Cypress Springs Wellness & Rehabilitation
Mount Vernon, Texas · CCN 676477
15 surveys since 2019, 3 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
- 69
- Surveys
- 15
- Harm or worse
- 3
- Immediate jeopardy
- 3
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 95
- Ownership
- For profit - Limited Liability company
- Chain
- OPCO SKILLED MANAGEMENT
- County
- Franklin · rural
- Medicare-certified since
- 2019
CMS ratings
- Overall
- 2
- Health inspection
- 2
- Staffing
- 3
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 164 for-profit facilities of 66–99 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
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.57 | 3.22 |
| Registered-nurse hours per resident day | 0.91 | — |
| Annual nurse turnover | 81.1% | 53.9% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $29,438 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K13.8% | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1869.2% | E623.1% | F13.8% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8804×
Provide and implement an infection prevention and control program.
- F6953×
Provide safe and appropriate respiratory care for a resident when needed.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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.
- F8122×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
In the surveyor’s words
From the most serious findings on record at Cypress Springs Wellness & Rehabilitation, in the surveyor’s own words.
- Immediate jeopardy, patternF607Apr 14, 2025
Based on interview and record review, the facility failed to implement written policies and procedures that prohibit and prevent, neglect, and abuse of residents, for 1 of 7 residents (Resident #1) reviewed for abuse. 1. Resident #1 alleged CNA B was rough, while providing incontinent care as pushed her left shoulder causing her to almost hit her head on the rail during care. CNA A witnessed the alleged abuse and failed to report timely to the abuse coordinator on 03/09/2025. 2. The facility did not ensure the ADON and DON notified the abuse coordinator of an allegation of abuse reported by CNA C on 3/09/2025 at 6:07 a.m. via a text message concerning Resident #1. The Abuse coordinator was made aware of the ADON and DON's knowledge of the abuse allegation on 4/10/2025 by the surveyor. 3. […]
- No harm, potential for more than minimal, widespreadF725May 19, 2026
Based on interview and record review, the facility failed to provide sufficient number of nursing staff on a 24-hour basis to provide nursing care to all residents in accordance with resident care plans and the facility assessment for 1 of 1 facility reviewed for care and services. The facility failed to have sufficient nursing staff on an 24 hour basis that meet the appropriate competencies, skill set, and required qualifications to provide nursing and related services to attain or maintain the highest practicable physical, mental and psychosocial well-being for each resident on 4/1/26, 4/2/26, 4/3/26, 4/4/26, 4/7/26, 4/8/26, 4/10/26, 4/11/26, 4/18/26, 4/22/26, 4/24/26, 4/25/26, 4/28/26, 4/29/26, 5/2/26, 5/3/26, 5/5/26, 5/7/26, 5/11/26, 5/12/26, 5/13/26, 5/14/26, 5/16/26, 5/18/26 when… […]
- No harm, potential for more than minimal, patternF565Aug 20, 2026
Based on observation, interviews, and record review, the facility failed to provide a private meeting space for residents' monthly council meetings for 9 of 9 confidential residents reviewed for resident council. The facility failed to provide a private meeting area and ensure staff or visitors did not disturb the meeting. This failure could place residents at risk of not being able to voice concerns, fear of retaliation, and discomfort due to a lack of privacy. Findings include:During an observation on 08/18/26 at 10:30 a.m., a sign posted on the activity area doors stating a resident council meeting in progress. Do not enter.During a confidential group interview on 08/18/26 beginning at 10:34 a.m., LVN E walked through the doors on each side of the activity/dining room. […]
- No harm, potential for more than minimal, patternF583Aug 20, 2026
Based on interviews and record review, the facility failed to ensure residents had a right to personal privacy for 4 of 4 confidential residents reviewed for resident rights to receive personal mail. The facility did not ensure residents promptly received mail on Saturdays.This failure could place residents at risk with a decline in a resident's psychosocial well-being and quality of life.Findings include:During a confidential group interview at an undisclosed date and time, 4 residents stated they did not always receive their mail on Saturdays. The residents stated they had to wait until Monday when the Activity Director passed it out. During an interview on 08/18/26 at 11:08 a.m., the Activity Director stated she was unaware residents were not receiving their mail on Saturdays. […]
- No harm, potential for more than minimal, patternF689Aug 20, 2026
Based on observations, interviews and record reviews, the facility failed to ensure that the resident environment remains as free of accident hazards as possible for 4 of 6 residents (Resident's #5, #25, #6, and #10) reviewed for accidents. 1.The facility failed to ensure Resident #5, and Resident #25 had fire retardant curtains in their rooms hanging on 08/17/26, 08/18/26 and 08/19/26. 2.The facility did not ensure aerosol and air freshener spray were not stored on Resident #6's dresser on 08/17/26, 08/18/26 and 08/19/26. 3.The facility failed to ensure Resident #10's room was free from Lysol and Febreze spray on 08/17/26. These failures could place residents at risk of injury. Findings included:1. […]
Read 23 findings in full →The most serious and the most recent: 23 of 69 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 20, 2026Standard and complaint18 findings
- Jul 7, 2026Complaint3 findings
- Jun 2, 2026Complaint1 finding
- May 19, 2026Complaint1 finding
- Apr 15, 2026Complaint3 findings
- Jun 11, 2025Standard8 findings
- Apr 14, 2025Complaint2 findings · 1 harm
- May 22, 2024Standard4 findings
Show the 7 earlier surveys
- Apr 5, 2023Standard4 findings
- Dec 14, 2022Infection control2 findings
- Mar 9, 2022Standard3 findings
- May 19, 2021Standard3 findings
- Jul 16, 2020Complaint1 finding
- Apr 28, 2020Complaint2 findings · 2 harm
- Nov 20, 2019Standard14 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.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction