Crosbyton Nursing and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF565Dec 2, 2025

  Based on observation, interview, and record review, the facility failed to provide a resident or family group with private space for the residents' monthly council meetings and the confidential resident group meeting during survey (09/24/2025) for eight of eight confidential residents reviewed for resident council. The facility did not provide private space for resident council meetings. This failure could place residents at risk of not being able to exercise their rights of being able to voice their grievances in private, without uninvited staff being present.Findings Included:Observation and interviews on 09/24/2025 at 2:00 PM in a Resident Council meeting, conducted during survey, revealed the following: The Resident Council meeting was held in the activities room. […]

• No harm, potential for more than minimal, patternF812Dec 2, 2025

  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 1 of 1 kitchen reviewed for dietary services, in that: The facility failed on 09/23/25 to seal food stored in pantry. These failures could place residents at risk for food contamination and foodborne illness.The findings included: The following observation was made on 09/23/25 at 09:40 AM during the initial tour of the kitchen:Bag of brownie mix in plastic bag not sealed.Bag of Pasta in original bag with large hole in bag in a plastic container not covered or sealed. […]

• No harm, potential for more than minimal, patternF921Dec 2, 2025

  Based on observations, interviews, and record reviews the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public, for 1 of 1 facility roof. The facility failed to ensure the roof of the facility was in good repair. This failure could cause leaking and water damage and cause the facility to have an unsightly appearance. The findings included: On 09/23/25 at 9:30 AM, upon entrance to the facility, an observation was made of the roof of the facility. A large blue tarp was noted to cover a large portion of the roof. The areas of the roof that were uncovered by the blue tarp were noted to have shingles missing in places. […]

• No harm, potential for more than minimal, patternF607Feb 6, 2025

  Based on interviews and record review, the facility failed to implement written policies and procedures that prohibit and prevent abuse and neglect for 4 of 7 residents (Resident #1, #2, #3 and #4) reviewed for abuse. The ADM (Abuse Preventionist) failed to follow the facility's abuse policy by not reporting the allegation of abuse to HHSC and documenting his investigation regarding the Resident-to-Resident altercation (Between Resident #1 and Resident #2) that occurred and was reported on 1/08/25 by the DON and LVN A. […]

• No harm, potential for more than minimal, patternF609Feb 6, 2025

  Based on interviews 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, were reported immediately, but not later than 2 hours if the alleged violation involved abuse or neglect and resulted in bodily injury, to other officials (including the State Agency) and the Abuse Preventionist for 4 of 7 residents (Resident #1, #2, #3 and #4) reviewed for abuse. The ADM (Abuse Preventionist) failed to report the allegation of abuse to HHSC regarding the Resident-to-Resident altercation (Between Resident #1 and Resident #2) that occurred and was reported on 1/08/25 by the DON and LVN A within the appropriate time frame. […]