Community Care Center of Hondo

In the surveyor’s words

From the most serious findings on record at Community Care Center of Hondo, in the surveyor’s own words.

• Immediate jeopardy, patternF925Nov 14, 2023

  Based on observation, interview and record review the facility failed to maintain an effective pest control program so the facility was free of pests for 5 of 6 residents (Resident #1, #2, #3, #5, and #6), in that: 1. The facility failed ensure Resident #1's room was free from flies. Resident #1 was hospitalized on [DATE] for maggot infestation around the tracheostomy and acute on chronic respiratory failure. Resident #1's stoma was suctioned around the trach until it was cleared of all maggots. A bronchoscopy was performed and cleared clots. Resident #1 was admitted to ICU for continued mechanical ventilation. 2. Resident #3, and Resident #5 had a flies in their room as they ate their breakfast and lunch tray on 11/10/2023. 3. […]

• Immediate jeopardy, isolatedF689Apr 26, 2025

  Based on observations, interviews and record review failed to ensure the resident environment remains as free of accident hazards as is possible; and Each resident receives adequate supervision and assistance devices to prevent accidents for 1 of 1 residents (Resident #1) reviewed for accidents and supervision, in that: Resident #1 eloped on 11/3/2024 out of facility and was across a 35 per mile street, at store near gas pumps, near a highway, that was 40 miles per hour. On 11/2/2024 Resident #1 attempted to elope, before a nurse stopped Resident #1 from going outside. An IJ was identified on 4/25/2025. The IJ template was provided to the facility on 4/25/2025 at 6:41 PM. While the IJ was removed on 4/26/2025 at 7:53 PM. […]

• Immediate jeopardy, isolatedF600Nov 14, 2023

  Based on observation, interview, and record review, the facility failed to protect a resident's right to be free from abuse, neglect, misappropriation of resident property, and exploitation for 1 of 6 residents (Resident #1) reviewed for neglect, in that: The facility failed to prevent Resident #1 from having maggots in his tracheostomy site, who was hospitalized on [DATE] for maggot infestation around the tracheostomy and acute on chronic respiratory failure. Resident #1's stoma was suctioned around the trach until it was cleared of all maggots. A bronchoscopy was performed and cleared clots. Resident #1 was admitted to ICU for continued mechanical ventilation. An IJ was identified on 11/12/2023. […]

• No harm, potential for more than minimal, widespreadF576Sep 12, 2025

  Based on interview and record review, the facility failed to ensure residents had the right to send and receive mail, and to receive letters, packages and other materials delivered to the facility or the resident through a means other than a postal service for 2 of 8 residents (confidential residents) reviewed for resident rights.The facility failed to ensure staff distributed mail received on Saturdays to the residents. This deficient practice could result in residents not receiving mail in a timely manner and a diminished quality of life.The findings included: During a confidential resident group meeting on 9/10/25 at 10:00 a.m., 2 of 8 members from the group meeting stated they did not receive mail on Saturdays because the Front Office Staff didn't work on Saturdays. […]

• No harm, potential for more than minimal, widespreadF925Jul 21, 2023

  Based on observations, interviews, and record reviews, the facility failed to maintain an effective pest control program for 1 of 28 rooms and 1 and 1 kitchen reviewed for pests, in that: The facility failed to ensure the pest control program was effective in all areas of the facility. 1. Freezer 2 had one, live, three-centimeter roach and one, live, one-centimeter ant crawling inside the lower compartment. 2. Fridge 3 had two, live, one-centimeter ants crawling inside the lower compartment of the unit. 3. Fridge 2 had two, unmoving, one-centimeter ants inside the lower compartment of the unit. 4. […]