Ebony Lake Nursing And Rehabilitation Center

Inspection findings

1. Apr 29, 2026 Health · 4 findings
   • Not serious Scope/severity D Complaint

     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 Apr 30, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     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 Apr 30, 2026 · CMS health inspection

   • Not serious Scope/severity D 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 Apr 30, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Apr 30, 2026 · CMS health inspection

2. Mar 25, 2026 Health · 2 findings
   • Not serious Scope/severity D Complaint

     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 Mar 26, 2026 · CMS health inspection

   • 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 26, 2026 · CMS health inspection

3. Feb 18, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     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 Feb 19, 2026 · CMS health inspection

4. Jan 15, 2026 Health · 5 findings
   • Not serious Scope/severity D

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Jan 29, 2026 · 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 Jan 29, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0800 Nutrition and Dietary Deficiencies

     Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

     Corrected Jan 29, 2026 · 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 Jan 29, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jan 29, 2026 · CMS health inspection

5. Sep 18, 2025 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected Sep 19, 2025 · CMS health inspection

   • 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 Sep 19, 2025 · CMS health inspection

6. May 13, 2025 Health · 2 findings
   • Not serious Scope/severity D 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 May 14, 2025 · CMS health inspection

   • 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 May 14, 2025 · CMS health inspection

7. Sep 26, 2024 Health · 4 findings
   • 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 Oct 4, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0695 Quality of Life and Care Deficiencies

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

     Corrected Oct 4, 2024 · CMS health inspection

   • Not serious Scope/severity D

     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 Oct 4, 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 Oct 4, 2024 · CMS health inspection

8. Nov 6, 2023 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 Nov 7, 2023 · CMS health inspection

9. Jun 30, 2023 Health · 3 findings
   • Not serious Scope/severity D

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected Jul 1, 2023 · CMS health inspection

   • Not serious Scope/severity D

     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 Jul 1, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

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

     Corrected Jul 1, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• ADAMES, RICARDO — adp of the snf, NOT APPLICABLE, since 02/12/2016
• BAIRD, DANIEL — managing control - governing body, NOT APPLICABLE, since 04/13/2021
• CALDERON, JAVIER — corporate officer, NOT APPLICABLE, since 05/29/2024
• CARVAJAL, ANTONIO — managing control - governing body, NOT APPLICABLE, since 05/16/2024
• CHACON, MORAIMA — adp of the snf, NOT APPLICABLE, since 01/01/2025
• CHARTRAND, DANIEL — corporate officer, NOT APPLICABLE, since 05/19/2014
• CLAPP, BARBARA — managing control - governing body, NOT APPLICABLE, since 06/01/2021
• CORTESE, DAREN — managing control - governing body, NOT APPLICABLE, since 08/10/2021
• DEKOWSKI, DONOVAN — operational/managerial control, NOT APPLICABLE, since 04/01/2022
• DEKOWSKI, DONOVAN — adp of the snf, NOT APPLICABLE, since 04/01/2022
• DIAZ, CRIS — managing control - governing body, NOT APPLICABLE, since 05/25/2020
• GIBSON, PATRICIA — managing control - governing body, NOT APPLICABLE, since 08/01/2021
• GOMEZ, SEFERINO — corporate officer, NOT APPLICABLE, since 05/29/2024
• GONZALES, VERONICA — managing control - governing body, NOT APPLICABLE, since 05/16/2024
• GUERRERO, MIRIAM — adp of the snf, NOT APPLICABLE, since 01/01/2025
• JURADO, JORGE — managing control - governing body, NOT APPLICABLE, since 10/13/2023
• JURADO, JORGE — corporate officer, NOT APPLICABLE, since 10/13/2023
• KAUFMAN, NICOLE — managing control - governing body, NOT APPLICABLE, since 08/10/2021
• KEENEN, LEE — corporate officer, NOT APPLICABLE, since 05/25/2022
• MANDELBAUM, ELLIOT — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• OTAZO, JULIO — managing control - governing body, NOT APPLICABLE, since 05/25/2022
• PALMER, ROBIN — managing control - governing body, NOT APPLICABLE, since 11/18/2020
• SPEAR, NANETTE — adp of the snf, NOT APPLICABLE, since 06/15/2021
• SPEAR, NANETTE — operational/managerial control, NOT APPLICABLE, since 06/15/2021
• 1001 CENTRAL BLVD LLC — adp of the snf, NOT APPLICABLE, since 04/01/2022
• CSV RHEA MANAGEMENT HOLDCO, LLC — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• DWD TX HOLDINGS LLC — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• REG LEASED OPCO LLC — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• REG OPERATOR HOLDCO LLC — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• REGENCY IHS CLINICAL CONSULTING, LLC — adp of the snf, NOT APPLICABLE, since 04/01/2022
• REGENCY IHS OF EBONY LAKE LLC — adp of the snf, NOT APPLICABLE, since 06/17/2025
• REGENCY IHS OF EBONY LAKE LLC — operational/managerial control, NOT APPLICABLE, since 04/01/2022
• REGENCY IHS OF EBONY LAKE LLC — direct ownership interest, NOT APPLICABLE, since 04/01/2022
• REGENCY IHS REHAB LLC — adp of the snf, NOT APPLICABLE, since 01/01/2025
• REGENCY INTEGRATED HEALTH SERVICES LLC — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• REGENCY INTEGRATED HEALTH SERVICES LLC — adp of the snf, NOT APPLICABLE, since 06/17/2025
• REGENCY INTEGRATED HEALTH SERVICES LLC — operational/managerial control, NOT APPLICABLE, since 04/01/2022
• REGENCY TEXAS HOLDINGS LLC — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• VAL VERDE COUNTY HOSPITAL DISTRICT — adp of the snf, NOT APPLICABLE, since 06/17/2025
• VAL VERDE COUNTY HOSPITAL DISTRICT — operational/managerial control, NOT APPLICABLE, since 04/01/2022
• VAL VERDE COUNTY HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 04/01/2022