Del Rio Nursing and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Aug 6, 2026

  Based on observations, interviews, and record reviews the facility failed to ensure the residents right to be free from neglect for 1 of 4 residents (Resident #1) reviewed for freedom from abuse, neglect, and exploitation. The facility VD failed to call 911 after Resident #1 slid out of her wheelchair to the van floor after the brakes of the van were applied quickly to avoid an accident on 8/4/26. The VD stopped to check on Resident #1 then continued to drop another resident off at an appointment before driving Resident #1 back to the facility where EMS was called. Resident #1 was sent by EMS to the hospital and sent back to the facility the same day with diagnoses of lower extremity fractures. Resident #1 was on the van floor for approximately 45 minutes. […]

• Actual harm, isolatedF689Mar 27, 2024

  Based on observations, interviews, and record review the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 5 residents (Resident #1) reviewed for adequate supervision. On 01/30/24, Resident #1 was left unsupervised and suffered an injury, bilateral nasal bone fracture and ten sutures to the forehead, from an unwitnessed fall from a wheelchair to the floor. The facility did not provide adequate supervision. The noncompliance was identified as PNC. The noncompliance began on 01/30/24 and ended on 02/06/24. […]

• No harm, potential for more than minimal, widespreadF812Apr 12, 2024

  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 for 1 of 1 kitchen reviewed for kitchen sanitation in that: The facility failed to maintain the cleanliness of the facility ice maker. The failure could place residents at risk for cross-contamination and foodborne illnesses. The findings included: Observation on 04/10/2024 at 5:06 PM revealed a black substance build-up within the walls of the ice maker in the kitchen storage room. Interview on 04/10/2024 at 5:06 PM, the DM stated the kitchen and maintenance staff were both responsible for cleaning the ice maker monthly . […]

• No harm, potential for more than minimal, patternF565Jun 17, 2026

  Based on interview and record review, the facility failed to consider the views of the resident or family group and act promptly upon the grievances and recommendations of such groups concerning issues of resident care and life in the facility and demonstrate their response and rationale for such response for 1 of 1 resident council reviewed. The facility failed to follow up on concerns and requests expressed in resident council meetings from February 2026 - May 2026. This failure placed residents at risk of not having their preferences honored.The findings included: Review of Resident Council minutes reflected failure to follow up with group grievances: 05/04/2026 Dietary: Why is coffee prepared late, especially in the morning? We want coffee earlier, at least by 7 AM. […]

• No harm, potential for more than minimal, patternF680Jun 17, 2026

  Based on interview and record review the facility failed to ensure the activities program was directed by a qualified professional who was a qualified therapeutic recreation specialist or an activities professional who was licensed or registered by the State for 1 of 1 facility reviewed for qualifications of activity professionals. The facility failed to have a qualified Activities Professional to direct their activities program. This deficient practice could place residents at risk of not receiving approaches that were individualized to match the skills, abilities, and interests/preferences of each resident for activities.The findings included: During an interview on 06/15/2026 at 1:49 p.m., the ADNS revealed the former Activity Director transitioned to a role with the dietary department… […]