Mission Ridge Rehab & Nursing Center

401 Swift Street, Refugio, TX 78377

CMS 2/5 stars (361) 526-9223

Certified beds: 90
Occupancy: 46%
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.

3 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.
$37,698 in federal fines

CMS has fined this facility across 3 penalty action(s).
Nursing staff turnover of 97%

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

4.6/30

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

→-20 for 2 immediate-jeopardy citation(s) in the last 3 years
→-4 for 1 actual-harm citation(s) in the last 3 years
→-1.4 for 21 total citations against a national median of 17

Staffing

10/30

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

→3.25 total nurse hours per resident per day (national median 3.77)
→0.72 RN hours per resident per day
→Weekend staffing drops 9% 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.

→97% of nursing staff left in the last year
→-2 for 4 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

5/10

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

→$37,698 in federal fines across 3 action(s)

Grade ceiling applied

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 3.19 hrs

National average 3.86 hrs Below average

Registered nurse (RN) hours 0.72 hrs

National average 0.69 hrs Better than average

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

Weekend nurse hours 2.89 hrs

National average 3.42 hrs Below average

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

Nursing staff turnover 96.90%

National average 45.80% Below average

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

Recent inspection findings

All 25 citations

Last standard health inspection: February 26, 2026 (5 months ago).

D May 14, 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...