Federal inspection record · CMS data as of October 1, 2026

Dogwood Trails Manor

647 Highway 190 West, Woodville, TX · (409) 283-8147

  • Cited for abuse (CMS abuse icon)

CMS overall rating

1 of 5

Compare with a nearby home →
Certified beds
90
Residents per day
50
Ownership
For-Profit
Chain
Creative Solutions In Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
May 21, 1993

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.

  2. Staffing

    −1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change (already 1)

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among Texas homes

Dogwood Trails Manor carries 69.5 inspection points. That is fewer than 52% of Texas's 1,166 rated homes.

5★4★3★2★1★+35 homes above 292.505102550100200inspection points → fewer is better on the leftThis home · 69.5 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–26 pts
  • 4★ 26–51 pts
  • 3★ 51–85 pts
  • 2★ 85–145.75 pts
  • 1★ over 145.75 pts

Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

18 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 2 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 14 4 pts
E 1 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (2)

  1. J

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

    July 11, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected July 12, 2025

  2. J

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

    April 4, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected April 5, 2024

Everything else, by area of care

Freedom from Abuse, Neglect, and Exploitation5D
  1. D

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

    March 4, 2026 · Complaint · F602 · Corrected March 5, 2026

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    July 11, 2025 · Complaint · F609 · Corrected July 12, 2025

  3. D

    Respond appropriately to all alleged violations.

    July 11, 2025 · Complaint · F610 · Corrected July 12, 2025

  4. D

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

    May 19, 2025 · Complaint · F602 · Corrected October 17, 2024

  5. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    June 19, 2024 · Complaint · F609 · Corrected June 20, 2024

Resident Assessment and Care Planning4D
  1. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    November 21, 2025 · Complaint · F655 · Corrected December 22, 2025

  2. D

    Ensure each resident receives an accurate assessment.

    August 20, 2025 · Standard · F641 · Corrected August 21, 2025

  3. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    August 20, 2025 · Standard · F842 · Corrected August 21, 2025

  4. D

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

    May 19, 2025 · Complaint · F656 · Corrected May 20, 2025

Infection Control2D
  1. D

    Provide and implement an infection prevention and control program.

    August 20, 2025 · Standard · F880 · Corrected August 21, 2025

  2. D

    Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

    August 20, 2025 · Standard · F945 · Corrected August 21, 2025

Pharmacy Service1E
  1. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    May 19, 2025 · Complaint · F755 · Corrected May 20, 2025

Environmental1D
  1. D

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    May 19, 2025 · Complaint · F925 · Corrected May 20, 2025

Nursing and Physician Services1F
  1. F

    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.

    July 24, 2024 · Standard · F727 · Corrected July 26, 2024

Quality of Life and Care1D
  1. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    July 24, 2024 · Standard · F677 · Corrected July 26, 2024

Resident Rights1D
  1. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    April 4, 2024 · Complaint · F580 · Corrected March 10, 2024

Inspection history

  1. 2025-08-20

    6 health deficiencies · 1 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (3 deficiencies)

  2. 2024-07-24

    9 health deficiencies · 2 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

  3. 2023-05-24

    3 health deficiencies · 0 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 17 min of nursing staff time a day, 16 min of it from a registered nurse.

This home

3 h 17 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 46% of nursing staff and 0% of registered nurses left in the past year, along with 2 administrators.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$23,104 in federal fines on record over the past three years.

DatePenaltyAmount
2025-07-11Fine$9,255
2024-04-04Fine$13,849

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days1.3 pts worse3.32.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts worse2.82.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better100.0%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better100.0%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts worse4.7%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms1.2 pts better1.1%2.3%13.5%
Percentage of long-stay residents who lose too much weight7.9 pts worse10.8%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication3.5 pts worse21.3%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication4.9 pts better4.9%9.8%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened0.1 pts better12.8%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased9.4 pts worse25.2%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts worse0.7%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection1.7 pts worse2.5%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.9 pts worse13.4%12.5%18.3%
Percentage of long-stay residents with pressure ulcers0.4 pts better3.3%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better100.0%88.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit20.7 pts worse32.9%12.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better0.0%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.6 pts better100.0%85.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission6 pts worse31.5%25.5%23.4%

·

Who owns and runs it

6 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Blake, Gary5% Or Greater Direct Ownership Interest · Individual50%139 facilities
Blake, Malisa5% Or Greater Direct Ownership Interest · Individual50%139 facilities
Blake, GaryOperational/Managerial Control · Individual0%139 facilities
Blake, MalisaOperational/Managerial Control · Individual0%139 facilities
Creative Solutions In Healthcare IncOperational/Managerial Control · Organization0%45 facilities
Huggins, LindaW-2 Managing Employee · Individual0%138 facilities

·

Fire safety

3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke3F
  1. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    August 20, 2025 · K321 · Corrected August 21, 2025

  2. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    July 24, 2024 · K345 · Corrected August 30, 2024

  3. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    July 24, 2024 · K321 · Corrected August 30, 2024

·

Other homes nearby

  1. Woodville Health And Rehabilitation Center

    Woodville, TX · Cantex Continuing Care

    Worst citation, 3 yrs
    E
    Nursing / resident / day
    3 h 29 min
    Fines
    $0
  2. Worst citation, 3 yrs
    F
    Nursing / resident / day
    3 h 42 min
    Fines
    $0
  3. Worst citation, 3 yrs
    F
    Nursing / resident / day
    4 h
    Fines
    $0