Operator Investigation · 2026-04-21

RUFF, MICHAEL: 26% Abuse-Flagged, 23 Facilities

Facilities
23
CMS Fines
$1.6M
States
1
OIG Excluded
4

RUFF, MICHAEL operates 23 nursing homes across TX. According to CMS federal data, the operator's facilities have collectively received $1.6 million in civil monetary penalties. 6 of 23 facilities (26%) carry CMS's Abuse Icon designation, a flag reserved for facilities with confirmed patterns of resident abuse or neglect. 2 facilities are currently on CMS Special Focus status, a designation reserved for the nation's worst-performing nursing homes. The portfolio carries an average CMS star rating of 2.2 out of 5.

Facilities (23)