Ballinger Healthcare and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Ballinger Healthcare and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF727Feb 19, 2026

  Based on interview and record review, the facility failed to designate a registered nurse to serve as the director of nursing on a full-time basis. The facility failed to ensure they employed had a full time or interim DON from 12/27/2025 through present (02/19/2026). This failure could place all residents at risk of not receiving necessary care and services. Findings included: During an interview on 02/19/2026 at 2:55 PM, the Administrator said the previous DON's last day at the facility was 12/27/2025. The Administrator said the interim DON was the RNC whom would oversee the facility and was readily available by phone as needed. The Administrator acknowledged stated the RNC did not qualify to be the interim DON due to the RNC not being in the facility 8 hours a day. […]

• No harm, potential for more than minimal, patternF695Feb 19, 2026

  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 (Resident #2 and #36) of 4 residents observed for oxygen management. The facility failed to ensure Resident #2 and Resident #36 had an oxygen signs posted outside their room. This failure could place residents on oxygen therapy at risk of receiving incorrect or inadequate oxygen support and at risk of harm and exposure to a fire hazard if staff and visitors are not aware of oxygen present.Findings included: Record review of Resident #2's admission record dated 02/19/2026, revealed she was admitted to the facility on [DATE] with diagnoses of dementia and heart failure. […]

• No harm, potential for more than minimal, patternF914Feb 19, 2026

  Based on observation, interview, and record review the facility failed to ensure each room was designed or equipped to assure full visual privacy for 3 (Rooms 5, 18 and 21) of 30 dual occupancy rooms reviewed for privacy in the facility. The facility failed to ensure that dual occupancy rooms were provided with ceiling suspended curtains, which extended around the bed, to provide total visual privacy. This failure could lead to a lack of privacy for residents, allow residents' private medical treatment to be observed by roommates or others, and lead to a decline in psychosocial well-being. Findings included: During an observation on 02/17/2026 at 2:35 PM, resident rooms 5, 18 and 21 on halls A and B revealed that each room had dual occupancy with an A and B bed in each. […]

• No harm, potential for more than minimal, patternF812Nov 21, 2024

  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 in the facility's only kitchen reviewed for food and nutrition services. 1. The facility failed to ensure chicken was thawed under running water or in the refrigerator. 2. The facility failed to ensure staff appropriately cleaned and sanitized the thermometer prior testing food temperatures. 3. The facility failed to ensure sick staff wore an appropriate face mask. 4. The facility failed to ensure staff wore effective hair restraints. 5. […]

• No harm, potential for more than minimal, patternF880Nov 21, 2024

  30057 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 diseases and infections for 2 of 3 residents (Residents #2 and #5) reviewed for infection control. 1. RN A failed to wash her hands or use hand sanitizer between glove changes during wound care for Resident #5. 2. RN A failed to wash her hands or use hand sanitizer between glove changes during medication administration and PEG tube dressing change for Resident #2. These failures could place resident's risk for cross contamination and the spread of infection. Finding include: 1. […]