpotential for harm

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

  • 0656Generalpotential for harm

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

  • 0712Generalpotential for harm

    Have simulated fire drills held at unexpected times.

  • 0741Generalpotential for harm

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

  • 0521Generalno actual harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  • 0803Generalpotential for harm

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

  • 0655Generalno actual harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Inspection history

Every health inspection on record

Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.

  • Inspection7 deficiencies
    View inspection report
  • Inspection7 deficiencies
    View inspection report
  • Inspection1 deficiency
    View inspection report
  • Inspection3 deficiencies

    F 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT…

    Read full statement of deficiencies
  • Inspection3 deficiencies
    View inspection report
  • Inspection1 deficiency

    F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to maintain an…

    Read full statement of deficiencies
  • Inspection6 deficiencies

    F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based…

    Read full statement of deficiencies
  • Inspection6 deficiencies
    View inspection report
  • Inspection2 deficiencies

    F 0655 Level of Harm - Potential for minimal harm Residents Affected - Some Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interviews and record…

    Read full statement of deficiencies

FAQ

Questions and answers

What is Villa Haven Health and Rehabilitation Center?
Villa Haven Health and Rehabilitation Center is a Medicare- and Medicaid-certified nursing home in Breckenridge, TX, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 675279.
What is the CMS rating for Villa Haven Health and Rehabilitation Center?
Villa Haven Health and Rehabilitation Center has a CMS overall rating of 5 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does Villa Haven Health and Rehabilitation Center have?
Villa Haven Health and Rehabilitation Center is certified for 92 beds. It serves an average of 31.3 residents per day.
How many citations does Villa Haven Health and Rehabilitation Center have?
Villa Haven Health and Rehabilitation Center has 20 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was Villa Haven Health and Rehabilitation Center last inspected?
Villa Haven Health and Rehabilitation Center was last inspected on March 13, 2026. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

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