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Kennedy Health & Rehab Inspection Report, Violations & Safety Grade (Lufkin, Texas)

504 N. John Redditt Dr, Lufkin, Texas 75904

Phone: 9366323331

CMS Overall:1/5

Overview & Bed Count

Certified Beds

145

Avg Residents/Day

Ownership

For profit - Limited Liability company

Provider Type

Medicare and Medicaid

County

Angelina

Sprinkler Systems

Yes

Special Focus

SFF Candidate

Abuse Icon

Yes

CMS Star Ratings

Overall1/5

Health1/5

Staffing2/5

Quality2/5

Nurse Staffing Check

Metric	This Facility	Texas Avg	Difference
RN Hours per Resident per Day	0.29	0.44	-0.15
Total Nurse Hours per Resident per Day	3.67	3.42	+0.26
CMS Staffing Rating	2/5	1.9/5	-
Nursing Staff Turnover	N/A	50.8%	-

Health Citation History

81 health citations on record

Date	Category	Description	Severity
2026-08-26	Nursing and Physician Services Deficiencies	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	F – Moderate Harm Potential
2026-08-26	Administration Deficiencies	Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.	F – Moderate Harm Potential
2026-08-26	Resident Assessment and Care Planning Deficiencies	Assess the resident when there is a significant change in condition	E – Moderate Harm Potential
2026-08-26	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	E – Moderate Harm Potential
2026-08-26	Nursing and Physician Services Deficiencies	Observe each nurse aide's job performance and give regular training.	E – Moderate Harm Potential
2026-08-26	Nutrition and Dietary Deficiencies	Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.	E – Moderate Harm Potential
2026-08-26	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E – Moderate Harm Potential
2026-08-26	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E – Moderate Harm Potential
2026-08-26	Environmental Deficiencies	Provide bedrooms that don't allow residents to see each other when privacy is needed.	E – Moderate Harm Potential
2026-08-26	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E – Moderate Harm Potential
2026-08-26	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	E – Moderate Harm Potential
2026-08-26	Administration Deficiencies	Develop, implement, and/or maintain an effective training program for all new and existing staff members.	E – Moderate Harm Potential
2026-08-26	Administration Deficiencies	Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.	E – Moderate Harm Potential
2026-08-26	Resident Rights Deficiencies	Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.	E – Moderate Harm Potential
2026-08-26	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.	E – Moderate Harm Potential
2026-08-26	Administration Deficiencies	Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.	E – Moderate Harm Potential
2026-08-26	Infection Control Deficiencies	Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.	E – Moderate Harm Potential
2026-08-26	Administration Deficiencies	Provide training in compliance and ethics.	E – Moderate Harm Potential
2026-08-26	Administration Deficiencies	Provide behavior health training consistent with the requirements and as determined by a facility assessment.	E – Moderate Harm Potential
2026-08-26	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	D – Moderate Harm Potential
2026-08-26	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D – Moderate Harm Potential
2026-08-26	Resident Assessment and Care Planning Deficiencies	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	D – Moderate Harm Potential
2026-08-26	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D – Moderate Harm Potential
2026-08-26	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D – Moderate Harm Potential
2026-08-26	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D – Moderate Harm Potential
2026-08-26	Quality of Life and Care Deficiencies	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	D – Moderate Harm Potential
2026-08-26	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	D – Moderate Harm Potential
2026-08-26	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D – Moderate Harm Potential
2026-08-26	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C – Minimal Harm Potential
2026-08-26	Resident Rights Deficiencies	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.	B – Minimal Harm Potential
2026-08-26	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	B – Minimal Harm Potential
2026-07-22	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	J – Immediate Jeopardy
2026-07-01	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E – Moderate Harm Potential
2026-07-01	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E – Moderate Harm Potential
2026-07-01	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	E – Moderate Harm Potential
2026-07-01	Resident Assessment and Care Planning Deficiencies	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	D – Moderate Harm Potential
2025-12-03	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	J – Immediate Jeopardy
2025-12-03	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	H – Actual Harm
2025-12-03	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E – Moderate Harm Potential
2025-10-22	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	K – Immediate Jeopardy
2025-10-22	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	K – Immediate Jeopardy
2025-10-22	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	K – Immediate Jeopardy
2025-10-22	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E – Moderate Harm Potential
2025-10-22	Resident Assessment and Care Planning Deficiencies	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.	D – Moderate Harm Potential
2025-10-22	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D – Moderate Harm Potential
2025-09-16	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	J – Immediate Jeopardy
2025-09-16	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	J – Immediate Jeopardy
2025-09-16	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	J – Immediate Jeopardy
2025-06-25	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E – Moderate Harm Potential
2025-06-25	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E – Moderate Harm Potential

Showing 50 of 81 citations.

Fire Safety Citation History

27 fire safety citations on record

Date	Category	Description	Severity
2026-08-26	Construction Deficiencies	Meet other general requirements.	F – Moderate Harm Potential
2026-08-26	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	F – Moderate Harm Potential
2026-08-26	Smoke Deficiencies	Properly install and monitor supervisory attachments on automatic sprinkler systems.	F – Moderate Harm Potential
2026-08-26	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	F – Moderate Harm Potential
2026-08-26	Services Deficiencies	Have properly installed electrical wiring and gas equipment.	F – Moderate Harm Potential
2026-08-26	Miscellaneous Deficiencies	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	F – Moderate Harm Potential
2026-08-26	Construction Deficiencies	Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.	E – Moderate Harm Potential
2026-08-26	Egress Deficiencies	Keep aisles, corridors, and exits free of obstruction in case of emergency.	E – Moderate Harm Potential
2026-08-26	Egress Deficiencies	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	E – Moderate Harm Potential
2026-08-26	Egress Deficiencies	Have properly located and lighted "Exit" signs.	E – Moderate Harm Potential
2026-08-26	Smoke Deficiencies	Install an approved automatic sprinkler system.	E – Moderate Harm Potential
2026-08-26	Smoke Deficiencies	Install corridor and hallway doors that block smoke.	E – Moderate Harm Potential
2026-08-26	Smoke Deficiencies	Install smoke barrier doors that can resist smoke for at least 20 minutes.	E – Moderate Harm Potential
2026-08-26	Smoke Deficiencies	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	D – Moderate Harm Potential
2026-08-26	Smoke Deficiencies	Properly provide smoke detection systems in areas open to corridors.	D – Moderate Harm Potential
2026-08-26	Gas, Vacuum, and Electrical Systems Deficiencies	Meet requirements for the use and maintenance of medical gas equipment.	D – Moderate Harm Potential
2026-08-26	Services Deficiencies	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	C – Minimal Harm Potential
2026-06-18	Construction Deficiencies	Meet other general requirements.	F – Moderate Harm Potential
2025-12-11	Construction Deficiencies	Meet other general requirements.	F – Moderate Harm Potential
2025-06-25	Services Deficiencies	Have properly installed electrical wiring and gas equipment.	E – Moderate Harm Potential
2025-06-25	Smoke Deficiencies	Install smoke barrier doors that can resist smoke for at least 20 minutes.	D – Moderate Harm Potential
2025-06-25	Egress Deficiencies	Have properly located and lighted "Exit" signs.	C – Minimal Harm Potential
2025-06-25	Services Deficiencies	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	C – Minimal Harm Potential
2024-04-24	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	F – Moderate Harm Potential
2024-04-24	Smoke Deficiencies	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	E – Moderate Harm Potential
2024-04-24	Miscellaneous Deficiencies	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	E – Moderate Harm Potential
2024-04-24	Services Deficiencies	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	B – Minimal Harm Potential

Total Penalties & Fines

$278,723

Total Fine Amount (CMS)

Number of Fines

Total Penalties

Date	Type	Fine Amount	Payment Denial
2026-07-01	Fine	$29,486	-
2025-12-03	Fine	$40,483	-
2025-09-16	Fine	$140,332	-
2025-09-16	Payment Denial	-	35 days starting 2025-10-16
2024-12-12	Fine	$57,417	-
2024-11-02	Fine	$11,005	-

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Need Help Finding Safe Care?

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3-Year Complete Report ($19)

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