Nursing home
Advanced Rehabilitation & Healthcare of Live Oak
8221 Palisades Drive, Live Oak, TX 78233 · Map
For profit - Corporation · Part of Ruby Healthcare (7 facilities) · 123 certified beds
Advanced Rehabilitation & Healthcare of Live Oak is a Medicare-certified nursing home in Live Oak, Texas. CMS rates it 4 out of 5 stars overall (2/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.13 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on May 23, 2025 cited 12 deficiencies.
- 2 fines totaling $12,424In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Advanced Rehabilitation & Healthcare of Live Oak compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.13 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.60 | 0.44 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.67 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 56.8% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 12.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $12,424, 2 total penalties.
What inspectors found at Advanced Rehabilitation & Healthcare of Live Oak
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Nov 18, 2025 · Full report (PDF) - Potential for harm
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.
Nursing and Physician Services Deficiencies · Nov 18, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · May 23, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Apr 17, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Apr 17, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Apr 17, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 8221 Palisades Drive
Live Oak, TX 78233 - CMS certification #
- 675437
- Ownership
- For profit - Corporation
- Certified beds
- 123
- Avg residents/day
- 114.1
- Provider type
- Medicare and Medicaid
- First certified
- 1994-07-28
- Chain
- Ruby Healthcare (7 facilities)
- Setting
- Urban
Part of Ruby Healthcare
Ruby Healthcare operates 7 nursing facilities across the United States. View all Ruby Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Advanced Rehabilitation & Healthcare of Live Oak using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Baptist Neighborhood Hospital Thousand Oaks, San Antonio. 9.2 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- Avir at Converse, Converse. 1.5 miles away, straight line.
- Nearest home health agency office
- All Seasons Home Health & Palliative Care, San Antonio. 3.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 0.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78233 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc - Village Oaks Kidney Disease Clinic, Live Oak, 1.1 miles away, straight line (CMS rating 4 of 5 stars)
Usrc Live Oak Dialysis, Live Oak, 1.6 miles away, straight line (CMS rating 3 of 5 stars)
Davita Live Oak Dialysis, Live Oak, 1.9 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars) - Hospice
- 100 Medicare hospices tell CMS they serve ZIP code 78233.
All Seasons Hospice Of Texas, office in San Antonio, 3.2 miles away, straight line
Journeys Hospice Of Texas LLC, office in San Antonio, 4.5 miles away, straight line
Guiding Light Hospice Inc, office in San Antonio, 6.9 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Tmc Provider Group PLLC, San Antonio. 11.1 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively moderate, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Advanced Rehabilitation & Healthcare of Live Oak a good nursing home?
CMS gives Advanced Rehabilitation & Healthcare of Live Oak an overall rating of 4 out of 5 stars, including 2/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Advanced Rehabilitation & Healthcare of Live Oak staffed?
Advanced Rehabilitation & Healthcare of Live Oak reports 3.13 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Advanced Rehabilitation & Healthcare of Live Oak had inspection problems?
Its most recent CMS inspection cited 12 deficiencies.
How many beds does Advanced Rehabilitation & Healthcare of Live Oak have?
Advanced Rehabilitation & Healthcare of Live Oak is certified for 123 beds.