Levelland Nursing and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Aug 14, 2025

  Based on observation, interview and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 7 residents (Resident #1) reviewed for accidents and supervision. The facility failed to ensure adequate supervision of Resident #1 who was newly admitted to the facility on [DATE] around 2:00 PM and exhibiting signs of confusion. Resident #1 then eloped from the facility approximately 4 (four) hours later between 6:15 PM and 6:35 PM and was picked up by a Community Member and transported to the local police department. […]

• Immediate jeopardy, isolatedF689Mar 24, 2025

  Based on observation, interview and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 3 residents (Resident #1) reviewed for accidents, hazards, supervision. The facility failed to ensure Resident #1 received supervision and assistive devices to prevent accidents. Resident #1 was exit seeking and was able to elope and had fallen in the parking lot by the street. Staff were not aware of Resident #1's elopement and was found by Occupational Therapist that was off the clock. An Immediate Jeopardy (IJ) was identified on 03/21/25 at 3:32 PM. The IJ template was provided to the facility on [DATE] at 3:32 PM. […]

• No harm, potential for more than minimal, widespreadF925Oct 17, 2024

  Based on observation, interview, and record review the facility failed to maintain an effective pest control program so that the facility was free of pests in the kitchen and dining room reviewed for physical environment, in that: The facility failed to provide an effective pest control program for flies and insects in the facility. These failures could place residents at risk for vector-borne diseases. The findings include: During an observation on 10/15/24 at 09:15 AM, during initial tour of the kitchen, a fly was seen crawling on the steam table and three flies were crawling on the refrigerator across from the steam table. During an observation on 10/15/24 at 11:15 AM, during observation of puree, a fly was seen crawling on the steam table and on floor in front of prep table. […]

• No harm, potential for more than minimal, widespreadF803Sep 8, 2023

  Based on observation, interview, and record review, the facility failed to ensure that the menu was followed and reviewed by the facility's dietitian or other clinically qualified nutrition professional for nutritional adequacy for residents, for 1 out of 1 lunch served on 09/06/23 in that: 1. The facility failed to follow the approved dietary menu on 09/06/23 during the lunch period. These failures could place residents at risk for unwanted weight loss, hunger, unwanted weight gain, and metabolic imbalances. […]

• No harm, potential for more than minimal, widespreadF812Sep 8, 2023

  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: 1) The facility failed label all food items within the kitchen. 2) Dietary staff failed to store foods in a manner to prevent contamination. 3) Dietary staff failed to perform sanitary handwashing when entering the kitchen (Dietary Cook A) 4) Dietary staff failed to wear proper hair restrains while in the food preparation area (the DM, Dietary Cook A & Dietary Aide A). 5)Dietary Staff failed to use dishware that was in serving condition (broken ice scoop and stained glasses)(DM). […]