Morningside Manor

Penalties

• Aug 14, 2025 — Fine ($5,000)

Inspection findings

1. Apr 11, 2026 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected Apr 12, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0638 Resident Assessment and Care Planning Deficiencies

     Assure that each resident’s assessment is updated at least once every 3 months.

     Corrected Apr 12, 2026 · CMS health inspection

2. Aug 7, 2025 Health · 16 findings
   • Not serious Scope/severity E

     F0553 Resident Rights Deficiencies

     Allow resident to participate in the development and implementation of his or her person-centered plan of care.

     Corrected Aug 15, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected Aug 15, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Aug 15, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

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

     Corrected Aug 15, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0693 Quality of Life and Care Deficiencies

     Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

     Corrected Aug 15, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0755 Pharmacy Service Deficiencies

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

     Corrected Aug 15, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0761 Pharmacy Service Deficiencies

     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.

     Corrected Aug 15, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0814 Nutrition and Dietary Deficiencies

     Dispose of garbage and refuse properly.

     Corrected Aug 15, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Aug 15, 2025 · CMS health inspection

   • Not serious Scope/severity D

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected Aug 15, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Aug 22, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Aug 22, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Aug 22, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Aug 22, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Aug 22, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0923 Gas, Vacuum, and Electrical Systems Deficiencies

     Have proper medical gas storage and administration areas.

     Corrected Aug 15, 2025 · CMS fire safety

3. Jun 30, 2024 Health · 10 findings
   • Not serious Scope/severity D

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Jul 1, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected Jul 1, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0585 Resident Rights Deficiencies

     Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

     Corrected Jul 1, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0656 Resident Assessment and Care Planning Deficiencies

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

     Corrected Jul 1, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Jul 1, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

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

     Corrected Jul 1, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0808 Nutrition and Dietary Deficiencies

     Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

     Corrected Jul 1, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0809 Nutrition and Dietary Deficiencies

     Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

     Corrected Jul 1, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

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

     Corrected Jul 1, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0842 Resident Assessment and Care Planning Deficiencies

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

     Corrected Jul 1, 2024 · CMS health inspection

4. Apr 21, 2023 Health · 9 findings
   • Not serious Scope/severity E

     F0584 Resident Rights Deficiencies

     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.

     Corrected Apr 22, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0640 Resident Assessment and Care Planning Deficiencies

     Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

     Corrected Apr 22, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Apr 22, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

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

     Corrected Apr 22, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0842 Resident Assessment and Care Planning Deficiencies

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

     Corrected Apr 22, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0161 Construction Deficiencies

     Use approved construction type or materials.

     Corrected Jun 2, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0343 Smoke Deficiencies

     Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

     Corrected Apr 21, 2023 · CMS fire safety

   • Not serious Scope/severity D

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Apr 21, 2023 · CMS fire safety

   • Not serious Scope/severity D

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Apr 21, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• ASIS, RISSA — operational/managerial control, NOT APPLICABLE, since 04/03/2023
• BRYAN, SCOTT — managing control - governing body, NOT APPLICABLE, since 01/01/2024
• BRYAN, SCOTT — trustee of the snf, NOT APPLICABLE, since 01/01/2024
• COLVIN, JIM — corporate director, NOT APPLICABLE, since 07/25/2023
• CRUMP, PATRICK — operational/managerial control, NOT APPLICABLE, since 04/01/2017
• DROUGHT, JESSICA — managing control - governing body, NOT APPLICABLE, since 01/01/2023
• DROUGHT, JESSICA — trustee of the snf, NOT APPLICABLE, since 01/01/2023
• FLORES, CRISTINA — operational/managerial control, NOT APPLICABLE, since 03/27/2023
• FORGIONE, DANA — managing control - governing body, NOT APPLICABLE, since 01/01/2023
• FORGIONE, DANA — trustee of the snf, NOT APPLICABLE, since 01/01/2023
• GANN, KODY — corporate director, NOT APPLICABLE, since 01/01/2021
• GARZA, EDWARD — trustee of the snf, NOT APPLICABLE, since 01/01/2021
• GARZA, EDWARD — managing control - governing body, NOT APPLICABLE, since 01/01/2021
• HACKETT, GREG — managing control - governing body, NOT APPLICABLE, since 01/01/2022
• HACKETT, GREG — trustee of the snf, NOT APPLICABLE, since 01/01/2022
• HOPPE, KIMBERLY — adp of the snf, NOT APPLICABLE, since 06/01/2024
• HOPPE, KIMBERLY — operational/managerial control, NOT APPLICABLE, since 06/01/2024
• HUMPHREY, RONALD — corporate director, NOT APPLICABLE, since 03/01/2022
• KERCHEVILLE, SCOTT — managing control - governing body, NOT APPLICABLE, since 01/01/2022
• KERCHEVILLE, SCOTT — trustee of the snf, NOT APPLICABLE, since 01/01/2022
• MAJOR, DOLORES — corporate director, NOT APPLICABLE, since 03/01/2019
• MCCULLOUGH, ROBERT — managing control - governing body, NOT APPLICABLE, since 01/01/2024
• MCCULLOUGH, ROBERT — trustee of the snf, NOT APPLICABLE, since 01/01/2024
• MCRAE, THOMAS — managing control - governing body, NOT APPLICABLE, since 01/01/2024
• MCRAE, THOMAS — trustee of the snf, NOT APPLICABLE, since 01/01/2024
• MENDOZA, DORA — managing control - governing body, NOT APPLICABLE, since 01/01/2022
• MENDOZA, DORA — trustee of the snf, NOT APPLICABLE, since 01/01/2022
• MOBLEY, JESSICA — trustee of the snf, NOT APPLICABLE, since 01/01/2023
• MOBLEY, JESSICA — managing control - governing body, NOT APPLICABLE, since 01/01/2023
• MOORE, JOE — trustee of the snf, NOT APPLICABLE, since 01/01/2024
• MOORE, JOE — managing control - governing body, NOT APPLICABLE, since 01/01/2024
• MORENO, CHELSEA — operational/managerial control, NOT APPLICABLE, since 01/30/2023
• MORENO, CHELSEA — adp of the snf, NOT APPLICABLE, since 01/30/2023
• MUNOZ, DIONICIO — adp of the snf, NOT APPLICABLE, since 09/24/2023
• NGUYEN, CHRISINE — operational/managerial control, NOT APPLICABLE, since 03/19/2018
• ORTIZ, ROBERT — managing control - governing body, NOT APPLICABLE, since 01/01/2024
• ORTIZ, ROBERT — trustee of the snf, NOT APPLICABLE, since 01/01/2024
• PHIPPS, AMY — managing control - governing body, NOT APPLICABLE, since 01/01/2024
• PHIPPS, AMY — trustee of the snf, NOT APPLICABLE, since 01/01/2024
• RAGSDALE, VICKIE — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• RAGSDALE, VICKIE — trustee of the snf, NOT APPLICABLE, since 01/01/2025
• RAMIREZ, LOUIS — corporate director, NOT APPLICABLE, since 03/01/2021
• READ, DAVID — trustee of the snf, NOT APPLICABLE, since 01/01/2022
• READ, DAVID — managing control - governing body, NOT APPLICABLE, since 01/01/2022
• REYES, JAMES — corporate director, NOT APPLICABLE, since 04/05/2022
• SANCHEZ, JUANITA — adp of the snf, NOT APPLICABLE, since 10/02/2023
• SANCHEZ, JUANITA — operational/managerial control, NOT APPLICABLE, since 10/02/2023
• SCOFIELD, GEORGE — managing control - governing body, NOT APPLICABLE, since 01/01/2022
• SCOFIELD, GEORGE — trustee of the snf, NOT APPLICABLE, since 01/01/2022
• TOLAN, BRENDA — operational/managerial control, NOT APPLICABLE, since 07/12/2023
• TYE, RICHARD — trustee of the snf, NOT APPLICABLE, since 01/01/2020
• TYE, RICHARD — managing control - governing body, NOT APPLICABLE, since 01/01/2020
• WALLACE, PENNY — corporate director, NOT APPLICABLE, since 03/01/2025
• YOUNGQUIST, HOLLY — managing control - governing body, NOT APPLICABLE, since 01/01/2023
• YOUNGQUIST, HOLLY — trustee of the snf, NOT APPLICABLE, since 01/01/2023
• CATTAIL CONSULTING LLC — operational/managerial control, NOT APPLICABLE, since 11/10/2023
• GUADALUPE COUNTY HOSPITAL BOARD — 5% or greater direct ownership interest, 100%, since 04/01/2017
• MORNINGSIDE MINISTRIES — operational/managerial control, NOT APPLICABLE, since 04/01/2017
• MORRISON MANAGEMENT SPECIALISTS INC — operational/managerial control, NOT APPLICABLE, since 10/01/2024
• QUALITY REHAB MANAGEMENT — operational/managerial control, NOT APPLICABLE, since 09/23/2023