CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Castle Hills Rehabilitation and Care Center
View the most recent health deficiencies and inspection results for Castle Hills Rehabilitation and Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Castle Hills Rehabilitation and Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-04-24 | 2026-05-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-04-24 | 2026-05-31 | Y |
| 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. | Health | 2026-03-06 | 2026-03-20 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2026-02-22 | 2026-03-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-02-22 | 2026-03-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-02-22 | 2026-03-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-01-16 | 2026-02-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-01-16 | 2026-02-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-10 | 2026-01-10 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-11-14 | 2026-01-10 | Y |
| Keep all essential equipment working safely. | Health | 2025-12-10 | 2025-12-12 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-11-14 | 2025-11-30 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2025-11-25 | 2025-11-26 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-08-15 | 2025-09-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-12 | 2025-09-13 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-09-12 | 2025-09-13 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2025-09-12 | 2025-09-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-09-12 | 2025-09-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-09-12 | 2025-09-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-09-12 | 2025-09-13 | N |
| 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. | Health | 2025-09-12 | 2025-09-13 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-09-12 | 2025-09-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-09-12 | 2025-09-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-09-12 | 2025-09-13 | N |
| Have policies on smoking. | Health | 2025-09-12 | 2025-09-13 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2025-09-12 | 2025-09-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-09-12 | 2025-09-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-09-12 | 2025-09-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-09-12 | 2025-09-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-09-12 | 2025-09-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-09-12 | 2025-09-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-09-12 | 2025-09-11 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-09-12 | 2025-09-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-06-26 | 2025-06-30 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-05-02 | 2025-05-03 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-05-02 | 2025-05-03 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-08-23 | 2024-10-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-08-23 | 2024-10-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-08-23 | 2024-10-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-08-23 | 2024-10-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-08-23 | 2024-10-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-23 | 2024-10-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-13 | 2024-09-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-09-10 | 2024-09-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-23 | 2024-09-23 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-08-23 | 2024-09-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-23 | 2024-09-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-23 | 2024-09-23 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-08-23 | 2024-09-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-23 | 2024-09-23 | N |
| 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. | Health | 2024-08-23 | 2024-09-23 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-08-23 | 2024-09-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-23 | 2024-09-23 | N |
| Keep all essential equipment working safely. | Health | 2024-08-23 | 2024-09-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-08-23 | 2024-08-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-08-23 | 2024-08-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-02 | 2024-06-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-16 | 2024-04-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-23 | 2024-03-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-23 | 2024-03-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-16 | 2024-03-17 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-16 | 2024-03-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-16 | 2024-03-17 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2023-12-21 | 2024-01-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-21 | 2024-01-20 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-07-14 | 2023-08-25 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-07-14 | 2023-08-25 | N |
| Meet other general requirements. | Fire Safety | 2023-07-14 | 2023-08-25 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-07-14 | 2023-08-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-14 | 2023-08-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-14 | 2023-08-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-14 | 2023-08-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-14 | 2023-08-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-14 | 2023-08-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-07-14 | 2023-08-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-14 | 2023-08-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-14 | 2023-08-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-14 | 2023-08-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-07-14 | 2023-08-14 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-07-14 | 2023-08-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-07-14 | 2023-08-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-14 | 2023-08-14 | N |
| Dispose of garbage and refuse properly. | Health | 2023-07-14 | 2023-08-14 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-07-14 | 2023-08-14 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2023-07-14 | 2023-07-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-14 | 2023-07-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-14 | 2023-07-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-14 | 2023-07-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-07-14 | 2023-07-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-14 | 2023-07-13 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-07-10 | 2023-07-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-10 | 2023-07-11 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-07-10 | 2023-07-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-10 | 2023-07-11 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-07-10 | 2023-07-11 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-29 | 2023-07-05 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-06-29 | 2023-07-05 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-09-12 | Not Fixed | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-09-12 | Not Fixed | N |