Deficiency Index

Mineral Wells Nursing & Rehabilitation

Mineral Wells, Texas · CCN 455570

20 surveys since 2011, 9 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
65
Surveys
20
Harm or worse
9
Immediate jeopardy
2
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records.

Beyond CMS’s monthly file14/20

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

The facility

Certified beds
109
Ownership
For profit - Limited Liability company
Chain
CREATIVE SOLUTIONS IN HEALTHCARE
County
Palo Pinto · rural
Medicare-certified since
1985

CMS ratings

Overall
4
Health inspection
5
Staffing
1
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

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

Weighted by harm level, against 377 for-profit facilities of 100–127 beds in Texas.

Last survey on record

Jun 24, 2026

138 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 day3.053.25
Registered-nurse hours per resident day0.23—
Annual nurse turnover95.6%54.0%

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

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG17.1%H—I—
No harm, potential for more than minimalD964.3%E321.4%F—
No harm, potential for minimalA—B—C17.1%
CMS’s current file: 14 of the 65 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5581×

    Reasonably accommodate the needs and preferences of each resident.

  • F6021×

    Protect each resident from the wrongful use of the resident's belongings or money.

  • F6351×

    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

  • F6561×

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

In the surveyor’s words

From the most serious findings on record at Mineral Wells Nursing & Rehabilitation, in the surveyor’s own words.

  • Actual harm, isolatedF697Dec 20, 2022

    Based on observation, interview, and record review the facility failed to ensure that pain management was provided to residents who required such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 1 (Resident #238) of 6 residents reviewed for pain management. 1. The facility failed to ensure that Resident #238's pain was controlled for 11 days by not following physicians' orders regarding administration of hydrocodone. 2. The facility failed to ensure that Resident #238's pain was controlled for 5 days by not administering hydrocodone and fentanyl patch, due to not having the medication available. […]

  • No harm, potential for more than minimal, patternF812Apr 17, 2025

    Based on observations, interviews, and record reviews the facility failed to properly store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed. The facility failed to ensure the temperature of the banana pudding was taken prior to leaving the kitchen. The facility failed to ensure that staff performed hand hygiene while preparing food. These failures could place residents that eat out of the kitchen at risk for food borne illnesses. The findings included: During an observation and interview on 04/15/2025 between 11:00 AM and 12:30 PM the cook failed to take the temperature of the banana pudding, prior to resident's lunch trays being plated, placed on cart and ready to leave the kitchen. […]

  • No harm, potential for more than minimal, patternF812Feb 27, 2024

    Based on observations, interviews, and record reviews, the facility failed to properly store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for food and nutrition services. The facility failed to ensure 5 pies were covered when being stored in the refrigerator. This failure could place residents that eat out of the kitchen at risk for food borne illnesses. The findings included: During an observation on 02/25/2024 between at 8:30 AM to 9:00 a.m. of the kitchen's refrigerator revealed: Two metal trays with 5 pies sitting on them uncovered surrounded by food. Above the uncovered pies were boxes and plastic containers with liquid food. […]

  • No harm, potential for more than minimal, patternF812Dec 20, 2022

    Based on observations, interviews, and record reviews, the facility failed to Store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen's reviewed for food service. The facility failed to label items in refrigerators with an identifier of the food item. The facility failed to discard items in refrigerators after 7 days. The facility failed to seal items in refrigerators and dry food storage room. These failures placed all residents at risk of food borne illnesses. Findings included: During an observation and interviews on 12/18/22 at 10:06 AM Refrigerator #2 30 individual serving dishes with foil covering with a date of 12/15. There was no label on the dishes to identify the contents. […]

  • No harm, potential for more than minimal, patternF761Oct 13, 2021

    Based on observation, interview, and record review, the facility failed to ensure drugs, biologicals and medical supplies used in the facility were stored and labeled in accordance with currently accepted professional principles, for 2 of 2 medication rooms, one located on east hall and one located on west hall, and 1 of 1 treatment cart. The facility failed to ensure that all medications and supplies stored in medication room [ROOM NUMBER], east hall and medication room [ROOM NUMBER] west hall were properly labeled and not past their expiration date. The treatment cart was left unlocked and unattended. These failures could place all residents at risk of harm, decline in health, and medications/biologicals or misappropriation of medications. […]

Read 28 findings in full →The most serious and the most recent: 28 of 65 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 24, 2026Standard2 findings
  • Apr 17, 2025Standard4 findings
  • Mar 6, 2025Complaint1 finding
  • Feb 27, 2024Standard and complaint3 findings
  • Nov 15, 2023Complaint1 finding
  • Dec 20, 2022Standard and complaint3 findings · 1 harm
  • Oct 13, 2021Complaint4 findings
  • Aug 13, 2021Complaint2 findings
Show the 12 earlier surveys
  • Jul 9, 2021Complaint1 finding
  • Feb 11, 2020Complaint2 findings
  • Jul 11, 2019Standard3 findings
  • Jul 27, 2018Standard3 findings
  • Jul 21, 2017Standard and complaint7 findings
  • Jul 5, 2017Complaint3 findings · 2 harm
  • Jun 16, 2016Standard7 findings
  • May 22, 2015Standard and complaint2 findings · 1 harm
  • Jul 10, 2014Standard1 finding
  • Jun 7, 2012—4 findings · 2 harm
  • Mar 9, 2012—4 findings · 3 harm
  • Jun 10, 2011—8 findings

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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