ADVANCED REHABILITATION & HEALTHCARE OF LIVE OAK – LIVE OAK, TX

CMS Verified | 2026-03-01

Advanced Rehabilitation & Healthcare Of Live Oak

8221 PALISADES DRIVE, Live Oak, TX 78233
(210) 600-3700
123 beds
All Live Oak facilities
4.0*
Overall
3.0*
Health Inspection
5.0*
Quality Care
2.0*
Staffing
71.5
Score /100
#7597
National Rank

#7597
of 14703 facilities
National
48.3% position
#517
of 1177 in TX
State Rank
#28
of 62 in Bexar
County Rank
#1
of 1 in Live Oak
City Rank
#1
of 1 in ZIP 78233
ZIP Rank






About Advanced Rehabilitation & Healthcare Of Live OakAdvanced Rehabilitation & Healthcare Of Live Oak is located at 8221 Palisades Drive, Live Oak, TX, reachable at (210) 600-3700. This For profit – Corporation facility operates 123.0 certified beds and serves an average of 114 residents per day. It is part of the Ruby Healthcare network (7 facilities nationwide). Medicare and Medicaid services have been provided since 1994-07-28. The facility currently holds a above average (4-star) overall rating from the Centers for Medicare & Medicaid Services (CMS).
Facility

Advanced Rehabilitation & Healthcare Of Live Oak

Address

8221 Palisades Drive, Live Oak, TX 78233

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 123 Certified Beds
  • Ownership: For profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: RUBY HEALTHCARE

Quick Verdict

Overall Quality
✅ Above Average (4★) overall rating
Health Inspection
⚠️ Average (3★) health inspection
Staffing
⚠️ Below Average (2★) staffing rating
Quality of Care
✅ Excellent (5★) quality of care
Compliance
❌ 13 fine(s) over 5 years
5-Year Trend
Improving over 5 years
71.5
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#7597 of 14703 nationally – #517 of 1177 in Texas

Who Is This Facility Best For?

Advanced Rehabilitation & Healthcare Of Live Oak offers a mid-range care option in Live Oak, TX. It scores well for both long-term residents and short-stay rehabilitation patients. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 2 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

4 / 5
Health Inspection

3 / 5
Staffing Rating

2 / 5
Quality Measures (QM)

5 / 5
Long-Stay QM Rating

5 / 5
Short-Stay QM Rating

5 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightAdvanced Rehabilitation & Healthcare Of Live Oak currently provides 3 hours 8 minutes of total nurse staffing per resident per day, including 36 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 2 out of 5 is below average — a point worth discussing with facility management before admission. RN hours per resident have increased from 17 min/day (2022) to 36 min/day (2026), a positive sign of investment in skilled nursing. Total nursing staff turnover is high at 56.8%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 8 minutes
Nurse Aide Hours1 hour 40 minutes
Licensed Practical Nurse (LPN) Hours52 minutes
Registered Nurse (RN) Hours36 minutes
Physical Therapist Hours7 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours2 hours 50 minutes
Weekend Registered Nurse (RN) Hours29 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 2 fine(s) totaling $12,424. 84 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 2
Total Fines Amount $12424.0
Payment Denials 0
Total Penalties 2
Abuse Flag on Record N
Total Weighted Health Survey Score 91.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#7,597
of 14,703
National
Bottom 48%
#517
TX State
Top 44% in TX
#28
of 62
️ Bexar County
#28 of 62
#1
of 1
️ Live Oak
Best in city
#1
of 1
ZIP 78233
Best in ZIP

Nationally, Advanced Rehabilitation & Healthcare Of Live Oak ranks 7597th out of 14,703 facilities (composite score: 71.5/100), placing it in the below average nationwide. Within TX, it ranks 517th out of 1,177 nursing homes. For 2026 staffing: total nurse hours rank #12,498 nationally and RN hours rank #6,742 nationally (#167 in TX).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 3.06 #11,362 / 14,703 #738 / 1,177 ⚠️ Bottom 25%
2023 2.75 #13,121 / 14,703 #968 / 1,177 ⚠️ Bottom 25%
2024 2.57 #13,770 / 14,703 #1,040 / 1,177 ⚠️ Bottom 10%
2025 3.28 #11,028 / 14,703 #516 / 1,177 ⚠️ Bottom 25%
2026 3.13 #12,498 / 14,703 #767 / 1,177 ⚠️ Bottom 25%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 0.29 #12,625 / 14,703 #721 / 1,177 ⚠️ Bottom 25%
2023 0.40 #10,155 / 14,703 #333 / 1,177 Below average
2024 0.59 #6,278 / 14,703 #104 / 1,177 Above average
2025 0.74 #4,182 / 14,703 #68 / 1,177 Above average
2026 0.60 #6,742 / 14,703 #167 / 1,177 Above average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Advanced Rehabilitation & Healthcare Of Live Oak is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1994-07-28. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (210) 600-3700 or your local Medicaid office to verify current eligibility.

Advanced Rehabilitation & Healthcare Of Live Oak holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 4 out of 5 stars. This is made up of three components: Health Inspection (3★), Staffing (2★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 71.5/100, placing it #7597 of 14703 facilities nationally and #517 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Advanced Rehabilitation & Healthcare Of Live Oak receives a reported average of 3 hours 8 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 36 minutes; Licensed Practical Nurse (LPN) — 52 minutes; Nurse Aide — 1 hour 40 minutes. On weekends, total nurse staffing is 2 hours 50 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 56.8%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 2 fine(s) totaling $12,424. 84 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 2 fine(s) totaling $12,424, and 0 Medicare payment denial(s). Total penalties: 2. The Total Weighted Health Survey Score is 91.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Advanced Rehabilitation & Healthcare Of Live Oak ranks 7597th out of 14,703 facilities (composite score: 71.5/100), placing it in the below average nationwide. Within TX, it ranks 517th out of 1,177 nursing homes. For 2026 staffing: total nurse hours rank #12,498 nationally and RN hours rank #6,742 nationally (#167 in TX). Our composite quality score of 71.5/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Live Oak, visit: https://nursinghomesnearme.org/texas/live-oak/

Contact and Location

ADR
Address

8221 PALISADES DRIVE, Live Oak, TX 78233
Get directions on Google Maps

TEL
LLC
Legal Name

HAMILTON COUNTY HOSPITAL DISTRICT

MAP
Browse by Location

All Texas ·
Bexar County ·
Live Oak ·
ZIP 78233

Facility Details

Number of Certified Beds 123
Average Residents / Day 114 (93% occupancy)
Ownership Type For profit – Corporation
Provider Type Medicare and Medicaid
County Bexar County, TX
City Live Oak, TX
ZIP Code 78233
Approved Since July 28, 1994
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 675437
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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