Deficiency Index

Renaissance Rehabilitation and Healthcare Center

Italy, Texas · CCN 675103

17 surveys since 2010, 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
51
Surveys
17
Harm or worse
13
Immediate jeopardy
11
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy11

Findings at the most serious level CMS records.

Beyond CMS’s monthly file14/17

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

The facility

Certified beds
74
Ownership
Government - Hospital district
Chain
NEXION HEALTH
County
Ellis
Medicare-certified since
1992

CMS ratings

Overall
5
Health inspection
5
Staffing
2
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=11, floor 20).

Last survey on record

Sep 10, 2025

425 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 day3.363.24
Registered-nurse hours per resident day0.37—
Annual nurse turnover31.1%54.3%

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 minimalD545.5%E654.5%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 11 of the 51 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7553×

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

  • F8122×

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

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5581×

    Reasonably accommodate the needs and preferences of each resident.

  • F6771×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

In the surveyor’s words

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

  • No harm, potential for more than minimal, patternF812Sep 10, 2025

    Based on observation, interviews, and record reviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards reviewed for food service safety in the reviewed 1 of 1 kitchen. The facility failed to ensure food safety by not consistently monitoring, discarding expired food, maintaining unsanitary kitchen equipment, and storage areas. These failures can place residents at risk for foodborne illness. Findings included:Observation in the kitchen on 9/08/2025 at 9:15 AM of the one refrigerator in the kitchen reflected the following: - Dannon Creamy Yogurt with an expiration date of 9-03-2025.Observation in the kitchen on 9/08/2025 at 9:23 AM of the one pantry reflected the following: - Marshmallows with an expiration date of 8-18-2025. […]

  • No harm, potential for more than minimal, patternF755Aug 3, 2023

    Based on interviews and records review, the facility failed to ensure that medical records were accurately documented for four (4) of thirteen (13) residents (Resident #6, Resident #8, Resident #12, Resident #13) reviewed for accurate clinical records, in that: The facility failed to ensure Resident #6, Resident #8, Resident #12, and Resident #13's EMARs were accurately reflecting narcotic medications administered. This deficient practice could result in errors in care and treatment. […]

  • No harm, potential for more than minimal, patternF677Jun 29, 2023

    42971 Based on observation, interview, and record review the facility failed to provide the necessary services for residents who are unable to carry out activities of daily living to maintain good grooming and personal hygiene for 3 (Resident #20, Resident #213 and Resident #42) of 15 residents reviewed for ADLs. The facility failed to ensure: -Resident#20 had her fingernails cleaned and trimmed. -Resident#213 had her fingernails cleaned and trimmed. -Resident #42 had his facial hair and fingernails trimmed. These failures could place residents who were dependent on staff for ADL care at risk for loss of dignity, risk for infections and a decreased quality of life. Findings include: 1. […]

  • No harm, potential for more than minimal, patternF812Jun 29, 2023

    Based on observations, interviews, and record review, the facility failed to distribute and serve food in accordance with professional standards for food service safety for the facility's only kitchen for 2 of 2 (Freezer #1 and #2) reviewed for kitchen sanitation. The facility failed to ensure items in Freezer #1 and #2 were sealed properly. This failure could place residents at risk for food contamination and food-borne illness. Findings included: Observations on 06/27/23 for Freezer #1 revealed: - at 11:16 AM revealed a box of bacon was open, not sealed about 2 inches with bacon not sealed. […]

  • No harm, potential for more than minimal, patternF880Jun 29, 2023

    Based on observation, interview and record review, the facility failed to maintain an infection prevention and control program designated to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable disease and infection for 5 (Resident #22, Resident #27, Resident #31, Resident #40, and Resident #45) of 6 residents reviewed for infection control. The facility failed to ensure MA A disinfected the blood pressure cuff in between blood pressure checks for Residents #22, #27, #31, #40, and #45. […]

Read 25 findings in full →The most serious and the most recent: 25 of 51 on record.

Every survey on record

FindingsAt actual harm or above

  • Sep 10, 2025Standard4 findings
  • Aug 3, 2023Complaint1 finding
  • Jun 29, 2023Standard6 findings
  • Aug 30, 2019Standard1 finding
  • Sep 15, 2017Standard and complaint1 finding
  • Apr 13, 2017Complaint1 finding · 1 harm
  • Sep 8, 2016Standard and complaint2 findings
  • Sep 11, 2015Standard4 findings
Show the 9 earlier surveys
  • Sep 11, 2014Standard1 finding
  • Feb 7, 2014Complaint5 findings · 4 harm
  • Nov 21, 2013Standard3 findings
  • May 8, 2013Complaint4 findings · 3 harm
  • Oct 4, 2012—1 finding
  • Mar 22, 2012—2 findings
  • Oct 31, 2011—5 findings · 1 harm
  • Dec 3, 2010—4 findings · 4 harm
  • Oct 14, 2010—6 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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