Laredo Nursing and Rehabilitation Center

Location & what’s nearby

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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

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.

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.

47.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 72 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 32.1% 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 28 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 0.37 therapist hours per resident per day in 2026Q1 — more than 64% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 11% 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.

Staffing

How full it usually is: this home is certified for 120 beds and averages 105.1 residents a day — about 88% occupied, or roughly 15 beds typically open. It runs fairly full. 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 3.21 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.36 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.93 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 2.73 hrs/resident/day on weekends vs 3.40 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.39 to 0.29 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 35% is below the national median of 45%.

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

Deficiencies are fewer than at the previous inspection — improving. 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.

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.

28 citations, most serious first. The 16 most serious are shown; the remaining 12 are one tap away and print in full.

• Immediate jeopardy · J2023-10-16 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 were free from abuse for 2 of 8 residents (Residents #39 and #4) reviewed for abuse. The facility did not take measures to prevent physical abuse between R#4 and R#39; R#39 was bit on the upper thigh and struck with a bed remote and call light by R#4. This failure could place residents at risk of physical harm, mental anguish, or emotional distress. An IJ was identified on 10/13/23. The IJ template was provided to the facility on [DATE] at 3:53pm. While the IJ was removed on 10/16/23, the facility remained out of compliance at a scope of isolated and a severity level of actual harm. The findings were: Resident #39: Record review of Resident #39's face sheet, dated 10/15/23, revealed the resident was a [AGE] year-old male who was admitted to the facility on [DATE] with diagnoses that included: cardiomegaly (an enlarged heart), essential (primary) hypertension (high blood pressure), cerebral ischemia (results from impaired blood flow 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2023-10-16 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  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 were free from abuse for 2 of 8 residents (Residents #39 and #4) reviewed for abuse. The facility did not take measures to prevent physical abuse between R#4 and R#39; R#39 was bit on the upper thigh and struck with a bed remote and call light by R#4. This failure could place residents at risk of physical harm, mental anguish, or emotional distress. An IJ was identified on 10/13/23. The IJ template was provided to the facility on [DATE] at 3:53pm. While the IJ was removed on 10/16/23, the facility remained out of compliance at a scope of isolated and a severity level of actual harm. The findings were: Resident #39: Record review of Resident #39's face sheet, dated 10/15/23, revealed the resident was a [AGE] year-old male who was admitted to the facility on [DATE] with diagnoses that included: cardiomegaly (an enlarged heart), essential (primary) hypertension (high blood pressure), cerebral ischemia (results from impaired blood flow 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2023-10-16 · 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 observation, interview, and record review the facility failed to ensure each resident received adequate supervision to prevent accidents for 1 of 8 residents (Resident #100) reviewed for accidents and hazards: The facility failed to develop and implement interventions to prevent Resident #100's elopement from the facility. Resident #100 eloped from the facility and was found by the road having sustained abrasions, lacerations and a hematoma. An IJ was identified on 10/13/23. The IJ template was provided to the facility on [DATE] at 3:53pm. While the IJ was removed on 10/16/23, the facility remained out of compliance at a scope of isolated and a severity level of actual harm. This deficient practice could place the residents at risk for harm, serious injury or death. The findings were: Review of Resident #100's face sheet dated 10/15/23 reflected a [AGE] year-old female who was admitted to the facility on [DATE] with diagnoses including, other specified arthritis (inflammation or swelling of joints),…

  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
• Immediate jeopardy · K2023-09-07 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  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 that 1 (R#1) of 30 residents with diagnoses of diabetes reviewed for professional standards, received care in accordance with professional standards of practice and the comprehensive person-centered care plan. During R #1's admission medication reconciliation process and throughout his stay, the facility failed to attempt to attain an order for blood glucose monitoring, despite his daily administration of three different diabetic oral medications and decreased appetite. R #1 became lethargic with an altered mental status on 08/31/23 at approximately 7:30 AM until he was transferred to the hospital at 3:42 PM without appropriate physician intervention. R #1 was admitted to the intensive care unit of the hospital with a blood glucose level of 1160 mg/dL (normal reference range 70-100), required an IV mediation intervention for his low blood pressure, and positive pressure ventilation to assist with his breathing. The facility…

  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
• Immediate jeopardy · K2023-09-07 · tag F0710 — pattern
  Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
  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 physician supervised the care of a resident for one (Resident #1) of five residents reviewed for physician services. The facility failed to ensure the physician supervised and monitored Resident #1's blood glucose monitoring since Resident #1 was diagnosed with diabetes and was prescribed and administered three different oral diabetic medications. R #1 became lethargic with an altered mental status on 08/31/23 at approximately 7:30 AM until he was transferred to the hospital at 3:42 PM without any appropriate physician intervention. R #1 was admitted to the intensive care unit of the hospital with a blood glucose level of 1160 mg/dL (normal reference range 70-100), required an IV medication intervention for his low blood pressure, and positive pressure ventilation to assist with his breathing. The facility Administrator and DON were notified on 09/04/23 at 3:42 PM, that an Immediate Jeopardy situation had been identified due 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Kcited before2023-09-07 · tag F0726 — failed to have competent, trained nursing staff — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure nursing staff demonstrated appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, for one (R #1) of four residents that were diagnosed with diabetes mellitus. 1. Multiple nursing personnel who cared for R#1 did not consult with R#1's Physician, in attempt to retrieve instructions for blood glucose monitoring. 2. LVN A cared for R#1 for multiple days and stated she did not know he was a diabetic. 3. DON assessed R#1 on 8/31/23 and despite of his change in condition of lethargy and altered level of consciousness, the DON did not conclude that R#1's change in condition was urgent enough to require emergent medical treatment. The facility Administrator and DON were notified on 09/04/23 at 3:42 PM, that an Immediate Jeopardy situation had been identified due to the above…

  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 · D2026-06-16 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as 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 interview and record review the facility failed to Incorporate the recommendations from the PASARR Level II determination for 1(Resident #1) out of 4 residents reviewed for services received from the PASARR II recommendations. The facility failed to initiate an NFSS within the 20 business days following the date the services were agreed on in the IDT meeting on 12/19/25 for Resident #1. This failure could cause residents with mental health disorders and psychiatric conditions to have a delay in services or not receive specialized services or equipment that may be needed. The findings included: Record review of Resident#1 face sheet revealed an [AGE] year-old female initially admitted on [DATE], and readmitted on [DATE] with diagnosis of Down Syndrome( a genetic condition caused by an extra full or partial copy of chromosome 21 the extra genetic material alters typical development, causing distinct physical traits, variable degrees of intellectual and developmental delays, and a higher likelihood 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
• Potential for harm · D2026-04-10 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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 received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan and the residents' choices for one (Resident #1) of five residents reviewed for quality of care. The facility failed to ensure LVN B accurately assessed and documented Resident #1's newly identified skin impairment including but not limited to characteristics such as measurements, shape, or condition of the surrounding tissue on 02/01/26, in accordance with facility policy. On 02/02/26, record review revealed the wound had progressed and was identified as a Stage IV pressure ulcer (full thickness skin and tissue loss with exposed or directly palpable fascia, muscle, tendon, ligament, cartilage, or bone).This failure could place residents at risk for not receiving the appropriate care and treatment.The findings include:Record review of Resident #1's face sheet dated 04/10/26 reflected a [AGE] year-old-woman with…

  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 before2026-04-10 · 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 diseases and infections for one (Resident #2) of five residents reviewed for infection control practices. 1) The facility failed to ensure the WCN performed hand hygiene for at least 20 seconds prior and after performing Resident #2's wound care. 2) 1)The facility failed to ensure the WCN performed hand hygiene in between glove changes during Resident #2's wound care.3) The facility failed to ensure CNA A performed hand hygiene in between glove changes while aiding in Resident #2's wound care.These failures could place residents that require wound care at risk for healthcare associated cross-contamination and infections.Findings include:Record review of Resident #2's face sheet dated 04/10/26 reflected an [AGE] year-old-female with an original admission…

  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 · Ecited before2026-03-05 · tag F0842 — failed to keep accurate, complete medical records — pattern
  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 interview and record review, the facility failed to maintain medical records on each resident that were complete and accurately documented in accordance with accepted professional standards and practices for 4 of 8 residents (Resident #1, Resident #2, Resident #6, and Resident #14) reviewed for medical records.1. The facility failed to ensure RN C did not document a blood sugar of 2 on Resident #1's MAR when she refused finger sticks and insulin on 23 of 23 opportunities from 02/01/26 to 03/05/26.2. The facility failed to ensure LVN B, RN C, LVN D, LVN F, LVN G, and LVN H documented accurate Neuro Check vital signs for Resident #2 after he fell on [DATE].3. The facility failed to ensure RN C documented Resident #6's blood pressure on the MAR when the resident's blood pressure altering medication was not administered because it was outside of the parameters for administration on 17 of 20 opportunities from 02/04/26 to 03/05/26.4a. The facility failed to ensure LVN G documented accurate vital signs 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-05 · 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 residents who needed respiratory care were provided such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences for 1 (Resident #87) of 3 residents reviewed for respiratory care.The facility failed to ensure Resident # 87's oxygen was administered at the correct setting of 2 liters per minute on 3/03/2026 as ordered by the physician.This deficient practice could place residents at an increased risk of developing respiratory complications and a decreased quality of care.The Findings included:Record review of Resident #87's admission record dated 3/03/26 indicated an [AGE] year-old female with an admission date of 2/19/2026. The resident had a diagnoses which included: Chronic Obstructive Pulmonary Disease (a progressive and irreversible lung disease that makes breathing difficult by damaging airways and air sacs, causing inflammation), Acute…

  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 · D2026-03-05 · 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

  Based on observation, interview and record review, the facility failed to ensure all drugs and biologicals were stored in locked compartments and labeled in accordance with currently accepted professional principles reviewed for medications stored in 1 of 1 medication refrigerators in the medication storage room. The facility failed to ensure medications in the medication room refrigerator were stored at an appropriate temperature. The failure could place residents in the facility at risk of receiving expired medications from staff.Findings included:Record review of the March 2026 medication room refrigerator temperature log revealed the temperature was signed off by ADON J on 03/04/26 stating the temperature was 37 degrees Fahrenheit. Further review revealed the instructions Adjustments To Refrigerator - Record adjustments to correct temperature that is not between 36 to 46 F During an observation of the medication room refrigerator at 4:05 PM on 03/04/26, the refrigerator had two different thermometers placed inside. The refrigerator contained various medications for several…

  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 before2026-03-05 · 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 control program designed to prevent the development and transmission of disease and infection for 1 (Resident #118) of 2 residents observed for contact precautions.SW did not don PPE before entering Resident #118's room on 3/03/2026. Resident #118 was under Contact Precautions as per physician orders.This failure could place residents who resided in the facility, as well as employees and visitors, at risk of communicable diseases.The findings included:Record review of Resident #118's admission record dated 3/03/2026, with an admission date of 2/26/2026, indicated a [AGE] year-old female with diagnoses of Bacteremia (presence of bacteria in the blood stream), Extended Spectrum Beta Lactamase [ESBL] Resistance (bacteria that have developed superbug enzymes capable of breaking down and destroying, last-resort antibiotics like penicillin), and Unspecified Escherichia Coli [E. Coli] as the Cause of Diseases Classified…

  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 before2025-12-04 · 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 observation, interview, and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents, for one of four residents (Resident #1) reviewed for accidents and supervision. The facility failed to ensure CNA A performed a 2-person assist while conducting incontinent and bed mobility care for Resident #1 on 03/18/2025 which led to Resident #1 sustaining a fall. This failure could place residents at risk for falls, injuries and a decline in health.Findings include: Record review of Resident #1's admission record dated 10/04/2025 revealed Resident #1 was a [AGE] year-old female, who initially admitted on [DATE] and readmitted on [DATE]. Resident #1 was admitted with multiple diagnoses including: Parkinson's disease (movement disorder) with dyskinesia (involuntary muscle movement), age related osteoporosis (weakening bone) without current pathological fracture (break under normal stress), and arthritis (inflammation of joints). Record…

  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 · Fcited before2025-01-09 · tag F0880 — failed to prevent and control infections — widespread
  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 observations, interviews and record reviews the facility failed to maintain an infection control and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable disease and infections for 3 of 5 residents (Residents #53, #44, and #79) observed for infection control practices. CNA D, E, B, and A failed to properly change gloves, as well as wash or sanitize hands when moving from a dirty area to a clean area when incontinent care was observed for Residents #53, #44, and #79. These failures and deficient practices could place residents at risk for cross contamination and infection. Findings included: During observation of incontinent and peri care on three separate occasions on 1/8/25, on three separate residents (Residents #53, #44, and #79) revealed all CNAs performing the same improper techniques on all three different observations of incontinent and peri care. The CNAs would use a single wipe multiple times, folding over and over until bowel movement could be seen all the way around…

  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 · E2025-01-09 · tag F0657 — failed to keep the care plan current — pattern
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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 the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, consistent with the resident's comprehensive assessment and plan of care for 3 of 4 Residents (Resident's #87, #61 and #26) reviewed for care plans. The facility failed to have quarterly care plan and Interdisciplinary Team Meetings to review Residents #87, #61 and #26's care plans. This failure could place residents at risk for not receiving the required care. The Findings for Resident #87 included: Record review of face sheet revealed Resident #87 as a [AGE] year-old male with an original admission date of 1/26/2024, and a current admission date of 8/9/2024. Record review of Resident #87's Quarterly MDS dated [DATE] revealed a BIMS score of 08, which indicated moderately impaired cognition. Record review of Care Plan Conference dated 7/2/24 revealed this as being the most recent care plan meeting for…

  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

“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.

Fines & penalties

$93,962 in federal fines across 2 penalties.

• $41,379 — penalty dated 2023-10-16
• $52,583 — penalty dated 2023-09-07

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 TOUCHSTONE COMMUNITIES — 25 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 →

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

CMS files one row per role, so the 39 rows in the source record cover these 31 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

16 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.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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

Straight from this home’s Medicare cost report (CMS, FY2024). 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