Pleasanton South Nursing and Rehabilitation Inspection Report, Violations & Safety Grade (Pleasanton, Texas)

905 West Oaklawn Rd, Pleasanton, Texas 78064

Phone: 8305693861

CMS Overall:3/5

Overview & Bed Count

Certified Beds

Avg Residents/Day

70.4

Ownership

Government - Hospital district

Provider Type

Medicare and Medicaid

County

Atascosa

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

CMS Star Ratings

Overall3/5

Health3/5

Staffing2/5

Quality3/5

Nurse Staffing Check

Metric	This Facility	Texas Avg	Difference
RN Hours per Resident per Day	0.58	0.44	+0.14
Total Nurse Hours per Resident per Day	2.91	3.42	-0.50
CMS Staffing Rating	2/5	1.9/5	-
Nursing Staff Turnover	46.4%	50.8%	-

Health Citation History

35 health citations on record

Date	Category	Description	Severity
2026-06-18	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	D – Moderate Harm Potential
2026-06-18	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C – Minimal Harm Potential
2025-12-10	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F – Moderate Harm Potential
2025-12-10	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	E – Moderate Harm Potential
2025-12-10	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E – Moderate Harm Potential
2025-12-10	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.	E – Moderate Harm Potential
2025-12-10	Environmental Deficiencies	Make sure that a working call system is available in each resident's bathroom and bathing area.	D – Moderate Harm Potential
2025-11-14	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.	E – Moderate Harm Potential
2025-11-14	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D – Moderate Harm Potential
2025-04-30	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
2024-09-06	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D – Moderate Harm Potential
2024-09-06	Pharmacy Service Deficiencies	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.	D – Moderate Harm Potential
2024-09-06	Environmental Deficiencies	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.	C – Minimal Harm Potential
2024-08-29	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
2024-08-29	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D – Moderate Harm Potential
2023-10-22	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D – Moderate Harm Potential
2023-10-22	Nursing and Physician Services Deficiencies	Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.	D – Moderate Harm Potential
2023-08-09	Quality of Life and Care Deficiencies	Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.	J – Immediate Jeopardy
2023-08-09	Nursing and Physician Services Deficiencies	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.	J – Immediate Jeopardy
2023-08-09	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	E – Moderate Harm Potential
2023-08-09	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	E – Moderate Harm Potential
2023-08-09	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	E – Moderate Harm Potential
2023-08-09	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	E – Moderate Harm Potential
2023-08-09	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.	E – Moderate Harm Potential
2023-08-09	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	E – Moderate Harm Potential
2023-08-09	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
2023-08-09	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D – Moderate Harm Potential
2023-08-09	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	D – Moderate Harm Potential
2023-08-09	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D – Moderate Harm Potential
2023-08-09	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D – Moderate Harm Potential
2023-08-09	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
2023-08-09	Administration Deficiencies	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.	D – Moderate Harm Potential
2023-08-09	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	D – Moderate Harm Potential
2023-08-09	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C – Minimal Harm Potential
2023-08-09	Environmental Deficiencies	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.	B – Minimal Harm Potential

Fire Safety Citation History

10 fire safety citations on record

Date	Category	Description	Severity
2025-12-10	Gas, Vacuum, and Electrical Systems Deficiencies	Have proper medical gas storage and administration areas.	F – Moderate Harm Potential
2025-12-10	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	E – Moderate Harm Potential
2025-12-10	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	E – Moderate Harm Potential
2025-12-10	Smoke Deficiencies	Properly select, install, inspect, or maintain portable fire extinguishes.	D – Moderate Harm Potential
2024-09-06	Egress Deficiencies	Keep aisles, corridors, and exits free of obstruction in case of emergency.	E – Moderate Harm Potential
2024-09-06	Smoke Deficiencies	Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.	E – Moderate Harm Potential
2024-09-06	Services Deficiencies	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	C – Minimal Harm Potential
2023-08-09	Egress Deficiencies	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	E – Moderate Harm Potential
2023-08-09	Egress Deficiencies	Keep aisles, corridors, and exits free of obstruction in case of emergency.	C – Minimal Harm Potential
2023-08-09	Services Deficiencies	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	C – Minimal Harm Potential

Total Penalties & Fines

$8,827

Total Fine Amount (CMS)

Number of Fines

Total Penalties

Date	Type	Fine Amount	Payment Denial
2024-08-29	Fine	$8,827	-

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