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

North Pointe Nursing and Rehabilitation

7804 Virgil Anthony Blvd, Watauga, TX · (817) 498-7220

CMS overall rating

1 of 5

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Certified beds
126
Residents per day
49
Ownership
For-Profit
Chain
Creative Solutions In Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
April 10, 2003

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

    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.

2

Where it sits among Texas homes

North Pointe Nursing and Rehabilitation carries 116.25 inspection points. That is fewer than 28% 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 · 116.25 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

26 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 4 50 pts
K 1 100 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 7 8 pts
F 0 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 (5)

  1. K

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

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

  2. J

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    June 27, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected May 5, 2025

  3. J

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    August 17, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected August 18, 2024

  4. J

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

    August 17, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F607 · Corrected August 18, 2024

  5. J

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

    August 17, 2024 · Complaint inspection · Resident Assessment and Care Planning · F655 · Corrected August 18, 2024

Everything else, by area of care

Quality of Life and Care10E
  1. D

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

    June 25, 2026 · Standard · F695 · Corrected June 26, 2026

  2. E

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

    April 17, 2025 · Standard · F677 · Corrected April 18, 2025

  3. E

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

    April 17, 2025 · Standard · F684 · Corrected April 18, 2025

  4. D

    Provide appropriate foot care.

    April 17, 2025 · Standard · F687 · Corrected April 18, 2025

  5. D

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    April 17, 2025 · Standard · F694 · Corrected April 18, 2025

  6. E

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    September 23, 2024 · Complaint · F686 · Corrected September 24, 2024

  7. E

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    September 23, 2024 · Complaint · F690 · Corrected September 24, 2024

  8. E

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

    March 8, 2024 · Standard · F684 · Corrected March 11, 2024

  9. D

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    March 8, 2024 · Standard · F688 · Corrected March 11, 2024

  10. D

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

    March 8, 2024 · Complaint · F689 · Corrected April 23, 2024

Pharmacy Service4E
  1. D

    Ensure that residents are free from significant medication errors.

    June 25, 2026 · Standard · F760 · Corrected June 26, 2026

  2. E

    Ensure medication error rates are not 5 percent or greater.

    April 17, 2025 · Standard · F759 · Corrected April 18, 2025

  3. D

    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.

    April 17, 2025 · Standard · F761 · Corrected April 18, 2025

  4. D

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

    March 8, 2024 · Standard · F755 · Corrected March 11, 2024

Resident Assessment and Care Planning3D
  1. D

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

    August 12, 2026 · Complaint · F842 · Not yet marked corrected

  2. D

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

    April 17, 2025 · Standard · F656 · Corrected April 18, 2025

  3. D

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

    April 17, 2025 · Standard · F842 · Corrected April 18, 2025

Resident Rights1D
  1. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    April 17, 2025 · Complaint · F550 · Corrected April 18, 2025

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    February 25, 2025 · Complaint · F600 · Corrected July 10, 2024

Infection Control1E
  1. E

    Provide and implement an infection prevention and control program.

    September 23, 2024 · Complaint · F880 · Corrected September 24, 2024

Environmental1D
  1. D

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    March 8, 2024 · Complaint · F919 · Corrected March 11, 2024

Inspection history

  1. 2026-06-25

    3 health deficiencies · 5 fire-safety deficiencies

    Top issue: Pharmacy Service (1 deficiency)

  2. 2025-04-17

    12 health deficiencies · 3 fire-safety deficiencies

    Top issue: Quality of Life and Care (5 deficiencies)

  3. 2024-03-08

    11 health deficiencies · 4 fire-safety deficiencies

    Top issue: Quality of Life and Care (5 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 16 min of nursing staff time a day, 20 min of it from a registered nurse.

This home

3 h 16 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 50% of nursing staff and 0% of registered nurses left in the past year.

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

$36,475 in federal fines on record over the past three years.

DatePenaltyAmount
2025-09-11Fine$9,293
2025-06-27Fine$17,649
2024-08-17Fine$9,533

6

Resident outcomes

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

MeasureThis homeStateU.S.
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 injury1.6 pts better1.6%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms2.2 pts worse4.5%2.3%13.5%
Percentage of long-stay residents who lose too much weight1 pts better1.9%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication7.4 pts worse25.2%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication3.6 pts better6.2%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 worsened1.1 pts worse14.0%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased9.5 pts better6.3%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.2 pts better0.6%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence6 pts worse18.5%12.5%18.3%
Percentage of long-stay residents with pressure ulcers0.5 pts worse4.2%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 visit12 pts worse24.2%12.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication3.1 pts worse4.5%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 admission0.2 pts better25.3%25.5%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
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

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

Smoke6F
  1. E

    Install an approved automatic sprinkler system.

    June 25, 2026 · K351 · Corrected August 9, 2026

  2. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    June 25, 2026 · K372 · Corrected August 9, 2026

  3. D

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

    June 25, 2026 · K321 · Corrected July 17, 2026

  4. F

    Have an alternate power supply for its alarm system.

    April 17, 2025 · K344 · Corrected April 24, 2025

  5. E

    Install corridor and hallway doors that block smoke.

    March 8, 2024 · K363 · Corrected April 5, 2024

  6. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    March 8, 2024 · K374 · Corrected April 5, 2024

Miscellaneous3F
  1. F

    Have simulated fire drills held at unexpected times.

    April 17, 2025 · K712 · Corrected April 28, 2025

  2. F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    April 17, 2025 · K761 · Corrected May 5, 2025

  3. F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    March 8, 2024 · K761 · Corrected April 5, 2024

Emergency Preparedness1F
  1. F

    Establish policies and procedures for volunteers.

    June 25, 2026 · E24 · Corrected July 14, 2026

Services1F
  1. F

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    June 25, 2026 · K521 · Corrected August 9, 2026

Gas, Vacuum, and Electrical Systems1C
  1. C

    Have generator or other power source capable of supplying service within 10 seconds.

    March 8, 2024 · K918 · Corrected April 5, 2024

·

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