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Jourdanton Nursing and Rehabilitation

1504 Highway 97E, Jourdanton, TX 78026 · For profit - Corporation · 60 certified beds · (830) 769-3531 Medicare & Medicaid certified

Call the home — (830) 769-3531 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0610) — cited Jul 2025Resident-funds citation (F0567)2 immediate-jeopardy citations CMS recorded as corrected before the inspection ended (past non-compliance)$28,334 in federal fines
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • a middle-of-the-pack inspection score (3/5)
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has a citation for mishandling residents’ money or property (F0567)
  • inspectors recorded 2 serious findings as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
  • a high number of inspection citations overall (31) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $28,334 in federal fines (most recent 2024-10-04)
  • its payroll-based staffing rating is low (1/5)
  • its facility-reported quality-measure rating is low (2/5)
  • nursing-staff turnover (90%) runs well above the national median (45%)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 2 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1105 Oak St., Suite A · (830) 360-9136 · Call to confirm hours
Pharmacy
1105 Oak St Ste A · (830) 769-3614 · Call to confirm hours
Grocery
1205 Oak St · (830) 769-2939 · Call to confirm hours
Park
Mulberry St · Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 2 of 5
Long-stay residentspeople who live here 2 of 5
Short-stay residentsrehab / post-hospital 1 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 3 to 2 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased18.0%15.8%15.4%worse
Long-stay residents who lose too much weight4.5%3.0%5.4%better
Long-stay residents with a catheter left in their bladder0.6%0.3%0.9%worse than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection1.9%0.8%2.0%typical
Long-stay residents with depressive symptoms4.6%2.4%6.5%worse than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury3.1%3.3%3.3%typical
Long-stay residents whose ability to walk worsened14.3%14.0%16.1%better
Long-stay residents on antianxiety or hypnotic medication29.3%18.0%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%98.0%95.3%typical
Long-stay residents with pressure ulcers3.4%3.8%4.7%better
Long-stay residents with worsening bladder/bowel control18.7%13.4%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table32.3%9.6%17.1%worse
Short-stay residents who newly got an antipsychotic medication0.0%1.5%1.4%better
Short-stay residents rehospitalized after admission27.9%25.7%22.6%worse
Short-stay residents with an outpatient ER visit14.9%12.3%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.912.171.67worse
Long-stay outpatient ER visits per 1,000 resident days2.522.061.80worse

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

31.8%U.S. median 56.6%
Met the expected recovery
0.63U.S. median 0.31
Therapy hours / resident / day
0.21hours / resident / day
Physical therapy
0.29hours / resident / day
Occupational therapy
0.13hours / resident / day
Speech therapy

Met the expected recovery: 31.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 22 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.63 therapist hours per resident per day in 2026Q1 — more than 89% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 26% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge31.8%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge22.7%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge27.3%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened3.6%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.291.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.38
RN hours/ resident / day
0.75
LPN hours/ resident / day
1.62
Aide hours/ resident / day
2.76
Total nurse hours/ resident / day
0.32
RN hoursweekends
90.5%
Total nursing turnover
83.3%
RN turnover

How full it usually is: this home is certified for 60 beds and averages 44.1 residents a day — about 74% occupied, or roughly 16 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 2.76 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.38 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.62 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.29 hrs/resident/day on weekends vs 2.95 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 0.41 to 0.32 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 90% is well above the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

7
deficiencies at the latest standard inspection (2026-01-16)
5
at the previous standard inspection (2024-10-04)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

31 citations, most serious first. The 12 most serious are shown; the remaining 19 are one tap away and print in full.

  • Immediate jeopardy · J2024-10-04 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure residents had the right to be free from accidents for 1 of 5 residents (Resident # 196) reviewed for accidents and hazards. On 9/19/2024, Resident # 196 was not properly secured in the facility transport van and sustained a head laceration and a fractur to her right clavicle. The non-compliance was identified as past noncompliance. The IJ began on 9/19/2024 and ended on 9/19/2024. The facility had corrected the noncompliance before the survey began. These failures could place residents at risk of harm, serious injury, or death. Findings include: Record review of Resident # 196's face sheet revealed she was admitted [DATE] with an initial admission on [DATE] with diagnoses of traumatic brain injury, transient ischemic attack (mini stroke), depression and alcohol abuse. Record review of Resident # 196's MDS indicated a BIMS score of 15 indicating no cognitive impairment. Record review of the Facility Incident Report, dated 9/23/2024, reflected the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Past Non-Compliance
  • Immediate jeopardy · J2024-06-19 · tag F0678 — failed to provide CPR when needed — isolated
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to provide a full code resident with AED use during CPR as per facility policy for 1 (Resident #4) of 7 residents reviewed for Advanced Directives. The facility failed to provide a full code(full support which includes cardiopulmonary resuscitation (CPR), if the patient has no heartbeat and is not breathing.) for Resident#4 with AED use during CPR as per facility policy. The non-compliance was identified as past non-compliance (PNC). The PNC IJ began on [DATE] and ended on [DATE] . The facility had corrected the non-compliance before the state's investigation began on [DATE] at 9:30 AM. This failure could place residents at risk for not receiving correct CPR as per facility policy. The findings included: Record review of Resident #4's face sheet dated [DATE] reflected Resident #4 was admitted initially on [DATE] with a readmission of [DATE] with diagnoses of DM2, s/p left above knee amputation, congestive heart failure, COPD, hypertension, anxiety,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Past Non-Compliance
  • Potential for harm · E2026-01-16 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen, in that: A bag of broccoli in the freezer was opened.A tub of peanut butter had peanut butter around the rim of the bucket.A bin of flour was opened.A box with oranges had mold. These failures could place residents who received food and/or snacks from the kitchen at risk for food borne illness.Observation on 1/13/2026 at 9:41AM the freezer revealed a box folded close with the corners of the four flaps tucked under one another that allowed a gap in the center that revealed an open bag of broccoli, exposing it to air in the freezer. Observation on 1/13/2026 at 9:46AM the dry food storage was used as an office. Ther was a closed tub of peanut butter with peanut butter around the rim of the tub. There was a bin of flour with the top not secured and opened. There was a box with that had been used with the remainder of the oranges in the bottom that had mold on 5 of the oranges. Interview…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-01-16 · tag F0814 — failed to dispose of garbage properly — pattern
    Dispose of garbage and refuse properly.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record reviews, the facility failed to dispose garbage and refuse properly for 1 of 2 dumpsters (dumpster #1) on the premises. Three doors on dumpster #1 were opened. This failure could place the facility at risk of pests and rodents that could cause contamination of the foods stored in the kitchen and place the residents at risk of infection and illness. Observations and interview on 1/13/2026 at 10:00AM revealed dumpster #1 had 2 sliding doors opened on the sides and one of the black doors that closed on the top of the dumpster was opened. The [NAME] said she knew the doors should be closed so animals could not get into the dumpsters and garbage pickup was every Monday. Interview on 12/14/2026 at 12:03 PM the DM said it was important to keep the doors of the dumpsters closed because it could bring rats and roaches to the facility that could get into the food and cause food borne illness to the residents. Interview on 1/15/2026 at 2:28 PM the RD said it was important to keep the dumpsters closed to prevent rodents and pest contamination that…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-16 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure residents the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences for 1 of 8 Residents (Resident #23) who was reviewed for call light placement. Nursing staff failed to ensure Resident #23's call light was within reach. Resident #23 asked for water and was not able to locate his call light because it was under the fall mat. This deficient practice could result in residents not being able to ask for assistance as needed. The findings were: Review of Resident #23's face sheet, dated 1/16/26, revealed he was admitted to the facility on [DATE] with diagnoses including Dementia (characterized by a decline in cognitive function, affecting memory, thinking, behavior, and the ability to perform everyday activities). Review of Resident #23's quarterly assessment, dated 12/26/25, revealed his BIMS score was 99 indicating staff was unable to interview him. Further review revealed…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-16 · tag F0567 — failed to protect residents' money held by the home — isolated
    Honor the resident's right to manage his or her financial affairs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to manage and account for the personal funds of the resident deposited with the facility for 1 of 1 Resident (Resident #41) reviewed for personal funds. The facility failed to disburse Resident #41's personal funds so that she could purchase incontinent supplies. This could contribute to feelings of frustration and helplessness for the residents. The findings were:Review of Resident #41's face sheet, dated 1/16/26, revealed she was admitted to the facility on [DATE] with diagnoses including hemiplegia, and hemiparesis (paralysis) following cerebral infarction (an ischemic stroke, occurs when blood flow to a part of the brain is interrupted, leading to tissue death due to lack of oxygen and nutrients) affecting left non-dominant side and borderline personality disorder (is a mental health condition that affects the way people feel about themselves and others, making it hard to function in everyday life.) Review of Resident #41's quarterly MDS…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-01-16 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure that each resident has a right to secure and confidential personal and medical records for 1 of 1 facility reviewed for confidentiality: in that: The facility staff left the laptop open, unlocked, and unattended on the MA cart with the screen turned on and the EMAR visible to resident records and medications. This deficient practice could place residents at risk for having their medical information being unnecessarily exposed and their personal privacy violated.The findings included: In an observation and interview on 1/13/26 at 9:15 a.m. the MA cart was at the nurse's station facing outward toward people passing through the area. There was a laptop computer on the MA cart facing away from the nurses station, and the screen was on and open to resident EMARs. The computer was unattended. There was a resident standing to the right of the cart talking on the phone at the nurse's station, another resident standing to the left of the cart talking to LVN A who was seated behind the nurse's station. LVN A…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-16 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure that a resident who needs respiratory care is provided such care, consistent with professional standards of practice for 2 of 6 residents (Residents #11, and #49), reviewed for quality of care. The facility failed to ensure Resident #11's nebulizer mask and mouthpiece attachment was enclosed in a container or bag when it was not in use.The facility failed to ensure Resident #49's oxygen concentrator filter was clean. This failure could place residents at risk of illness, allergies, and worsening of respiratory symptoms. The findings were: 1. Record review of Resident #11's face sheet dated 1/15/26 revealed the resident was a [AGE] year-old male admitted to the facility on [DATE] with readmission on [DATE]. Resident #11's diagnoses included 3. COPD (Chronic Obstructive Pulmonary Disease - lung disease restricting airways, making breathing difficult), and Vitamin B12 deficiency (the level of vitamin B12 in the blood is insufficient to…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-01-16 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to safeguard medical record information against loss, destruction, or unauthorized use to maintain accurate medical records for 1 of 4 (Resident #2) residents reviewed for change in condition The facility failed to document the of change of condition and transfer to the hospital for Resident #2. These failures could place the residents at risk of inadequate care and a diminished quality of life.The findings were: Record review of Resident #2's face sheet dated 01.14.2026 revealed a [AGE] year-old female was re-admitted to the facility on 1.13.2026 with diagnoses: depression, traumatic brain injury, chronic obstructive pulmonary disease (difficulty breathing due to progressive lung disease), and anxiety. Record review of Resident #2's Quarterly MDS dated 11.03.2025 revealed she had a BIMS score of 15, indicative of cognitively intact. Record review of Care Plan dated 12.10.2025 revealed she was care planned for heightened perception of events,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-12-10 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to provide routine and emergency drugs and biologicals to its residents or obtain them under an agreement for 1 of 5 Residents (Resident #1) whose records were reviewed for pharmacy services. 1.Nursing staff failed to contact the pharmacy to ask about the status of the pending order for Lyrica and consult with Resident #1's PCP to obtain a one-time order for Lyrica (pain medication) pending pharmacy delivery of the medication from 10/10/25 until 10/15/25. 2.LVN A failed to contact and consult with Resident #1's PCP and the pharmacy when Lyrica (pain medication) was not available for administration for Resident #1 per physician orders. This failure could place residents at risk of a decline in health status. The findings were: Review of Resident #1's face sheet, dated 10/15/25, revealed he was admitted to the facility on [DATE] with primary diagnoses including unspecified cirrhosis of the liver (permanent scarring that damages your liver and…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-11-21 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure residents had the right to personal privacy and confidentiality of their personal and medical records for 1 of 1 resident (Resident #11) reviewed for resident rights. The facility failed to ensure CNAs H and I completely closed Resident #11's privacy curtain while providing perineal care for the resident. This deficient practice could place residents at risk of loss of dignity.The findings were: Record review of Resident #11's face sheet, dated 11/21/2025, revealed an admission date of 12/03/2014, and a readmission date of 10/19/2020. Resident #11 had diagnoses which included: Vascular dementia (decline in cognitive abilities), Schizoaffective disorder (mental disorder characterized by abnormal thought processes and an unstable mood), Hypertension (High blood pressure), Type 2 diabetes mellitus (high level of sugar in the blood), and Irritable bowel syndrome (chronic disorder affecting the large intestine, causing symptoms like…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-11-21 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews and record review the facility failed to ensure the assessment accurately reflected the resident's status for 1 of 4 residents (Resident #1) reviewed for accuracy of assessments. The facility failed to ensure Resident #1 was coded for a fall with injury that occurred on 09/04/2025, on his admission MDS assessment, signed as completed on 9/11/2025. This failure could place residents at risk of improper or incorrect care and services necessary for their physical, mental, and psychosocial well-being. The findings included: Record review of Resident #1's admission Record, dated 11/18/2025, reflected a [AGE] year-old male. He was admitted to the facility on [DATE]. Record review of Resident #1's Diagnosis Report, dated 11/18/2025, reflected diagnoses included encephalopathy (a disease in which the function or structure of the brain is affected, typically caused by infection, tumor, or stroke), intracranial injury (an injury to the brain caused by an external force) with loss of…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
Show the remaining 19 citations
  • Potential for harm · D2025-11-21 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure, based on the comprehensive assessment of a resident, that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 of 4 residents (Resident #2) reviewed for quality of care. The facility failed to complete weekly skin assessment for Resident #2 for 2 out of 10 weeks (week of 9/24/2025 and week of 11/06/2025) per the care plan and facility policy. This failure could place residents at risk of not receiving necessary medical care, harm, and hospitalization. The findings included: Record review of Resident #2's admission Record, dated 11/18/2025, reflected a [AGE] year-old male. He was admitted on [DATE]. Record review of Resident #2's Diagnosis Report, dated 11/18/2025, reflected diagnoses which included encephalopathy (a disease in which the function or structure of the brain is affected, typically caused by infection,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-11-21 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure a resident who was incontinent of bladder received appropriate treatment and service to prevent urinary tract infections and to restore continence to the extent possible for 1 of 1 resident (Resident #11) resident reviewed for incontinent care and catheter care. The facility failed to ensure CNA H retract Resident #11's foreskin (the retractable roll of skin covering the end of the penis) while providing incontinent care . This deficient practice could place residents at-risk for infection and skin break down The findings were: Record review of Resident #11's face sheet, dated 11/21/2025, revealed an admission date of 12/03/2014, and a readmission date of 10/19/2020. Resident #11 had diagnoses which included: Vascular dementia (decline in cognitive abilities), Schizoaffective disorder (mental disorder characterized by abnormal thought processes and an unstable mood), Hypertension (High blood pressure), Type 2 diabetes mellitus…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-11-21 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to in accordance with accepted professional standards and practices, maintain medical records on each resident that were complete, accurately documented, readily accessible, and systematically organized for 2 of 4 residents (Resident #2 and Resident #3) reviewed for clinical records. The facility failed to document 10 occasions for Resident #2 and 1 occasion for Resident #3's medication administration of Cefinir, and antibiotic on multiple occasions. This failure could place residents at risk of not receiving the care and services needed. The findings included: 1. Record review of Resident #2's admission Record, dated 11/18/2025, reflected a [AGE] year-old male. He was admitted to the facility on [DATE]. Record review of Resident #2's Diagnosis Report, dated 11/18/2025, reflected diagnoses which included encephalopathy (a disease in which the function or structure of the brain is affected, typically caused by infection, tumor, or stroke),…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-11-21 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to establish and maintain an Infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable disease and infection for 1 of 1 resident (Resident #11) reviewed for infection control, in that: 1. The facility failed to ensure CNAs H and I washed their hands before starting to provide incontinent care for Resident #11. 2. The facility failed to ensure CNA H sanitized his hands between change of gloves during incontinent care for Resident #11 . These deficient practices could place residents at-risk for infection due to improper care practices.The findings were: Record review of Resident #11's face sheet, dated 11/21/2025, revealed an admission date of 12/03/2014, and a readmission date of 10/19/2020. Resident #11 had diagnoses which included: Vascular dementia (decline in cognitive abilities), Schizoaffective disorder (mental disorder…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-07-10 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to, in response to allegations of abuse, neglect, exploitation, or mistreatment, have evidence that all alleged violations are thoroughly investigated and report the results of all investigations to the state survey agency within five working days of the incident for 5 (Resident #2, Resident #3, Resident #4, Resident #5, and Resident #6) of 8 residents reviewed for abuse and neglect. The facility failed to thoroughly investigate 4 separate facility reported incidents involving Resident #2, Resident #3, Resident #4, Resident #5, and Resident #6 within five (5) days regarding allegations of abuse or neglect and submit a 3613-A of the findings. This deficient practice could place residents at risk of harm from neglect due to not having a thorough investigation done for facility reported incidents. The findings included. 1. Record review of Resident #2’s face sheet dated 7/10/25 revealed a [AGE] year-old female admitted to the facility on [DATE] and…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-07-10 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 1 (Resident #3) of 3 residents reviewed for pharmacy services. The facility failed to ensure staff timely acquired and administered Resident #3's cefazolin (antibiotic used to treat and prevent bacterial infections. It is administered intravenously) per physician orders on 2/13/25 and 2/14/25. The failure could place residents at risk for exacerbation of health conditions, worsening of conditions, and physical/emotional discomfort. Findings included:Record review of Resident #3's face sheet, dated 7/9/25, revealed a [AGE] year-old male resident admitted on [DATE] and discharged on 2/17/25 with diagnoses of encounter for surgical aftercare following surgery on the nervous system (his back), partial traumatic amputation of two or more right lesser toes (two…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-07-10 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to maintain medical records that were complete and accurately documented in accordance with accepted professional standards and practices for 2 of 6 residents (Residents #1 and Resident #3) reviewed for medical records. 1. The facility failed to ensure Resident 1's use of a wander guard (electronic monitoring device) was accurately documented on the TAR (Treatment Administration Record). 2. The facility failed to ensure the ADON documented the administration of Resident #3's cefazolin (antibiotic used to treat and prevent bacterial infections. It is administered intravenously.) at the time of administration on the MAR. This deficient practice could place residents at risk of delayed or improper care due to inaccurate medical records.The findings included: 1.Record review of Resident #1’s face sheet dated 7/8/25 revealed an [AGE] year-old male admitted to the facility on [DATE] with diagnoses that included senile degeneration of brain…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-03-24 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to maintain medical records, in accordance with accepted professional standards and practices, which are complete; and accurately documented for 2 of 9 residents (Resident #1 and #2) reviewed for documentation. Resident #1's and Resident #2's electronic medical record did not contain complete and accurate documentation that CNA A (night shift) and CNA B (day shift) recorded in the March 2025 POC (records system) that both residents were given peri-care on 3/17/25 (night) and 3/18/25 (day). This failure could result in residents' records not accurately documenting interventions, monitoring, and information provided to the charge nurse or DON involving shift documentation of peri-care given to residents. The findings included: Record review of Resident #1's face sheet, dated 3/24/25, reflected resident was a female age [AGE] admitted on [DATE] with diagnoses that included: schizoid affective (a mental health condition that includes symptoms…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-04 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record reviews the facility failed to offer a therapeutic diet when there is a nutritional problem and the health care provider orders a therapeutic diet for 1 (Resident #6) of 1 residents reviewed for diets. The facility failed to provide Resident #6 with large protein portions as ordered by his physician. This failure could affect all residents on therapeutic diets by placing them at increased risk for significant weight loss and malnutrition. Findings include: Record review of Resident #6's face sheet, dated 10/03/2024, revealed resident was a [AGE] year-old male admitted to the facility on [DATE]. Record review of Resident #6's order summary dated 10/03/2024 revealed Resident #6 was ordered large protein portions at all meals starting 09/06/2024. Record review of Resident #6's Nutritional Assessment, dated 09/04/2024, revealed Resident #6 was under his IBW (ideal body weight). Section 8 Summary stated, Change diet to Regular with large protein portions at meals.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-04 · tag F0761 — failed to label and store drugs safely — isolated
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure all drugs and biologicals were stored in locked compartments under proper temperature controls and permitted only authorized personnel to have access to the keys for 1 of 3 medication carts (the Treatment Cart) reviewed for medication storage, in that; The facility failed to ensure the Treatment Cart was locked when it was left unattended in the common area in front of the nurses' station, and then again left unlocked and unattended in the 200-hallway opposite of room [ROOM NUMBER]. This deficient practice could place residents at risk of medication misuse or drug diversion. The findings were: In an observation on 10/03/2024 at 10:46 AM, the Treatment Cart was left unlocked and unattended in the common area in front of the nurse's station. The cart contained scissors, prescription and over the counter medications related to skin and wound care. There were staff, residents, and visitors in the immediate vicinity. In an interview on…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-10-04 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record reviews, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 2 residents (Resident #12) with wounds observed for infection control, in that: The facility failed to ensure hand hygiene was initiated between glove changes during wound care for Resident #12 on 10/03/2024. This deficient practice could affect residents who required wound care by contributing to the bacteria load and/or cross contamination in the wound resulting in delayed healing. Findings included: Record review of admission Record printed 10/03/2024, reflected Resident #12 was a [AGE] year-old female originally admitted on [DATE]. Record review of Diagnosis Report, printed 10/03/2024, reflected Gastrostomy Status was the admitting diagnosis for Resident #12. Other active diagnoses included Stage 4…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-01-05 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to maintain an Infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable disease and infection for 1 of 2 residents (Resident #5) reviewed for infection control, in that: While providing incontinent care for Resident #5 CNA A did not wash or sanitize her hands between change of gloves, before touching the resident's briefs and after cleaning the resident's buttocks' area. These deficient practices could place residents at-risk for infection due to improper care practices. The findings include: Record review of Resident #5's face sheet, dated 01/05/2024, revealed a [AGE] year old female resident with an admission date of 09/19/2023, with diagnoses which included: Encephalopathy (disorder or disease of the brain), History of urinary tract infection (an infection in any part of the urinary system), Hyperlipidemia (Elevated level…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-09-08 · tag F0759 — failed to keep medication error rate low — pattern
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility failed to ensure their medication error rate was not 5 percent or greater and had a medication error rate of 71.88% percent with 3 medications administration opportunities observed with 23 errors for 4 of 6 residents (Residents #12, Resident #13, Resident #32, and Resident #42) and 2 of 3 staff (LVN C and CMA E) reviewed for medication administration, in that: 1. LVN C did not administer the full dose of Resident #12's gabapentin and simethicone medications when she left residue in a medication up during a PEG tube medication administration. 2. CMA E did not administer Resident #13's sucralfate 2 hours after all other medications. 3. CMA E administered 9 of Resident #32's medications 2 hours after the order time. 4. CMA E administered 10 of Resident #42's medications 2 hours after the order time. These deficient practices could place residents at risk of not receiving therapeutic effects from their medications as intended by the prescribing physician order. The findings include: 1. Record review of Resident #12's…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-09-08 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to treat each resident with respect and dignity and care in a manner and in an environment that promoted maintenance or enhancement of his or her quality of life, for 1 of 16 residents (Resident #14) reviewed for resident rights, in that: Residents #14 was told they could not lay down at the living area table to sleep and was told to go sleep in her room. This failure could place residents needing assistance at risk for diminished quality of life, loss of dignity, and self-worth. The findings included: Record review of Resident #14's face sheet, dated 09/08/2023, reflected a [AGE] year-old female most recently admitted to the facility on [DATE] with a primary diagnosis of schizoaffective disorder, unspecified(A mental health condition including schizophrenia and mood disorder symptoms.) Record review of Resident #14's quarterly MDS, dated [DATE], revealed the BIMS to be incomplete, however question C1000 - Cognitive Skills for Daily Decision Making was…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-09-08 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor 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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure housekeeping and maintenance services necessary to maintain a sanitary and comfortable interior for 2 of 16 residents (#19 and #24) reviewed for housekeeping and maintenance services in that: 1. Resident #19's had flies in his room. 2. Resident #24's floor, bed, and in room ac unit had debris. Flies were present in the room. An empty dignity bag was hanging from the bed touching the floor with debris around it for 3 days. These failures could place residents at risk of living with unclean, uncomfortable, un-homelike rooms and a diminished quality of life. The findings were: 1. Record review of Resident #24's facesheet, dated 09/07/23, revealed he was admitted to the facility on [DATE] and readmitted on [DATE]. He had diagnoses which included unspecified protein-calorie malnutrition, chronic obstructive pulmonary disease, and type 2 diabetes mellitus with unspecified complications. Record review or Resident #24's quarterly MDS…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-09-08 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure a resident who is incontinent of bladder receives appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible for 1 of 1 resident (Resident #24) reviewed for incontinence/perineal care, in that: CNA D did not clean the urethral meatus or glans when providing peri care and catheter care to resident #24 and failed to sanitize her hands in between glove changes. This deficient practice could place residents at-risk for infection and skin break down due to improper care practices. The findings were: Record review of Resident #24's face sheet, dated 09/07/23 revealed a [AGE] year-old male admitted to the facility on [DATE] with diagnoses that included benign prostatic hyperplasia without lower urinary tract symptoms (non-cancerous condition in men in which the prostate gland was enlarged causing blockage of urine flow out of the bladder), neuromuscular dysfunction of bladder…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-09-08 · tag F0726 — failed to have competent, trained nursing staff — isolated
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review the facility failed to ensure that nurse aides were able to demonstrate competency in skills and techniques necessary to care for residents' needs for 1 of 5 aides (CNA D) reviewed for demonstration of skills and techniques necessary for residents' needs, in that: The facility failed to ensure nurse aide competency assessments for CNA D, reviewed, were completed, documented, and checked off. These failures could place residents at risk for not receiving the appropriate care and services to maintain their health and safety. The findings included: 1. Observation on 8/24/23 at 10:07 a.m., during incontinence/perineal care, CNA D cleaned Resident #24's perineum area and scrotum. CNA D did not cleanse around the meatus (opening of the male urethra that's located at the very tip of the penis) or the glans (tip or head of penis). CNA D then grabbed a new wipe cleaned the catheter tubing from the insertion site outwards. CNA D removed her gloves and put on new gloves with no hand hygiene and continued peri care cleaning the resident's…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-09-08 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of infections for 2 of 5 staff (CNA D and CMA E) reviewed for infection control, in that: 1. CNA D did not sanitize her hands between glove changes. 2. CMA E touched the curtains and put on her gloves which contaminated her hands prior to administering eye drops to Resident #13. These deficient practices could place residents who receive wound care or catheter care at-risk for infections. The findings included: Observation on 09/07/23 at 09:52 a.m., during incontinence/perineal care and catheter CNA D removed her gloves and put on new gloves with no hand hygiene and continued peri care. During an interview on 09/07/23 at 10:03 a.m. CNA D was asked by this surveyor when she should be performing hand hygiene. CNA D stated she changes her gloves every time they are dirty and performs hand hygiene every time, she touched a Resident with her hands.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • No harm found · C2024-10-04 · tag F0912 — widespread
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to provide at least 80 square feet per resident in multiple resident bedrooms or at least 100 square feet in single resident rooms in all of the resident rooms reviewed for room size, in that: The facility failed to ensure all resident rooms had the required minimum of 80 square feet per resident in rooms occupied by multiple residents. This failure could place residents who reside in these rooms at-risk for a limitation their ability to move around the room and a decreased quality of life. The findings were: Observations on 10/02/2024 of all the resident rooms revealed the rooms were all two-person rooms and each room measured 11 feet by 14 feet which equaled 154 square feet total per room. For all rooms, 154 square feet divided by two beds per room equaled 77 square feet per bed. During an interview on 10/2/2024 at 12:30 pm with the maintenance director, he stated he measured the rooms, and they were under the required size and measured 154 square feet. During an interview on 10/2/2024 at 12:15 pm the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Environmental Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$28,334 in federal fines across 2 penalties.

  • $14,707 — penalty dated 2024-10-04
  • $13,627 — penalty dated 2024-06-19

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to EDURO HEALTHCARE — 34 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 2 of 52.4-0.4 vs chain
Health inspection 3 of 52.4+0.6 vs chain
Staffing 1 of 52.2-1.2 vs chain
Quality measures 2 of 53.1-1.1 vs chain
The other 33 homes this chain runs (chain average 2.4★, per CMS)
1 of 5Bear Creek Nursing And RehabilitationGrapevine, TX 1 of 5Cooney Healthcare And RehabilitationHelena, MT 1 of 5Deer Creek Nursing and RehabilitationWimberley, TX 1 of 5Ennis Care CenterEnnis, TX 1 of 5Greenview Nursing and RehabilitationWaco, TX 1 of 5Lakeshore Village Nursing And RehabilitationWaco, TX 1 of 5Memorial Medical Nursing And RehabilitationSan Antonio, TX 1 of 5Pleasanton North Nursing And RehabilitationPleasanton, TX 1 of 5Richardson Nursing and RehabilitationRichardson, TX 1 of 5Rolling Hills HealthcareBelle Fourche, SD 1 of 5San Antonio North Nursing and RehabilitationSan Antonio, TX 1 of 5Skyline Heights Nursing And RehabilitationBillings, MT 1 of 5The Meadows On UniversityFargo, ND 1 of 5The Suites PasadenaPasadena, TX 1 of 5Yellowstone River Nursing And RehabilitationBillings, MT 2 of 5Elkhorn Healthcare And RehabilitationClancy, MT 2 of 5Keystone Post-AcuteFresno, CA 2 of 5Parkview Nursing and Rehabilitation CenterLockhart, TX 2 of 5Spearfish Canyon HealthcareSpearfish, SD 2 of 5The Suites Rio VistaRio Rancho, NM 3 of 5Cypress Woods Care CenterAngleton, TX 3 of 5Eastern Montana Veterans HomeGlendive, MT 3 of 5Silver Creek Nursing And RehabilitationSan Antonio, TX 4 of 5Copper Ridge Health And Rehabilitation CenterButte, MT 4 of 5Hacienda Oaks At BeevilleBeeville, TX 4 of 5Heritage Trails Nursing And Rehabilitation CenterCleburne, TX 4 of 5Pleasanton South Nursing and RehabilitationPleasanton, TX 4 of 5Prairie Heights HealthcareAberdeen, SD 5 of 5Bangs Nursing And RehabilitationBangs, TX 5 of 5Golden Years Nursing And Rehabilitation CenterMarlin, TX 5 of 5Highland Care CenterHolladay, UT 5 of 5Hurst Plaza Nursing and RehabHurst, TX 5 of 5Southwest Montana Veterans HomeButte, MT

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
MAVERICK COUNTY HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 05/01/2023
MARTINEZ, ALMAIndividualCORPORATE OFFICERsince 05/01/2023
JOURDANTON NURSING AND REHAB CENTER, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 05/01/2023
BEWSEY, MICHAELIndividualOPERATIONAL/MANAGERIAL CONTROLsince 05/01/2023

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$2.4M
Net patient revenuemost recent cost report
-10.5%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 92%Medicare 4%Other / private 4%

About 92% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$257per resident / day
operating cost
$7,812per month
≈ monthly operating cost
$233per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in TX

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Texas Medicaid page.

Typical monthly cost in Texas
$5,627/mo
Nursing home (semi-private)
$7,604/mo
Nursing home (private)
$5,666/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 455549. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-16, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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