Deficiency Index

Southland Rehabilitation and Healthcare Center

Lufkin, Texas · CCN 675962

24 surveys since 2010, 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
78
Surveys
24
Harm or worse
7
Immediate jeopardy
6
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy6

Findings at the most serious level CMS records. 1 of these were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file16/24

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

The facility

Certified beds
150
Ownership
For profit - Corporation
Chain
THE ENSIGN GROUP
County
Angelina · rural
Medicare-certified since
2003

CMS ratings

Overall
1
Health inspection
2
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 209 for-profit facilities with 128 or more beds in Texas.

Last survey on record

May 13, 2026

180 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 day3.243.26
Registered-nurse hours per resident day0.32—
Annual nurse turnover51.6%55.3%

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

Enforcement

Fines
$188,884 across 2 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ14.5%K29.1%L—
Actual harmG—H—I—
No harm, potential for more than minimalD1254.5%E627.3%F—
No harm, potential for minimalA—B—C14.5%
CMS’s current file: 22 of the 78 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8804×

    Provide and implement an infection prevention and control program.

  • F6893×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F6772×

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

  • F5501×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F5581×

    Reasonably accommodate the needs and preferences of each resident.

In the surveyor’s words

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

  • Immediate jeopardy, patternF580Nov 11, 2024

    Based on interviews, and record review, the facility failed to consult with the physician when the resident experienced a change in condition for 2 of 6 residents (Resident #1 and Resident #2) reviewed for a change of condition. The facility failed to follow their skin and wound policy by not notifying the Medical Director of the changes to Resident #1 and Resident #2's wounds. Resident #1 was admitted to the hospital on 10/31/2024 with sepsis (infection in the blood) and osteomyelitis (bone infection). Resident #2 had an unstageable pressure ulcer wound that was identified on 11/10/2024. An Immediate Jeopardy was identified on 11/10/2024 at 11:15 AM. […]

  • Immediate jeopardy, patternF686Nov 11, 2024

    Based on observations, interviews, and record review, the facility failed to ensure the necessary treatment and services, in accordance with comprehensive assessment and professional standards of practice, to prevent development of pressure injuries was provided for 2 of 6 Residents (Resident #1 and Resident #2) reviewed for pressure injuries. The facility failed to prevent Resident #1 from developing a wound to his sacrum that changed from excoriation to a stage 4 pressure ulcer on 10/24/2024. […]

  • Immediate jeopardy, isolatedF689Aug 21, 2024

    Based on observation, interview, and record review, the facility failed to ensure residents received adequate supervision to prevent accidents for 2 of 3 residents (Resident #1 and Resident #4) reviewed for accidents. The facility failed to keep Resident #1 in a safe environment to prevent an elopement on 11/7/2023 when he climbed out of a window in the secured unit and broke a fence in the courtyard. The facility failed to keep Resident #4 in a safe environment to prevent an elopement on 11/20/2023. The noncompliance was identified as PNC (past non-compliance). The IJ (immediate jeopardy) began on 11/7/2023 and ended 11/20/2023. […]

  • No harm, potential for more than minimal, patternF880May 13, 2026

    Based on observations, interviews, and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 2 of 4 residents (Resident #3 and Resident #7) and 3 of 5 staff (CNA A, CNA B and ADON) reviewed for infection control.1.The facility failed to ensure CNA A wore the appropriate PPE when she provided care to Resident #3 who was on EBP on 5/13/2026.2.The facility failed to ensure CNA B and the ADON wore the appropriate PPE when they provided care to Resident #7 who was on enhanced barrier precautions (EBP) on 5/13/2026.These failures could place residents at risk of exposure to infectious… […]

  • No harm, potential for more than minimal, patternF925Jan 7, 2026

    Based on observation, interview, and record review, the facility failed to maintain an effective pest control program so that the facility was free of pests and rodents for 1 of 1 kitchen reviewed for pest control. The facility failed to ensure the kitchen remained free from roaches. On 1/05/2026 roaches were observed crawling on the wall behind the bags of cereal in the dry pantry area, and crawling on the floor in the main kitchen prep and cooking area. This failure could place residents at risk for reduced quality of life and poor sanitary environment.Findings included: During the initial tour of the kitchen dry pantry area on 1/05/2026 at 9:00 AM, a live roach was seen crawling up the wall behind the cereal, upon moving the bags of cereal dried roach excrement was observed on the wall. […]

Read 24 findings in full →The most serious and the most recent: 24 of 78 on record.

Every survey on record

FindingsAt actual harm or above

  • May 13, 2026Complaint2 findings
  • Feb 26, 2026Complaint2 findings
  • Jan 7, 2026Standard4 findings
  • Nov 11, 2024Complaint2 findings · 2 harm
  • Nov 6, 2024Standard3 findings
  • Oct 29, 2024Complaint1 finding
  • Aug 21, 2024Complaint3 findings · 1 harm
  • Oct 18, 2023Standard5 findings
Show the 16 earlier surveys
  • Aug 24, 2022Standard1 finding
  • Apr 21, 2021Standard2 findings
  • Nov 11, 2020Complaint3 findings · 1 harm
  • Jul 17, 2019Standard4 findings
  • Aug 29, 2018Standard3 findings
  • Oct 12, 2017Standard2 findings
  • Oct 5, 2016Standard6 findings
  • Oct 21, 2015Standard1 finding
  • Jul 6, 2015Complaint1 finding · 1 harm
  • Sep 26, 2014Standard7 findings
  • Oct 3, 2013—10 findings · 2 harm
  • Apr 9, 2013—2 findings
  • Aug 22, 2012—2 findings
  • Jan 11, 2012—2 findings
  • Jul 20, 2011—8 findings
  • Dec 16, 2010—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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