Kingsville Nursing and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF684Apr 1, 2022

  Based on interviews, record reviews, and observations, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for one of six residents (Resident #1) reviewed for quality of care. Facility staff failed to check Resident #1's meal tray and provided Resident #1 with a mechanical soft textured diet instead of pureed textured diet as order by physician. Resident #1 was sent to emergency room due to change of condition and was admitted to the hospital with a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . This failure resulted in the identification of Immediate Jeopardy (IJ) on 3/30/2022 at 4:33p.m. […]

• No harm, potential for more than minimal, patternF880Mar 25, 2026

  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 infections for 3 (Resident #1, #2, and #3) of 5 residents reviewed for infection control practices.The facility failed to ensure CNAs were aware of the correct technique and infection control practices when providing incontinent care to Resident #1.The facility failed to ensure Residents #2 and #3 had the appropriate PPE outside the residents' rooms. These failures could place residents at risk for cross-contamination and infection.The findings included:1. […]

• No harm, potential for more than minimal, patternF607Feb 11, 2026

  Based on interviews and record reviews, the facility failed to implement written policies and procedures to prohibit and prevent abuse, neglect, and misappropriation for 1 of 5 residents (Resident #1) reviewed for developing and implementing abuse and neglect policies and procedures.1.The facility failed to follow their policy to report to HHSC within two hours when Resident #1 alleged Resident #2 sexually assaulted him on 02/07/26.2. The facility failed to follow their policy to investigate an allegation of sexual abuse made by resident #1 on 02/07/26.This failure could place residents at risk for abuse/continued abuse and could lead to a diminished quality of life and psychosocial harm.Record review of Resident #1's admission record reflected an [AGE] year-old male admitted to the… […]

• No harm, potential for more than minimal, patternF600Jul 3, 2025

  Based on record reviews and interviews the facility failed to ensure that residents were free from abuse for one of six (Resident #33) residents reviewed for abuse.The facility failed to ensure that the SW did not take Resident #33's DVD player away when he displayed unwanted behavior on 04/11/25.This deficient practice could put residents with unwanted behaviors at risk of not attaining or maintaining their highest practicable levels of mental and psychosocial wellbeing.Findings included:Record review of Resident #33's admission record reflected a [AGE] year-old male admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF761Jul 3, 2025

  Based on observation, interview, and record review the facility failed to store all drugs and biologicals properly and in locked compartments on 1 of 5 carts reviewed for storage of drugs and 1 (med-room [ROOM NUMBER]) of 2 medication rooms reviewed for storage. 1. The facility failed to ensure the WCN cart located on the 200 hall was locked when not in use. 2. The facility failed to ensure Resident #54's expired medications were disposed of in a timely manner. 3. The facility failed to ensure Resident #81 and Resident #54's medications were stored in the appropriate boxes for the residents. […]