Deficiency Index

Lampasas Nursing and Rehabilitation Center

Lampasas, Texas · CCN 455513

30 surveys since 2011, 13 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
76
Surveys
30
Harm or worse
13
Immediate jeopardy
8
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy8

Findings at the most serious level CMS records.

Beyond CMS’s monthly file19/30

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
68
Ownership
Government - Hospital district
Chain
DIVERSICARE HEALTHCARE
County
Lampasas
Medicare-certified since
1985

CMS ratings

Overall
1
Health inspection
2
Staffing
1
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 49 government-run facilities of 66–99 beds in Texas.

Last survey on record

Jun 17, 2026

145 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.433.24
Registered-nurse hours per resident day0.48—

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$24,228 across 2 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ211.8%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1482.4%E15.9%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 17 of the 76 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5582×

    Reasonably accommodate the needs and preferences of each resident.

  • F6552×

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6842×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • 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 Lampasas Nursing and Rehabilitation Center, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF684Nov 23, 2025

    Based on observations, interviews, and record reviews, the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for two of two residents reviewed for quality of care.The facility failed to provide Resident #1 with post-surgery pain medication for more than 48 hours after admission, provide enteral feeding and hydration for more than 19 hours after admission, and provide colostomy/ileostomy (an opening in the abdomen for feces to leave the body) care to avoid fecal leakage, skin breakdown, and hospitalization.The facility failed to provide Resident #2 with the proper care and assessment to identify an injury of unknown origin that resulted in a large… […]

  • Immediate jeopardy, isolatedF684Jun 13, 2025

    Based on interview and record review, the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 (Resident #1) of 8 Resident reviewed for quality of care. The facility failed to ensure MA A notified LVN B on [DATE] when Resident #1's BP reading was 86/54 on [DATE], which is far from baseline. Resident #1 was sent to the ER on [DATE] and was diagnosed with Sepsis (a serious condition that occurs when the body has an extreme reaction to an infection leading to widespread inflammation and potential organ dysfunction.) and Hypotension (or low plod pressure is a condition where blood pressure is lower than 90/60 mm Hg. […]

  • No harm, potential for more than minimal, widespreadF812Jun 16, 2022

    Based on observation, interview, and record review, the facility failed to store food in accordance with professional standards for food service safety for one of one kitchen reviewed for sanitation. The Dietary Supervisor failed to ensure all foods were discarded prior to their expiration, use-by, best-by, or discard date. This failure placed residents at risk of foodborne illness. Findings included: During observations of the kitchen on [DATE] from 9:17 a.m.-9:37 a.m., the following were noted: At 9:17 a.m., the walk-in refrigerator contained two plastic bags labeled mech pork with use-by dates of [DATE]. At 9:18 a.m., the walk-in refrigerator contained a plastic bag of opened deli meat labeled pulled [DATE]. […]

  • No harm, potential for more than minimal, patternF812Oct 31, 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 in 1 of 1 kitchen reviewed for dietary services in that: The facility failed to correctly label and date food, dispose of expired items within the expiration dates, and effectively store frozen items in sealed containers. These failures could place residents at risk for food contamination and foodborne illness. The findings included: During the initial tour of the kitchen on [DATE] at 09:00 AM the following was observed: - Reach in freezer 1 contained two bags of frozen breaded chicken patties in a clear zip seal bag, and 1 bag of frozen pineapple slices all with an expiration date of [DATE]. […]

  • No harm, potential for more than minimal, patternF759Mar 10, 2021

    Based on observation, interview and record review the facility failed to ensure they did not have a medication error rate of 5% or greater when they had two (2) errors of 27 opportunities which was an error rate of 7.41% for the facility for one (1) of six (6) residents. The facility failed to give medications as ordered when: MA C administered Calcium 500 mg with D one tab to Resident #20 which was expired and MA C administered [MEDICATION(S)] 50 mcg one tab to Resident #20 while she was eating breakfast when [MEDICATION(S)] should be taken 30 to 60 min before breakfast on an empty stomach. […]

Read 31 findings in full →The most serious and the most recent: 31 of 76 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 17, 2026Complaint2 findings
  • Apr 15, 2026Complaint1 finding
  • Feb 13, 2026Complaint1 finding
  • Jan 22, 2026Standard3 findings
  • Jan 8, 2026Complaint1 finding
  • Nov 23, 2025Complaint1 finding · 1 harm
  • Jun 13, 2025Complaint1 finding · 1 harm
  • Dec 6, 2024Complaint1 finding
Show the 22 earlier surveys
  • Oct 31, 2024Standard4 findings
  • Apr 5, 2024Complaint1 finding
  • Sep 13, 2023Standard1 finding
  • Jan 11, 2023Complaint1 finding
  • Jun 16, 2022Standard3 findings
  • Mar 10, 2021Standard and complaint5 findings
  • Feb 4, 2021Complaint1 finding
  • Feb 5, 2020Standard2 findings
  • Feb 13, 2019Standard2 findings
  • Feb 8, 2018Standard2 findings
  • Feb 23, 2017Standard5 findings
  • Sep 13, 2016Complaint1 finding
  • Mar 24, 2016Standard2 findings
  • Dec 23, 2015Complaint4 findings · 4 harm
  • Mar 4, 2015Standard4 findings
  • Feb 5, 2015Complaint2 findings
  • Apr 3, 2014Standard8 findings
  • May 31, 2013—2 findings
  • May 10, 2012—5 findings
  • Apr 26, 2012—1 finding
  • Mar 20, 2012—5 findings · 5 harm
  • Jul 15, 2011—4 findings · 2 harm

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.

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