Pecan Valley Rehabilitation And Healthcare

Inspection findings

1. Apr 29, 2026 Health · 2 findings
   • Not serious Scope/severity E Complaint

     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 Apr 30, 2026 · CMS health inspection

   • Not serious Scope/severity E Complaint

     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 30, 2026 · CMS health inspection

2. Jan 30, 2026 Health · 6 findings
   • Not serious Scope/severity D

     F0636 Resident Assessment and Care Planning Deficiencies

     Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

     Corrected Feb 3, 2026 · 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 Feb 3, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0688 Quality of Life and Care Deficiencies

     Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

     Corrected Feb 3, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0813 Nutrition and Dietary Deficiencies

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

     Corrected Feb 3, 2026 · CMS health inspection

   • Not serious Scope/severity E

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Feb 27, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Feb 27, 2026 · CMS fire safety

3. Nov 24, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     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 Nov 25, 2025 · CMS health inspection

4. Jul 7, 2025 Health · 1 finding
   • Serious Scope/severity J Complaint

     F0689 Quality of Life and Care Deficiencies

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

     Corrected Jul 7, 2025 · CMS health inspection

5. May 9, 2025 Health · 2 findings
   • Not serious Scope/severity E Complaint

     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 Jun 4, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0684 Quality of Life and Care Deficiencies

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

     Corrected Jun 4, 2025 · CMS health inspection

6. Feb 15, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     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 Mar 7, 2025 · CMS health inspection

7. Oct 31, 2024 Health · 10 findings
   • Not serious Scope/severity D Complaint

     F0550 Resident Rights Deficiencies

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

     Corrected Nov 22, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected Nov 22, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Nov 22, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0677 Quality of Life and Care Deficiencies

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

     Corrected Nov 22, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     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 Nov 22, 2024 · CMS health inspection

   • Not serious Scope/severity C Complaint

     F0814 Nutrition and Dietary Deficiencies

     Dispose of garbage and refuse properly.

     Corrected Nov 22, 2024 · CMS health inspection

   • Not serious Scope/severity F Complaint

     F0837 Administration Deficiencies

     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.

     Corrected Nov 22, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     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 Nov 22, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Nov 22, 2024 · CMS health inspection

   • Not serious Scope/severity D

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Nov 22, 2024 · CMS fire safety

8. Sep 15, 2023 Health · 7 findings
   • Not serious Scope/severity D

     F0578 Resident Rights Deficiencies

     Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

     Corrected Sep 22, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0636 Resident Assessment and Care Planning Deficiencies

     Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

     Corrected Sep 22, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0655 Resident Assessment and Care Planning Deficiencies

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

     Corrected Sep 22, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0770 Administration Deficiencies

     Provide timely, quality laboratory services/tests to meet the needs of residents.

     Corrected Sep 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 Sep 22, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Sep 22, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0741 Miscellaneous Deficiencies

     Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

     Corrected Sep 22, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• ABBOTT, SWATI — corporate director, NOT APPLICABLE, since 01/01/2020
• AGWUNOBI, JOHN — corporate director, NOT APPLICABLE, since 01/01/2023
• ASHTON, ANDREW — corporate officer, NOT APPLICABLE, since 08/19/2019
• AZIZ, WESAM — managing control - governing body, NOT APPLICABLE, since 10/09/2023
• AZIZ, WESAM — adp of the snf, NOT APPLICABLE, since 04/14/2025
• BLOUIN, ANN — corporate director, NOT APPLICABLE, since 11/28/2018
• BURNAM, SOON — managing control - governing body, NOT APPLICABLE, since 08/19/2019
• BURNAM, SOON — corporate officer, NOT APPLICABLE, since 08/19/2019
• BURTON, SPENCER — corporate officer, NOT APPLICABLE, since 05/30/2015
• CHRISTENSEN, CHRISTOPHER — corporate director, NOT APPLICABLE, since 11/01/2014
• KEETCH, CHAD — corporate officer, NOT APPLICABLE, since 11/01/2019
• PARKINSON, MARK — corporate director, NOT APPLICABLE, since 10/01/2024
• PORT, BARRY — corporate officer, NOT APPLICABLE, since 11/01/2019
• SHAW, DAREN — corporate director, NOT APPLICABLE, since 03/01/2012
• SMITH, BARRY — corporate director, NOT APPLICABLE, since 06/01/2014
• SNAPPER, SUZANNE — corporate officer, NOT APPLICABLE, since 09/07/1973
• WINTERS, TESHA — managing control - governing body, NOT APPLICABLE, since 11/01/2019
• WINTERS, TESHA — operational/managerial control, NOT APPLICABLE, since 11/01/2019
• WINTERS, TESHA — adp of the snf, NOT APPLICABLE, since 04/14/2025
• WITTEKIND, BEVERLY — corporate officer, NOT APPLICABLE, since 09/29/2008
• ENSIGN SERVICES INC — adp of the snf, NOT APPLICABLE, since 11/01/2019
• OLMSTEAD HEALTH HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 01/01/2022
• STANDARD BEARER HEALTHCARE OP, LP — adp of the snf, NOT APPLICABLE, since 01/01/2022
• THE ENSIGN GROUP INC — adp of the snf, NOT APPLICABLE, since 01/01/2022