Federal inspection record · CMS data as of October 1, 2026
Ridgeview Rehabilitation And Skilled Nursing
206 Walls Dr, Cleburne, TX · (817) 645-0668
- Certified beds
- 134
- Residents per day
- 91
- Ownership
- Government
- Chain
- Dallas County Hospital District
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 11, 2008
1
How this home got 5 stars
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Ridgeview Rehabilitation And Skilled Nursing carries 25 inspection points. That is fewer than 90% of Texas's 1,166 rated homes.
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
20 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning8E
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Rights5E
- D
Reasonably accommodate the needs and preferences of each resident.
- E
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- E
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- E
Keep residents' personal and medical records private and confidential.
- D
Reasonably accommodate the needs and preferences of each resident.
Pharmacy Service2E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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.
Nutrition and Dietary2F
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Quality of Life and Care1D
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspection history
2025-12-11
5 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2024-09-19
7 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2023-07-27
8 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 13 min of nursing staff time a day, 34 min of it from a registered nurse.
This home
3 h 13 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 57% of nursing staff and 58% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident daysAbout the same | 2.0 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts worse | 3.1 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.5 pts better | 97.9% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts worse | 94.9% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts better | 2.5% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.1 pts worse | 3.4% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.9 pts worse | 5.8% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.3 pts better | 15.5% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.3 pts better | 6.5% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened12.4 pts worse | 25.3% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1 pts worse | 16.8% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.4 pts worse | 16.9% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.7 pts better | 0.0% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1.6 pts better | 90.3% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.4 pts worse | 14.6% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1 pts better | 0.4% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine18.7 pts worse | 66.7% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.3 pts better | 22.2% | 25.5% | 23.4% |
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Who owns and runs it
20 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Dallas County Hospital District | 5% Or Greater Direct Ownership Interest · Organization | 100% | 36 facilities |
| Bauder Family Investments, LLC | Adp Of The SNF · Organization | 0% | 25 facilities |
| Bauder, Kelly | Adp Of The SNF · Individual | 0% | 28 facilities |
| Bauder, Madison | Adp Of The SNF · Individual | 0% | 28 facilities |
| Bauder, Parker | Adp Of The SNF · Individual | 0% | 28 facilities |
| Bauder, William | Operational/Managerial Control · Individual | 0% | 42 facilities |
| Bauder, William | Adp Of The SNF · Individual | 0% | 42 facilities |
| Boulware St James LLC | Adp Of The SNF · Organization | 0% | 25 facilities |
| Boulware, Douglas | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 46 facilities |
| Boulware, Steven | Adp Of The SNF · Individual | 0% | 48 facilities |
| Boulware, Thomas | Adp Of The SNF · Individual | 0% | 30 facilities |
| Castaneda, Edmundo | Corporate Officer · Individual | 0% | 35 facilities |
| Kakish, Eyad | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Kakish, Eyad | Adp Of The SNF · Individual | 0% | 3 facilities |
| Pmg Opco - Cleburne, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Pmg Realco - Cleburne LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Steven Boulware Family Investments LLC | Adp Of The SNF · Organization | 0% | 19 facilities |
| Walker, Katie | Adp Of The SNF · Individual | 0% | 30 facilities |
| Whitehead, Daniel | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Whitehead, Daniel | Adp Of The SNF · Individual | 0% | 2 facilities |
·
Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness2F
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct risk assessment and an All-Hazards approach.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
Provide a written emergency evacuation plan.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Egress1E
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Smoke1F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
Services1F
- F
Have properly installed electrical wiring and gas equipment.
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