Lubbock Health Care Center

In the surveyor’s words

From the most serious findings on record at Lubbock Health Care Center, in the surveyor’s own words.

• Actual harm, isolatedF689Jun 1, 2022

  Based on observation, interview, and record review the facility failed to ensure each resident receives adequate supervision and assistance devices to prevent accidents for 1 of 5 residents (Resident #1) reviewed for accident hazards/supervision. The facility failed to use a two-person mechanical lift transfer from the wheelchair to the bed causing Resident #1's foot to get caught between the bed and the Hoyer lift, resulting in an acute nondisplaced fracture of her left distal tibia (ankle). The noncompliance was identified as PNC. The noncompliance started on 05/21/2022 and ended on 05/22/2022. The facility had corrected the noncomplaince before the survey began. This failure could result in residents experiencing accidents, injuries and/or a diminished quality of life. […]

• No harm, potential for more than minimal, widespreadF812Dec 9, 2025

  Based on observations, interviews, 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 (Kitchen A) reviewed for dietary services. [NAME] D failed to ensure food was stored, prepared, and served under sanitary conditions. Food items-including butter and rolls were left uncovered for extended periods while in the kitchen. Resident drink cups were stored on 12/7/25 by DA A and DA E: Trays were stacked directly on top of uncovered cups, exposing the rims of the cups to the unsanitary underside of serving trays. DM failed to discard spoiled sweet potatoes that were visibly rotten and stored with fresh food items. […]

• No harm, potential for more than minimal, widespreadF585Sep 10, 2024

  Based on observation, interview, and record review, the facility failed to provide information to resident's and their representatives on their rights related to filing grievances or concerns for 6 of 6 confidential residents. 1. The facility failed to make information known to Resident's and their Representatives either individually or through postings in prominent locations throughout the facility on who the facility grievance official was, their contact information, how to file an anonymous grievance and their right to obtain a written decision related to their grievance. 2. […]

• No harm, potential for more than minimal, widespreadF812Jul 27, 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 the facility's kitchen reviewed for kitchen sanitation. 1. The facility failed to ensure stored foods were properly labeled and dated. 2. The facility failed to ensure expired foods were discarded. These failures could place residents who ate the food from the kitchen at risk for food-borne illness. Findings included: Observation of the pantry on [DATE] at 10:18AM revealed the following: 1. (1) 1-gallon container of Spicy Green Tomatoes with Best by Date of [DATE] 2. (1) 5-gallon container of vanilla with Best by Date of [DATE] Observation of the freezer on [DATE] at 10:32AM revealed the following: 1. […]

• No harm, potential for more than minimal, patternF584Dec 9, 2025

  Based on observations, interviews, and record review the facility failed to ensure a resident has a right to a safe, clean, comfortable and homelike environment for 1 of 20 residents reviewed for physical environment. A handrail in the shower room on South Hall was loose. This deficient practice has the potential to place residents at risk for injuries related to falls that could result in bruising, skin tears, wounds, fractures, and decreased quality of life. Findings include: During a confidential interview held on 12/08/2025 at 2:00 PM, 3 of 7 confidential residents mentioned a loose handrail in the shower room on South Hall. 3 of 7 confidential residents stated the handrail had been loose for an unknown period of time. […]