Deficiency Index

Ridgeview Rehabilitation and Skilled Nursing

Cleburne, Texas · CCN 676197

16 surveys since 2011, 7 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
47
Surveys
16
Harm or worse
7
Immediate jeopardy
6
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy6

Findings at the most serious level CMS records.

Beyond CMS’s monthly file11/16

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

The facility

Certified beds
134
Ownership
Government - Hospital district
Chain
DALLAS COUNTY HOSPITAL DISTRICT
County
Johnson
Medicare-certified since
2008

CMS ratings

Overall
5
Health inspection
5
Staffing
3
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 70 government-run facilities with 128 or more beds in Texas.

Last survey on record

Dec 11, 2025

333 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 day3.673.23
Registered-nurse hours per resident day0.63—
Annual nurse turnover51.6%50.0%

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 harmG—H—I—
No harm, potential for more than minimalD1260.0%E735.0%F15.0%
No harm, potential for minimalA—B—C—
CMS’s current file: 20 of the 47 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6564×

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

  • F5582×

    Reasonably accommodate the needs and preferences of each resident.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5571×

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

  • F5831×

    Keep residents' personal and medical records private and confidential.

In the surveyor’s words

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

  • No harm, potential for more than minimal, widespreadF812Jul 27, 2023

    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. 1. There were 17 expired jello cups and an opened carton of expired cranberry juice stored in the reach-in refrigerator. 2. There was a tray of jello that spilled on top of a box of cooked ham stored in the walk-in refrigerator. 3. There were 24 cans of expired cranberry juice stored in the pantry. 4. There was a box of bananas that was not stored in a dry food storage area. 5. There were two small buckets filled with chemicals stored next to a box of bananas. […]

  • No harm, potential for more than minimal, patternF585Aug 30, 2025

    Based on observations, interviews, and record review, the facility failed to notify residents on how to file a grievance in an anonymous manner, and the contact information of the Grievance Official for 4 confidential residents out of 4 residents interviewed for grievances. 1.The facility failed to notify Residents or their representatives either individually or through prominent postings throughout the facility on how to file a grievance or complaint in an anonymous manner. 2.The facility failed to communicate to the residents who the facility identified as the Grievance Official. […]

  • No harm, potential for more than minimal, patternF557May 16, 2025

    Based on observation, interview, and record review, the facility failed to ensure a resident with an indwelling urinary catheter received treatment and services for 1 of 5 residents (Resident's #1, #2, and #3) reviewed for indwelling urinary catheters. 1. The facility failed to have a physician's order for Resident #2's urinary catheter. 2. The facility failed to ensure Resident #1, Resident #2, and Resident #3's urinary catheter bags were inside a privacy cover while inside and outside of their rooms. This deficient practice could affect any resident with an indwelling urinary catheter and place them at risk of increased UTI's, discomfort, and decreased quality of life. […]

  • No harm, potential for more than minimal, patternF656May 16, 2025

    Based on interview, observation, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs and describes the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 4 (Residents #1, #2, #3, and #4) of 7 residents reviewed for comprehensive care plans. The facility failed to care plan the use of Residents #1, #2, #3, and #4's urinary catheters. This failure placed residents that had urinary catheters at risk of not having their need for assistance met and increased susceptibility to UTI's. […]

  • No harm, potential for more than minimal, patternF583Jul 27, 2023

    Based on observation, interview, and record review, the facility failed to ensure that each resident had a right to secure and confidential personal and medical records for 5 of 10 residents (Residents #273, #270, #271, #34 and #272) reviewed for medical record confidentiality. The facility failed to ensure confidential medical information was kept private by leaving the computer screen open on the medication cart and leaving the 24-hour report (a report with resident names, diagnoses, and vital signs) on top of the cart and exposed where passersby could read it. […]

Read 27 findings in full →The most serious and the most recent: 27 of 47 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 11, 2025Standard5 findings
  • Aug 30, 2025Complaint1 finding
  • May 16, 2025Complaint2 findings
  • Sep 19, 2024Standard and complaint4 findings
  • Jul 27, 2023Standard8 findings
  • Jan 10, 2023Complaint1 finding
  • Jul 1, 2021Complaint1 finding
  • Jan 14, 2019Standard and complaint4 findings · 2 harm
Show the 8 earlier surveys
  • Jul 27, 2018Complaint6 findings
  • Nov 17, 2017Standard and complaint1 finding
  • Jul 12, 2017Complaint1 finding
  • Feb 1, 2017Complaint4 findings · 4 harm
  • Sep 25, 2014Standard1 finding
  • Sep 19, 2013—2 findings · 1 harm
  • Sep 27, 2012—3 findings
  • Sep 22, 2011—3 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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