ElderGrade
F

35.5/100

Poor

Liberty Health Care Center

1206 N Travis St, Liberty, TX 77575

CMS 1/5 stars #3 of 4 in Liberty County (936) 336-7247
Certified beds
118
Occupancy
52%
Ownership
Government
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.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • 5 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $225,774 in federal fines

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

  • Nursing staff turnover of 70%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

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

Inspection safety

10/30

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

  • -20 for 5 immediate-jeopardy citation(s) in the last 3 years

Staffing

16.5/30

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

  • 3.92 total nurse hours per resident per day (national median 3.77)
  • 0.29 RN hours per resident per day
  • Weekend staffing drops 16% against weekdays

Staff stability

0/15

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

  • 70% of nursing staff left in the last year
  • -2 for 2 administrator departures

Resident outcomes

9/15

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

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

Enforcement history

0/10

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

  • $225,774 in federal fines across 2 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — CMS abuse icon on record
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

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 day 3.76 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.29 hrs
National average 0.69 hrs Below average

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

Weekend nurse hours 3.14 hrs
National average 3.42 hrs Below average

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

Nursing staff turnover 69.70%
National average 45.80% Below average

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

Recent inspection findings

All 20 citations

Last standard health inspection: August 20, 2025 (1 year ago).

J Mar 19, 2026 F0684 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Immediate jeopardy to resident health or safety

J Mar 19, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy to resident health or safety

D Feb 11, 2026 F0761 From a complaint

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

E Nov 24, 2025 F0602 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

No actual harm, potential for more than minimal harm

D Aug 20, 2025 F0656

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

D Aug 20, 2025 F0695

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

No actual harm, potential for more than minimal harm

E Jul 17, 2025 F0760 From a complaint

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

No actual harm, potential for more than minimal harm

J May 9, 2025 F0607 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Immediate jeopardy to resident health or safety

Who owns this home

Full record

Part of HEALTH SERVICES MANAGEMENT, which operates 16 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
HEALTH SERVICES MANAGEMENT, INC. Organization 5% OR GREATER MORTGAGE INTEREST
LIBERTY REALTY, LLC Organization 5% OR GREATER MORTGAGE INTEREST
MURRELL, EDWARD Individual CORPORATE DIRECTOR
HSMTX/LIBERTY, LLC Organization OPERATIONAL/MANAGERIAL CONTROL
REVIA, ADAM Individual OPERATIONAL/MANAGERIAL CONTROL
WHITE, JOSHUA Individual OPERATIONAL/MANAGERIAL CONTROL
BAXTER, KEVIN Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
JACKSON, BRIAN Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
HEALTH SERVICES MANAGEMENT, INC. Organization ADP OF THE SNF
HSMTX/LIBERTY, LLC Organization ADP OF THE SNF
LIBERTY REALTY, LLC Organization ADP OF THE SNF
FISHER, SCOTT Individual ADP OF THE SNF

What families say

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Common questions about Liberty Health Care Center

What is the ElderGrade for Liberty Health Care Center? +

Liberty Health Care Center holds an ElderGrade of F (35.5 out of 100), which we describe as "poor". 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 Liberty Health Care Center? +

Residents receive an average of 3.76 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Liberty Health Care Center been cited for harming residents? +

Yes. 5 of the 20 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Liberty Health Care Center accept Medicaid? +

Yes, Liberty Health Care Center 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.