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Last checked October 26, 2026 · 2,911 nursing homes and 3,257 assisted living licenses in 5 states · CMS data processed September 1, 2026

Home › Texas › Nueces County › San Rafael Nursing and Rehabilitation Center

San Rafael Nursing and Rehabilitation Center

3050 Sunnybrook Rd., Corpus Christi, TX 78415 · CMS Certification Number (CCN) 675717

At a glance

CMS overall rating
★☆☆☆☆ 1 of 5
Health inspection citations
54 in the last 3 inspection cycles (3 immediate jeopardy, 1 actual harm, 34 from complaints)
Fire safety citations
21
Fines (last 3 years)
3 fines, total $43,802
Payment denials
0
Most recent standard inspection
May 28, 2026
Official record
Medicare Care Compare page for this facility

Source: CMS Nursing Home Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

CMS star ratings

CMS rates every Medicare- and Medicaid-certified nursing home from 1 to 5 stars. Health inspection stars are relative to other homes in the same state: the top 10% get 5 stars and the bottom 20% get 1 star. CMS says to use the ratings together with other information, including a visit. Technical Users’ Guide

RatingThis facilityTexas averageU.S. average
Overall★☆☆☆☆ 1 of 52.73
Health inspections★☆☆☆☆ 1 of 52.82.8
Staffing★☆☆☆☆ 1 of 51.92.9
Quality measures★★☆☆☆ 2 of 53.73.6
Long-stay quality★★★☆☆ 3 of 5Not publishedNot published
Short-stay quality★☆☆☆☆ 1 of 5Not publishedNot published

Averages: CMS State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Health inspections

Inspection cycleStandard survey dateHealth citationsFrom standard surveyFrom complaints
Cycle 1 (most recent)May 28, 20261578
Cycle 2March 6, 2025371226

CMS weighted health inspection score: 153.75 (lower is better; it counts citation severity, complaints and repeat revisits). Citations from infection control inspections: Not published. How to read these citations

54 health citations across 15 inspection dates, newest first. The letter is CMS’s scope/severity code: A–C means potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, and J–L immediate jeopardy.

May 28, 2026: 7 citations (Standard)
SeverityTagWhat was citedTypeStatus
E F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies
Standard Deficient, Provider has date of correction
Corrected 07/09/2026
E F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard Deficient, Provider has date of correction
Corrected 07/09/2026
E F-0842 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
Standard Deficient, Provider has date of correction
Corrected 07/09/2026
E F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 07/09/2026
E F-0761 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.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 07/09/2026
E F-0760 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 07/09/2026
D F-0656 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
Standard Deficient, Provider has date of correction
Corrected 07/09/2026
December 1, 2025: 4 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0842 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
Complaint Deficient, Provider has date of correction
Corrected 12/03/2025
D F-0760 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/03/2025
D F-0727 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/03/2025
D F-0656 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
Complaint Deficient, Provider has date of correction
Corrected 12/03/2025
October 27, 2025: 4 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0842 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
Complaint Deficient, Provider has date of correction
Corrected 11/10/2025
J F-0805 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies
Complaint Past Non-Compliance
Corrected 10/17/2025
D F-0761 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.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/10/2025
D F-0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/10/2025
August 21, 2025: 4 citations (Complaint)
SeverityTagWhat was citedTypeStatus
J F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 08/22/2025
G F-0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 08/22/2025
D F-0610 Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 08/22/2025
D F-0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 08/22/2025
March 6, 2025: 12 citations (Standard + Complaint)
SeverityTagWhat was citedTypeStatus
F F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/25/2025
D F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/13/2025
E F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/07/2025
D F-0842 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
Standard Deficient, Provider has date of correction
Corrected 03/07/2025
F F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/03/2025
D F-0801 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/31/2025
D F-0761 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.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/07/2025
E F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/07/2025
D F-0695 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/07/2025
D F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/07/2025
D F-0656 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
Standard + Complaint Deficient, Provider has date of correction
Corrected 03/07/2025
D F-0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/07/2025
February 6, 2025: 3 citations (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0842 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
Complaint Deficient, Provider has date of correction
Corrected 02/07/2025
D F-0602 Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/07/2025
D F-0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/07/2025
January 16, 2025: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0761 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.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 01/20/2025
D F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 01/20/2025
September 6, 2024: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 09/27/2024
D F-0558 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 09/27/2024
June 30, 2024: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0842 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
Complaint Deficient, Provider has date of correction
Corrected 07/25/2024
June 7, 2024: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/22/2024
December 23, 2023: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
J F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint Past Non-Compliance
Corrected 12/23/2023
D F-0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/24/2023
December 14, 2023: 8 citations (Standard + Complaint)
SeverityTagWhat was citedTypeStatus
F F-0908 Keep all essential equipment working safely.
Environmental Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 01/22/2024
D F-0842 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
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/15/2023
F F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 01/22/2024
D F-0760 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/15/2023
D F-0759 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/15/2023
D F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/15/2023
E F-0584 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.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/28/2024
E F-0558 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 12/15/2023
November 26, 2023: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0656 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
Complaint Deficient, Provider has date of correction
Corrected 12/20/2023
October 6, 2023: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0690 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
Complaint Deficient, Provider has date of correction
Corrected 10/07/2023
September 29, 2023: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0908 Keep all essential equipment working safely.
Environmental Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 09/30/2023
D F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 09/30/2023

Source: CMS Health Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Fire safety inspections

21 fire safety citations across 3 inspection dates
DateSeverityTagWhat was citedStatus
05/28/2026DK-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
Deficient, Provider has no plan of correction
05/28/2026FK-0511Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Deficient, Provider has no plan of correction
05/28/2026EK-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.
Smoke Deficiencies
Deficient, Provider has no plan of correction
05/28/2026EK-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Deficient, Provider has no plan of correction
05/28/2026FK-0331Construct fire resistant interior walls.
Smoke Deficiencies
Deficient, Provider has no plan of correction
05/28/2026DK-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Deficient, Provider has no plan of correction
05/28/2026DE-0041Implement emergency and standby power systems.
Emergency Preparedness Deficiencies
Deficient, Provider has no plan of correction
05/28/2026FE-0007Address patient/client population and determine types of services needed.
Emergency Preparedness Deficiencies
Deficient, Provider has no plan of correction
03/06/2025FK-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
Deficient, Provider has date of correction
Corrected 05/05/2025
03/06/2025EK-0511Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Deficient, Provider has date of correction
Corrected 05/05/2025
03/06/2025FK-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 05/05/2025
03/06/2025EK-0355Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 05/05/2025
03/06/2025DK-0353Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 05/05/2025
03/06/2025EK-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 05/05/2025
03/06/2025DK-0293Have properly located and lighted "Exit" signs.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 05/05/2025
03/06/2025EK-0222Add 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.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 05/05/2025
12/14/2023FK-0918Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 12/20/2023
12/14/2023EK-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
Deficient, Provider has date of correction
Corrected 12/20/2023
12/14/2023EK-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 12/20/2023
12/14/2023DK-0355Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 12/20/2023
12/14/2023DK-0222Add 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.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 12/20/2023

Automatic sprinklers in all required areas: Yes. CMS does not count fire safety citations in the health inspection star rating.

Source: CMS Fire Safety Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Penalties

DateTypeFine amountPayment denial
October 27, 2025Fine$17,345—
August 21, 2025Fine$16,421—
December 14, 2023Fine$10,036—

Source: CMS Penalties: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Staffing

MeasureThis facilityTexas averageU.S. average
Total nurse staff hours per resident per day3.083.393.86
Registered nurse (RN) hours per resident per day0.140.430.69
LPN/LVN hours per resident per day1.02Not publishedNot published
Nurse aide hours per resident per day1.92Not publishedNot published
Total nurse staff hours per resident per day, weekends2.62Not publishedNot published
RN hours per resident per day, weekends0.18Not publishedNot published
Total nursing staff turnover (%)38.255.345.8
Registered nurse turnover (%)Staffing data did not meet the criteria required to calculate a turnover measure.Not publishedNot published
Administrators who have left0Not publishedNot published

Reported hours come from the Payroll-Based Journal (PBJ) staffing data that facilities submit to CMS each quarter.

Source: CMS Provider Information; State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Facility details

Legal business name
Booker Hospital District
Ownership type
For profit - Limited Liability company
Chain
Not published
Ownership changed in last 12 months
No
Certified beds
168
Average residents per day
113
Participates in
Medicare and Medicaid
Located inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
First approved for Medicare/Medicaid
July 31, 1997
County/parish
Nueces

Source: CMS Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Owners and managers reported to CMS

11 ownership and management records
NameRoleTypeOwnership %Since
BOOKER HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%undefined undefined, NaN
HOOVER, SHAWNCORPORATE DIRECTORIndividualNOT APPLICABLEundefined undefined, NaN
SAN RAFAEL OPERATIONS INC.OPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEundefined undefined, NaN
SCHINDELE, WILLIAMOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
BILLY SCHINDELE 2020 IRRV TRADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
SAN RAFAEL LEASING LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
SHERRY SCHINDELE IRRV TRADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
TRIDENT LTC, INC.ADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
TRIDENT ONE LEASING LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
BYERS, RONALDADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
NOWOTNY, STEVENADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN

Source: CMS Ownership: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Check it yourself

Page built from CMS data files processed September 1, 2026 (CMS refreshes monthly). Last checked October 26, 2026. Not a ranking or endorsement.