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🔎 Kennedy Health And Rehab

Inspection Results


Inspection Overview

Kennedy Health And Rehab has been cited for a total of 55 deficiencies since we began saving each survey.

In Texas, the average facility has **34.42 deficiencies** in our database. This profile shows the longer-term view.

Tip: Surveys happen throughout the year. Always check the official Medicare Care Compare site for the most recent data.



Understanding Deficiency Severity (A-L Scale)

The farther along in the alphabet (A through L) the Scope value is, the more severe the deficiency. **A through F means no actual harm has happened.**

Severity (Harm)Scope (Widespread?)Code Range
No Actual HarmIsolated to PatternA - C
No Actual HarmWidespreadD - F
**Actual Harm**IsolatedG
**Actual Harm**PatternH
**Actual Harm**WidespreadI
**Immediate Jeopardy**IsolatedJ
**Immediate Jeopardy**PatternK
**Immediate Jeopardy**WidespreadL


Detailed Deficiency List (Most Recent First)

Scope/Severity: D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey Date: 2025-05-01
Correction Date: 2025-05-30
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: F

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Survey Date: 2025-05-01
Correction Date: 2025-05-30
Category: Administration Deficiencies
From Complaint: Y

Scope/Severity: D

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

Survey Date: 2025-03-05
Correction Date: 2025-03-06
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: F

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Survey Date: 2025-03-05
Correction Date: 2025-03-06
Category: Administration Deficiencies
From Complaint: Y

Scope/Severity: D

Provide and implement an infection prevention and control program.

Survey Date: 2025-03-05
Correction Date: 2025-03-06
Category: Infection Control Deficiencies
From Complaint: Y

Scope/Severity: D

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.

Survey Date: 2024-12-12
Correction Date: 2024-12-20
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: K

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

Survey Date: 2024-12-12
Correction Date: 2024-12-15
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey Date: 2024-12-12
Correction Date: 2024-12-20
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: E

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey Date: 2024-12-12
Correction Date: 2024-12-15
Category: Environmental Deficiencies
From Complaint: Y

Scope/Severity: E

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey Date: 2024-12-12
Correction Date: 2024-12-20
Category: Environmental Deficiencies
From Complaint: Y

Scope/Severity: D

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

Survey Date: 2024-11-02
Correction Date: 2024-11-04
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: D

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

Survey Date: 2024-11-02
Correction Date: 2024-11-25
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey Date: 2024-11-02
Correction Date: 2024-11-25
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: D

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

Survey Date: 2024-11-02
Correction Date: 2024-11-25
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: J

Provide safe and appropriate respiratory care for a resident when needed.

Survey Date: 2024-11-02
Correction Date: 2024-11-03
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: F

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.

Survey Date: 2024-11-02
Correction Date: 2024-11-25
Category: Nursing and Physician Services Deficiencies
From Complaint: Y

Scope/Severity: C

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Survey Date: 2024-11-02
Correction Date: 2024-11-20
Category: Administration Deficiencies
From Complaint: Y

Scope/Severity: E

Provide and implement an infection prevention and control program.

Survey Date: 2024-11-02
Correction Date: 2024-11-25
Category: Infection Control Deficiencies
From Complaint: Y

Scope/Severity: F

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey Date: 2024-11-02
Correction Date: 2024-11-03
Category: Environmental Deficiencies
From Complaint: Y

Scope/Severity: F

Give residents a notice of rights, rules, services and charges.

Survey Date: 2024-04-24
Correction Date: 2024-05-24
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey Date: 2024-04-24
Correction Date: 2024-05-24
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: C

Post nurse staffing information every day.

Survey Date: 2024-04-24
Correction Date: 2024-05-24
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: F

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.

Survey Date: 2024-04-24
Correction Date: 2024-05-24
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: F

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

Survey Date: 2024-04-24
Correction Date: 2024-05-24
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: E

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey Date: 2023-05-09
Correction Date: 2023-06-21
Category: Environmental Deficiencies
From Complaint: Y

Scope/Severity: E

Keep residents' personal and medical records private and confidential.

Survey Date: 2023-03-01
Correction Date: 2023-03-02
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: E

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

Survey Date: 2023-03-01
Correction Date: 2023-03-06
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

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

Survey Date: 2023-03-01
Correction Date: 2023-04-15
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: E

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey Date: 2023-03-01
Correction Date: 2023-04-15
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: E

Provide and implement an infection prevention and control program.

Survey Date: 2023-01-03
Correction Date: 2023-01-20
Category: Infection Control Deficiencies
From Complaint: Y

Scope/Severity: D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey Date: 2022-09-02
Correction Date: 2022-09-07
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: E

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

Survey Date: 2022-09-02
Correction Date: 2022-09-07
Category: Nutrition and Dietary Deficiencies
From Complaint: Y

Scope/Severity: D

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Survey Date: 2022-05-17
Correction Date: 2022-06-15
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: E

Keep residents' personal and medical records private and confidential.

Survey Date: 2021-12-09
Correction Date: 2022-01-08
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: E

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.

Survey Date: 2021-12-09
Correction Date: 2022-01-08
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey Date: 2021-12-09
Correction Date: 2022-01-08
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Survey Date: 2021-12-09
Correction Date: 2022-01-08
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: E

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

Survey Date: 2021-12-09
Correction Date: 2022-01-08
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: D

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Survey Date: 2021-12-09
Correction Date: 2022-01-08
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: D

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey Date: 2021-12-09
Correction Date: 2022-01-08
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: D

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Survey Date: 2021-12-09
Correction Date: 2022-01-08
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: E

Keep all essential equipment working safely.

Survey Date: 2021-12-09
Correction Date: 2022-01-08
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: E

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey Date: 2021-12-09
Correction Date: 2022-01-08
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey Date: 2021-12-09
Correction Date: 2022-01-08
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: E

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey Date: 2021-12-09
Correction Date: 2022-01-08
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: E

Ensure medication error rates are not 5 percent or greater.

Survey Date: 2021-07-13
Correction Date: 2021-08-13
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: E

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Survey Date: 2021-07-13
Correction Date: 2021-08-13
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: E

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

Survey Date: 2021-07-13
Correction Date: 2021-08-13
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: D

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Survey Date: 2021-07-13
Correction Date: 2021-08-13
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: E

Provide and implement an infection prevention and control program.

Survey Date: 2021-07-13
Correction Date: 2021-08-13
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: E

Keep all essential equipment working safely.

Survey Date: 2021-07-13
Correction Date: 2021-08-13
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: E

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey Date: 2021-07-13
Correction Date: 2021-08-13
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: E

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey Date: 2021-07-13
Correction Date: 2021-08-13
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: E

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey Date: 2021-01-06
Correction Date: 2021-02-06
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: D

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Survey Date: 2020-12-22
Correction Date: 2021-01-22
Category: Administration Deficiencies
From Complaint: Y


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All deficiency data is sourced directly from the **Centers for Medicare & Medicaid Services (CMS)**.
Data Aggregation and Review provided by **The Nursing Home Site.**