St. Joseph's Care Center ratings, inspections, staffing, and fines

1

How this home got 4 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.

Health inspections

starting point

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

no change

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

4 of 5

Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

St. Joseph's Care Center carries 48 inspection points. That is fewer than 69% 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

7 health citations on record since 2026. 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 0 50 pts

K 0 100 pts

L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts

H 0 35 pts

I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 3 4 pts

E 2 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 (1)

G

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

January 6, 2026 · Complaint inspection · Quality of Life and Care · F689 · Corrected January 7, 2026

Everything else, by area of care

Resident Rights2E

E
Keep residents' personal and medical records private and confidential.
August 13, 2026 · Standard · F583 · Corrected August 30, 2026
D
Keep residents' personal and medical records private and confidential.
April 7, 2026 · Complaint · F583 · Corrected April 8, 2026

Resident Assessment and Care Planning2D

D
Ensure each resident receives an accurate assessment.
August 13, 2026 · Standard · F641 · Corrected August 30, 2026
D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
August 13, 2026 · Standard · F656 · Corrected August 30, 2026

Nutrition and Dietary1F

F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
August 13, 2026 · Standard · F812 · Corrected August 30, 2026

Infection Control1E

E
Provide and implement an infection prevention and control program.
August 13, 2026 · Standard · F880 · Corrected August 30, 2026

Inspection history

2026-08-13
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2025-06-12
0 health deficiencies · 0 fire-safety deficiencies
No concentrated health issue counts in this cycle.

4

Nursing time per resident, per day

Each resident here gets about 5 h 4 min of nursing staff time a day, 16 min of it from a registered nurse.

This home

5 h 4 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

Registered nurse
Licensed practical nurse
Nurse aide

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

$8,278 in federal fines on record over the past three years.

Date	Penalty	Amount
2026-01-06	Fine	$8,278

6

Resident outcomes

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

Measure	This home	State	U.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5 pts worse	91.4%	96.4%	93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5 pts worse	92.0%	97.0%	95.3%
Percentage of long-stay residents experiencing one or more falls with major injury3.2 pts better	0.0%	3.2%	3.2%
Percentage of long-stay residents who have depressive symptoms2.3 pts better	0.0%	2.3%	13.5%
Percentage of long-stay residents who lose too much weight2.9 pts better	0.0%	2.9%	5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication8.2 pts worse	26.0%	17.8%	19.5%
Percentage of long-stay residents who received an antipsychotic medication2.7 pts better	7.1%	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 need for help with daily activities has increased0.9 pts worse	16.7%	15.8%	13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder5.9 pts worse	6.2%	0.3%	0.7%
Percentage of long-stay residents with a urinary tract infection0.7 pts worse	1.5%	0.8%	1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.6 pts worse	18.1%	12.5%	18.3%
Percentage of long-stay residents with pressure ulcers6.4 pts worse	10.1%	3.7%	4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.3 pts worse	73.4%	88.7%	82.3%
Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better	0.0%	1.4%	1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine19.5 pts worse	65.9%	85.4%	80.1%

·

Who owns and runs it

14 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
South Limestone Hospital District	5% Or Greater Direct Ownership Interest · Organization	100%	26 facilities
Bumpass, Michael	5% Or Greater Mortgage Interest · Individual	0%	2 facilities
Bumpass, Michael	Operational/Managerial Control · Individual	0%	2 facilities
Bumpass, Michael	Adp Of The SNF · Individual	0%	2 facilities
Kunka Investments LLC	5% Or Greater Mortgage Interest · Organization	0%	2 facilities
Kunka Investments LLC	Adp Of The SNF · Organization	0%	2 facilities
Kunka, Laura	5% Or Greater Mortgage Interest · Individual	0%	2 facilities
Kunka, Laura	Operational/Managerial Control · Individual	0%	2 facilities
Kunka, Laura	Adp Of The SNF · Individual	0%	2 facilities
Love, Rita	Adp Of The SNF · Individual	0%	2 facilities
Price, Larry	Corporate Officer · Individual	0%	27 facilities
Reynolds, Kelley	Adp Of The SNF · Individual	0%	1 facilities
St Josephs Care Center, LLC	Operational/Managerial Control · Organization	0%	1 facilities
St Josephs Care Center, LLC	Adp Of The SNF · Organization	0%	1 facilities

·

Other homes nearby

McGregor Wellness & Rehabilitation
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Worst citation, 3 yrs
K

Nursing / resident / day
—

Fines
$49,443
Wesley Woods Health & Rehabilitation
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Worst citation, 3 yrs
K

Nursing / resident / day
3 h 23 min

Fines
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St. Catherine Center
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Worst citation, 3 yrs
G

Nursing / resident / day
3 h 56 min

Fines
$8,492

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