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LONE STAR REHABILITATION & WELLNESS CENTER Inspection Report, Violations & Safety Grade (STEPHENVILLE, Texas)

2601 SENATOR ROBERT J GLASGOW LOOP, STEPHENVILLE, Texas 76401

Phone: 2549684649

CMS Overall:4/5

Overview & Bed Count

Certified Beds
122
Avg Residents/Day
93.2
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Erath
Sprinkler Systems
Yes
Special Focus
None
Abuse Citation
No

CMS Star Ratings

Overall4/5
Health4/5
Staffing3/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityTexas AvgDifference
RN Hours per Resident per Day0.600.44+0.16
Total Nurse Hours per Resident per Day2.823.42-0.59
CMS Staffing Rating3/51.9/5-
Nursing Staff Turnover42.1%50.8%-

Health Citation History

14 health citations on record

DateCategoryDescriptionSeverity
2026-08-22Resident Assessment and Care Planning DeficienciesDevelop 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
2025-09-04Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.E – Moderate Harm Potential
2025-09-04Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2025-09-04Nutrition and Dietary DeficienciesEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.E – Moderate Harm Potential
2025-09-04Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2025-01-29Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-08-29Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.E – Moderate Harm Potential
2024-08-29Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2024-08-29Administration DeficienciesArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.E – Moderate Harm Potential
2024-08-29Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2024-08-29Pharmacy Service DeficienciesEnsure 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
2023-06-29Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.E – Moderate Harm Potential
2023-06-29Resident Rights DeficienciesHonor 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
2023-06-29Nursing and Physician Services DeficienciesPost nurse staffing information every day.C – Minimal Harm Potential

Fire Safety Citation History

11 fire safety citations on record

DateCategoryDescriptionSeverity
2025-09-04Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2025-09-04Egress DeficienciesAdd 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
2025-09-04Smoke DeficienciesEnsure 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
2025-09-04Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2025-09-04Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.E – Moderate Harm Potential
2024-08-29Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2024-08-29Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2024-08-29Egress DeficienciesMeet other general requirements that are deficient.E – Moderate Harm Potential
2024-08-29Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2024-08-29Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2024-08-29Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.E – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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