ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes
B

77/100

Above average

Advanced Rehabilitation & Healthcare Of Live Oak

8221 Palisades Drive, Live Oak, TX 78233

CMS 3/5 stars #12 of 62 in Bexar County (210) 600-3700
Certified beds
123
Occupancy
93%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.

  • $12,424 in federal fines

    CMS has fined this facility across 2 penalty action(s).

Our read on Advanced Rehabilitation & Healthcare Of Live Oak

Advanced Rehabilitation & Healthcare Of Live Oak runs 123 certified beds as a for-profit corporation, and its nurse staffing sits at 3.90 hours per resident day, barely above the national average of 3.86. That thin margin matters because weekend staffing drops about 12% below its own weekday level, so coverage thins exactly when families tend to visit. Annual turnover is 52.2%, well above the 45.8% national average, which means the people caring for your relative are likely still learning the building. The current record shows 42 deficiencies, including one at the harm level and three tied to abuse, plus $12,424 in fines. The most recent inspection was May 2025.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing15/30Stability9/15Outcomes15/15Enforcement8/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

15/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →3.54 total nurse hours per resident per day (national median 3.77)
  • →0.61 RN hours per resident per day
  • →Weekend staffing drops 12% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →52% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →5 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →$12,424 in federal fines across 2 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day3.90 hrs
National average 3.86 hrsBetter than average
Registered nurse (RN) hours0.61 hrs
National average 0.69 hrsBelow average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours3.45 hrs
National average 3.42 hrsBetter than average

The shift most families visit, and the one thinned first.

Nursing staff turnover52.20%
National average 45.80%Below average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: May 23, 2025 (1 year ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

Who owns this home

Full record

Part of RUBY HEALTHCARE, which operates 7 homes. Staffing budgets are usually set at chain level, not in the building.

What families say

Write a review

No family reviews yet for Advanced Rehabilitation & Healthcare Of Live Oak. If you or a relative have experience of this home, other families would find it useful.

Be the first to review

Every review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern , that routes you to your state ombudsman, who can actually intervene.

Common questions about Advanced Rehabilitation & Healthcare Of Live Oak

What is the ElderGrade for Advanced Rehabilitation & Healthcare Of Live Oak? +

Advanced Rehabilitation & Healthcare Of Live Oak holds an ElderGrade of B (77 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Advanced Rehabilitation & Healthcare Of Live Oak? +

Residents receive an average of 3.90 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Advanced Rehabilitation & Healthcare Of Live Oak been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Advanced Rehabilitation & Healthcare Of Live Oak accept Medicaid? +

Yes, Advanced Rehabilitation & Healthcare Of Live Oak is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.