Deficiency Index

Central Texas Nursing & Rehabilitation

Ballinger, Texas · CCN 675326

34 surveys since 2010, 20 of them producing a finding at harm level or worse.

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

Citations on record
97
Surveys
34
Harm or worse
20
Immediate jeopardyall corrected before survey
14
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy14

Findings at the most serious level CMS records. All were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file28/34

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

The facility

Certified beds
118
Ownership
For profit - Limited Liability company
Chain
CREATIVE SOLUTIONS IN HEALTHCARE
County
Runnels · rural
Medicare-certified since
1994

CMS ratings

Overall
3
Health inspection
4
Staffing
1
Quality measures
2

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 7, 2026

125 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 day3.043.25
Registered-nurse hours per resident day0.46—

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

Enforcement

Fines
$8,936 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 jeopardyJ16.3%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1062.5%E531.3%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 16 of the 97 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6563×

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

  • F5522×

    Ensure that residents are fully informed and understand their health status, care and treatments.

  • F7612×

    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.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F6041×

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

In the surveyor’s words

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

  • Immediate jeopardy, patternF880Jan 21, 2022

    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 infection for two (Resident #1 and Resident #2) of five residents reviewed for infection control. The facility failed to: A. Test Resident # 1 for COVID-19 at the time she displayed symptoms of a scratchy throat and runny nose on the evening of 01/19/22 and subsequently was observed the morning of 01/20/22 less than the recommended social distance of 6 ft around five other residents that were negative for COVID-19, at the time. Resident #1 tested positive for COVID-19 on 01/20/22. B. […]

  • Immediate jeopardy, isolatedF689Feb 15, 2024

    Based on observations, interviews, and record reviews, the facility failed to ensure the resident environment remained free of accident hazards as was possible and that each resident received adequate supervision and assistive devices to prevent accidents for 1 (Resident #3) of 7 residents who were reviewed for accidents and supervision in that: The facility failed to ensure Resident #3 did not elope after she was identified to be of high risk for elopement based on pre-admission documentation received from Resident #3's previous nursing home placement that was submitted prior to Resident #3's admission on 11/28/2023. Resident #3 eloped on 12/23/2023 around 12:33 p.m., and was found on 12/23/2023 around 2:00 p.m. The noncompliance was identified as Past Noncompliance. […]

  • No harm, potential for more than minimal, widespreadF812Jul 16, 2026

    Based on observations, interviews, and record reviews, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen that prepares meals for 58 of 58 residents, reviewed for food and nutrition services.The facility failed to ensure stored foods were properly stored, labeled, and dated.The facility failed to ensure rotten food was disposed of.The facility failed to ensure Dietary Aide A used hair restraints properly.The facility failed to ensure Dietary Aide A did not wear excessive jewelry as required by facility policy.The facility failed to ensure Dietary Aide A, the Dietary Manager, [NAME] D, and [NAME] B performed handwashing appropriately. […]

  • No harm, potential for more than minimal, patternF761Jul 16, 2026

    Based on observation, interview, and record review, the facility failed to ensure drugs and biologicals used in the facility were labeled with currently accepted professional principles, and included the appropriate accessory and cautionary instructions, and the expiration date when applicable and stored in locked compartments under proper temperature controls for and 1 of 3 medication carts (Hall 5 nurse medication cart) and 2 of 6 residents reviewed (Resident #15 and #36) reviewed for medication storage. The facility failed to ensure the nurses cart #1 for hall 4 did not contain medication that was supposed to be stored in the refrigerator, and had no open date. The facility failed to ensure medications were passed correctly. Resident #15's medication was left at bedside. […]

  • No harm, potential for more than minimal, patternF919Jul 16, 2026

    Based on observations, interviews, and record review, the facility failed to adequately equip residents with the ability to call for staff assistance through a communication system, which relays the call directly to a staff member or to a centralized staff work area, for 9 of 59 dually certified resident rooms (rooms #5, #13, #37, #50, #51, #53, #58, #59, and #61) reviewed for resident call systems.The facility failed to ensure dually occupied resident rooms a pull string attached to the call light switch making the call light button inaccessible. The pull string was either too short to be reached or missing. […]

Read 39 findings in full →The most serious and the most recent: 39 of 97 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 17, 2026Complaint1 finding
  • Jul 16, 2026Standard5 findings
  • Jul 7, 2026Complaint2 findings
  • Jan 16, 2026Complaint2 findings
  • May 29, 2025Standard and complaint4 findings
  • Apr 18, 2024Standard5 findings
  • Feb 15, 2024Infection control2 findings · 1 harm
  • Feb 16, 2023Standard1 finding
Show the 26 earlier surveys
  • Oct 4, 2022Complaint1 finding
  • Jun 27, 2022Complaint1 finding
  • Jan 21, 2022Complaint1 finding · 1 harm
  • Nov 12, 2021Standard2 findings
  • Jun 24, 2020Complaint1 finding
  • Dec 5, 2019Complaint3 findings · 2 harm
  • Nov 21, 2019Standard and complaint4 findings
  • Nov 29, 2018Standard and complaint5 findings
  • Oct 26, 2017Standard2 findings
  • May 23, 2017Complaint1 finding
  • Aug 18, 2016Standard1 finding
  • May 18, 2016Complaint2 findings
  • Jan 7, 2016Complaint1 finding
  • Dec 18, 2015Complaint5 findings
  • Aug 21, 2015Standard and complaint4 findings
  • Sep 25, 2014Standard2 findings
  • Sep 12, 2013—1 finding
  • Apr 18, 2013—2 findings
  • Feb 20, 2013—1 finding
  • Oct 30, 2012—3 findings
  • Mar 22, 2012—1 finding
  • Oct 13, 2011—4 findings · 4 harm
  • Aug 19, 2011—3 findings
  • Apr 21, 2011—2 findings · 1 harm
  • Dec 14, 2010—13 findings · 11 harm
  • Oct 22, 2010—9 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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