Deficiency Index

Park Plaza Nursing and Rehabilitation Center

San Angelo, Texas · CCN 675982

23 surveys since 2011, 2 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
73
Surveys
23
Harm or worse
2
Immediate jeopardy
1
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file16/23

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

The facility

Certified beds
90
Ownership
For profit - Corporation
Chain
CREATIVE SOLUTIONS IN HEALTHCARE
County
Tom Green
Medicare-certified since
2003

CMS ratings

Overall
3
Health inspection
4
Staffing
1
Quality measures
4

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 164 for-profit facilities of 66–99 beds in Texas.

Last survey on record

May 14, 2026

179 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
Annual nurse turnover85.0%53.9%

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 harmG—H—I—
No harm, potential for more than minimalD1032.3%E1961.3%F13.2%
No harm, potential for minimalA—B—C13.2%
CMS’s current file: 31 of the 73 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7554×

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • F7613×

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  • F6562×

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

  • F6902×

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  • F7582×

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

In the surveyor’s words

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

  • No harm, potential for more than minimal, widespreadF812Jan 4, 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 for 1 of 1 kitchen reviewed in that: - The facility failed to label and date food items. - The facility failed to discard expired food items. - The facility failed to properly store dishes, utensils, pans. These deficient practices could place residents who received meals prepared meals from the kitchen at risk for food borne illness and cross-contamination. […]

  • No harm, potential for more than minimal, widespreadF727Oct 22, 2021

    FACILITY Sufficient and Competent Nurse Staffing 10/22/21 09:20 AM The facility failed to provide RN coverage on 2 weekends in the last 3 months, Based on interview, and record review, the facility failed to use the services of a registered nurse for at least 8 consecutive hours a day 7 days a week. The facility to maintain RN coverage for 10 days out of 90 days. This failure could place resident's health at risk if an LVN had to make a decision out of her scope of nursing. This failure could affect residents of the facility by placing them at risk for not having their nursing and medical needs met. Findings included: Record review of nursing schedule for August, September, and October 2021 revealed only one registered nurse that works the floor on night shift from 6:00 PM to 6:00 AM. […]

  • No harm, potential for more than minimal, patternF690Mar 13, 2025

    Based on observation, interview, and record review the facility failed to ensure 1 of 7 residents (Resident #36) with indwelling urinary catheters received appropriate care to prevent urinary tract infections to the extent possible. Resident #36's indwelling catheter tubing was dragging on the floor on 3 of 3 days observed. This failure could place residents with indwelling urinary catheters at risk of infection. The findings included: Resident #36 Record review of Resident #36's admission record dated 03/13/25 indicated he was admitted to the facility on [DATE] with diagnoses of muscle weakness, reduced mobility and retention of urine. He was [AGE] years of age. Record review of Resident #36's care plan dated 10/17/2024 indicated in part: Focus: The resident has an indwelling catheter. […]

  • No harm, potential for more than minimal, patternF550Feb 9, 2024

    Based on observation, interview, and record review, the facility failed to treat residents with respect, dignity, and care for each resident in a manner that promotes maintenance or enhancement of his or her quality of life for 2 of 4 residents (Resident #13 & Resident # 45) reviewed for dignity. The facility failed to ensure staff treated Resident #13 & Resident #45 with dignity by covering their catheter bags with privacy bags. This failure could place residents at risk of a diminished quality of life and lead to a loss of self-esteem. […]

  • No harm, potential for more than minimal, patternF610Feb 9, 2024

    Based on record reviews and interviews, the facility failed to thoroughly investigate allegations of Abuse and Neglect and Injury of Unknown Origin for 6 of 11 residents (Resident #6, #17, #20, #37, #27 and #42) reviewed. The facility did not have documentation that thorough investigations of allegations of Neglect for Resident #,6, #17, #20, #37, #27 and #42 were completed. This failure could place residents who report allegations of abuse at risk of not being thoroughly investigated. […]

Read 22 findings in full →The most serious and the most recent: 22 of 73 on record.

Every survey on record

FindingsAt actual harm or above

  • May 14, 2026Standard3 findings
  • Mar 13, 2025Standard and complaint4 findings
  • Apr 1, 2024Complaint1 finding
  • Feb 9, 2024Standard and complaint17 findings
  • Nov 20, 2023Complaint1 finding
  • Sep 7, 2023Complaint2 findings
  • Feb 15, 2023Complaint1 finding
  • Jan 4, 2023Standard3 findings
Show the 15 earlier surveys
  • Sep 8, 2022Complaint1 finding
  • Oct 22, 2021Standard6 findings
  • Sep 2, 2020Complaint1 finding
  • Oct 5, 2018Standard3 findings
  • Aug 3, 2017Standard and complaint3 findings
  • May 3, 2017Complaint1 finding
  • Mar 1, 2017Complaint2 findings · 1 harm
  • May 19, 2016Standard3 findings
  • May 29, 2015Standard and complaint5 findings
  • Jun 11, 2014Standard1 finding
  • Jan 17, 2014—1 finding · 1 harm
  • May 30, 2013—6 findings
  • Jul 19, 2012—5 findings
  • Apr 12, 2012—1 finding
  • Sep 2, 2011—2 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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