Public Record
Villa Haven Health and Rehabilitation Center
Operated by Fundamental Healthcare
From CMS
Facility profile
- CMS overall rating
- 5 / 5
- Certified beds
- 92
- Avg. residents per day
- 31.3
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 11
- Fire safety findings
- 9
- Inspections on file
- 9
- Last inspection
- 2026-03-13
*CMS
*CMS
*CMS
*CMS
Citations
11 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.
- 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.
- 0844Generalno actual harm
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
- 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.
- 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.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0655Generalno actual harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- 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.
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.
- View inspection reportInspection2 deficiencies
- View inspection reportInspectionFire Safety5 deficiencies
- View inspection reportInspection1 deficiency
- Inspection2 deficiencies
675279 12/19/2024 Villa Haven Health and Rehabilitation Center 300 S Jackson St Breckenridge, TX 76424 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…
Read full statement of deficiencies - View inspection reportInspectionFire Safety1 deficiency
- Inspection1 deficiency
675279 07/18/2024 Villa Haven Health and Rehabilitation Center 300 S Jackson St Breckenridge, TX 76424 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…
Read full statement of deficiencies - Inspection3 deficiencies
675279 11/02/2023 Villa Haven Health and Rehabilitation Center 300 S Jackson St Breckenridge, TX 76424 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…
Read full statement of deficiencies - View inspection reportInspectionFire Safety3 deficiencies
- Inspection2 deficiencies
675279 09/08/2022 Villa Haven Health and Rehabilitation Center 300 S Jackson St Breckenridge, TX 76424 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…
Read full statement of deficiencies
Ownership
Fundamental Healthcare
69nursing homes nationwide, in CMS records
26 in Texas, 43 in other states.
Counted from the chain CMS itself discloses for this home, which matches CMS Care Compare. ReadyRule's own common-control analysis is a separate and broader lens, and the two can differ.
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 11 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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