Deficiency Index

Caprock Nursing & Rehabilitation

Borger, Texas · CCN 676341

27 surveys since 2014. The first finding at harm level was recorded in 2018.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
83
Surveys
27
Harm or worse
7
Immediate jeopardy
0
The record, 2014–2026
’14’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse7

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file16/27

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
120
Ownership
For profit - Corporation
Chain
CREATIVE SOLUTIONS IN HEALTHCARE
County
Hutchinson · rural
Medicare-certified since
2013

CMS ratings

Overall
2
Health inspection
3
Staffing
1
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 377 for-profit facilities of 100–127 beds in Texas.

Last survey on record

Jul 16, 2026

116 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day2.823.25
Registered-nurse hours per resident day0.27—
Annual nurse turnover93.3%54.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$10,145 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG38.3%H—I—
No harm, potential for more than minimalD2466.7%E719.4%F25.6%
No harm, potential for minimalA—B—C—
CMS’s current file: 36 of the 83 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6954×

    Provide safe and appropriate respiratory care for a resident when needed.

  • F6413×

    Ensure each resident receives an accurate assessment.

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6572×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • F8032×

    Ensure 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.

In the surveyor’s words

From the most serious findings on record at Caprock Nursing & Rehabilitation, in the surveyor’s own words.

  • Actual harm, isolatedF600Oct 18, 2024

    Based on observation, interview, and record review the facility failed to protect each residents right to be free from abuse, neglect, misappropriation of resident property, and exploitation for 1 (Resident #1) of 5 residents reviewed for abuse and neglect. The facility failed to protect Resident #1 from emotional abuse by Resident #2 on 09/24/24 in spite of Resident #2 emotionally abusing and possibly physically abusing Resident #1 on 09/22/24. The noncompliance was found to be Past Non Compliance (PNC). […]

  • Actual harm, isolatedF607Oct 18, 2024

    Based on observation, interview, and record review the facility failed to develop and implement written policies and procedures that prohibit and prevent abuse, neglect, and exploitation of residents and misappropriation of resident property, for 1 (Resident #1) of 5 residents reviewed for abuse and neglect. The facility failed to report the emotional and possible physical abuse of Resident #1 by Resident #2 as per the facility's Abuse/Neglect policy. The noncompliance was found to be Past Noncompliance (PNC). The noncompliance began on 09/22/24 and ended on 09/26/24. […]

  • Actual harm, isolatedF609Oct 18, 2024

    Based on observation, interview, and record review the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the administrator of the facility and to other officials (including to the State Survey Agency and adult protective services where state law provides for jurisdiction in long-term care facilities) in accordance with State law through established… […]

  • No harm, potential for more than minimal, widespreadF908Mar 26, 2024

    Based on observation, interview, and record review the facility failed to maintain all mechanical, electrical, and patient care equipment in safe operating condition for 1 of 1 kitchen reviewed for environment. The facility failed to ensure the water heater in the kitchen was functioning. This failure could place residents at risk of contracting food borne illness due to a lack of readily available hot water in the kitchen for use in sanitizing cooking dishes and surfaces and washing hands. Findings Included: During an observation in the kitchen on 03/25/24 at 10:38 AM 3 large pots were observed with water in them on the stove to boil and use to sanitize the dishes used for cooking breakfast. […]

  • No harm, potential for more than minimal, widespreadF812Jan 31, 2023

    Based on the observations, interviews, and record reviews the facility failed to store food in accordance with professional standards for food service safety to prevent food borne illness, and kitchen pest contamination in the facility's only kitchen reviewed for dietary services in that: Dry storage area: In the dry storage shelves, there was an expired hotdog bread. A pink colored powder substance was scattered on top of several cans of chicken noodle soups. Jell-O bags were located above the cans of the chicken noodle soups. A white powdery substance was scattered on top of several cans of cream of coconut. Above the cream of coconut cans there were jars of salt. […]

Read 25 findings in full →The most serious and the most recent: 25 of 83 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 16, 2026Standard9 findings
  • Jan 20, 2026Complaint1 finding
  • Nov 24, 2025Complaint1 finding
  • Aug 6, 2025Complaint1 finding
  • May 21, 2025Standard5 findings
  • Apr 25, 2025Complaint1 finding
  • Oct 18, 2024Complaint3 findings · 3 harm
  • Jul 24, 2024Complaint1 finding
Show the 19 earlier surveys
  • Mar 26, 2024Standard8 findings
  • Oct 26, 2023Complaint1 finding
  • Jan 31, 2023Standard5 findings
  • Nov 29, 2022Complaint3 findings
  • Nov 2, 2021Standard4 findings
  • Oct 8, 2021Complaint2 findings
  • Apr 22, 2021Complaint2 findings
  • Nov 10, 2020Infection control1 finding · 1 harm
  • Oct 1, 2020Complaint2 findings
  • Sep 23, 2020Complaint1 finding
  • Nov 30, 2018Standard3 findings
  • Jan 11, 2018Standard12 findings · 3 harm
  • Apr 25, 2017Complaint1 finding
  • Nov 2, 2016Standard3 findings
  • Jan 7, 2016Standard5 findings
  • Aug 11, 2015Complaint1 finding
  • Apr 23, 2015Complaint1 finding
  • Jan 22, 2015Standard4 findings
  • Jan 23, 2014—2 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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