All states › Texas › Live Oak › Advanced Rehabilitation & Healthcare of Live Oak
8221 Palisades Drive Live Oak, TX 78233 · Bexar County
CMS certification number 675437 · See this home on Medicare Care Compare
Is Advanced Rehabilitation & Healthcare of Live Oak a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Advanced Rehabilitation & Healthcare of Live Oak as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.38 hours per resident per day at Advanced Rehabilitation & Healthcare of Live Oak, about the same as the Texas median of 3.30 (US median: 3.72). About 0.62 of those hours are from registered nurses. On weekends it falls to 2.94 hours, 13% below its all-week average. 51.4% of nursing staff left within a year (Texas median 50.2%).
About this nursing home
Paying for care at Advanced Rehabilitation & Healthcare of Live Oak: Medicare and Medicaid
Advanced Rehabilitation & Healthcare of Live Oak is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on July 17, 2026 and found 8 deficiencies, plus 4 from complaint inspections in the same period. In total, inspectors issued 41 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 41 citations at Advanced Rehabilitation & Healthcare of Live Oak across 11 inspection dates, 16 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on January 17, 2025 (complaint inspection). The most common areas cited were resident rights (11) and quality of life and care (10). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level J, January 17, 2025). 3 citations were under CMS's abuse, neglect and exploitation rules.
July 17, 2026 · 8 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FKeep all essential equipment working safely.
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
EProvide and implement an infection prevention and control program.
DReasonably accommodate the needs and preferences of each resident.
DProvide appropriate foot care.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe and appropriate respiratory care for a resident when needed.
July 1, 2026 · 1 citation · includes complaint inspection
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
May 15, 2026 · 1 citation · includes complaint inspection
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
November 18, 2025 · 2 citations · includes complaint inspection
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DProvide and implement an infection prevention and control program.
May 23, 2025 · 7 citations
EEnsure residents have reasonable access to and privacy in their use of communication methods.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide safe, appropriate dialysis care/services for a resident who requires such services.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
April 17, 2025 · 3 citations · includes complaint inspection
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DHonor 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.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
February 12, 2025 · 3 citations · includes complaint inspection
EEnsure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
January 17, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
September 12, 2024 · 1 citation · includes complaint inspection
DEnsure each resident receives an accurate assessment.
June 1, 2024 · 1 citation · includes complaint inspection
DNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
April 5, 2024 · 13 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EHonor the resident's right to organize and participate in resident/family groups in the facility.
EEnsure residents have reasonable access to and privacy in their use of communication methods.
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide safe, appropriate dialysis care/services for a resident who requires such services.
EEnsure medication error rates are not 5 percent or greater.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DEnsure 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.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Advanced Rehabilitation & Healthcare of Live Oak
- Inspectors cited the home at the immediate-jeopardy level on January 17, 2025 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on April 17, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $12,424 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jan 17, 2025 | Fine | $8,407 |
| Jun 1, 2024 | Fine | $4,017 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 2/5 | 2/5 | 5/5 |
| August 2026 | 3/5 | 2/5 | 3/5 | 5/5 |
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Location
Hospitals near Advanced Rehabilitation & Healthcare of Live Oak
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 7.6 mi
-
8.4 mi
Brooke Army Medical Center (Ft Sam Houston) Fort Sam HoustonEmergency roomMedian ER visit 2h 48m for patients treated and sent home
-
9.2 mi
Baptist Neighborhood Hospital Thousand Oaks San AntonioEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 1h 55m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Compare Advanced Rehabilitation & Healthcare of Live Oak with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Army Residence Community · San Antonio · 5 stars · 2.4 mi
Other Ruby Healthcare nursing homes in Texas
- Brady West Rehab & Nursing · Brady · 5 stars
- White Settlement Nursing Center · White Settlement · 3 stars
- Colonial Manor Nursing Center · Cleburne · 3 stars
- Southeast Nursing & Rehabilitation Center · San Antonio · 3 stars
- Wedgewood Nursing Home · Fort Worth · 3 stars
- Park View Care Center · Fort Worth · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 7 Ruby Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.