Castro County Nursing & Rehabilitation

Penalties

• May 25, 2025 — Fine ($47,932)
• May 25, 2025 — Payment Denial · payment denial 6 days

Inspection findings

1. Apr 1, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Develop and implement policies and procedures to prevent abuse, neglect, and theft.

     Corrected Apr 2, 2026 · CMS health inspection

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

     F0628 Resident Rights Deficiencies

     Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

     Corrected Mar 18, 2026 · CMS health inspection

3. May 25, 2025 Health · 19 findings
   • Not serious Scope/severity E

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Jul 4, 2025 · CMS health inspection

   • 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 Jul 4, 2025 · 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 4, 2025 · CMS health inspection

   • Serious Scope/severity L Complaint Under dispute

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

     Corrected Jul 4, 2025 · CMS health inspection

   • Serious Scope/severity L Complaint Under dispute

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Develop and implement policies and procedures to prevent abuse, neglect, and theft.

     Corrected Jul 4, 2025 · CMS health inspection

   • Not serious Scope/severity F Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

     Corrected Jul 4, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0627 Resident Rights Deficiencies

     Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

     Corrected Jul 4, 2025 · CMS health inspection

   • Serious Scope/severity K Complaint Under dispute

     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 4, 2025 · CMS health inspection

   • Serious Scope/severity K Complaint Under dispute

     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 4, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

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

     Corrected Jul 4, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0699 Quality of Life and Care Deficiencies

     Provide care or services that was trauma informed and/or culturally competent.

     Corrected Jul 4, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0727 Nursing and Physician Services Deficiencies

     Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

     Corrected Jul 4, 2025 · CMS health inspection

   • Not serious Scope/severity F

     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 4, 2025 · 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 4, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jul 4, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0924 Environmental Deficiencies

     Put firmly secured handrails on each side of hallways.

     Corrected Jul 4, 2025 · CMS health inspection

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Jun 8, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0741 Miscellaneous Deficiencies

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

     Corrected Jun 8, 2025 · 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 Jun 8, 2025 · CMS fire safety

4. Mar 18, 2025 Health · 1 finding
   • 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 10, 2025 · CMS health inspection

5. Mar 4, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Feb 17, 2025 · CMS health inspection

6. Jan 27, 2025 Health · 3 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 Feb 1, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Develop and implement policies and procedures to prevent abuse, neglect, and theft.

     Corrected Feb 1, 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 Feb 1, 2025 · CMS health inspection

7. Dec 12, 2024 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0623 Resident Rights Deficiencies

     Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

     Corrected Dec 31, 2024 · CMS health inspection

   • Not serious Scope/severity F Complaint

     F0801 Nutrition and Dietary Deficiencies

     Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

     Corrected Dec 31, 2024 · CMS health inspection

8. Nov 25, 2024 Health · 3 findings
   • Not serious Scope/severity E 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 Dec 17, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     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 Dec 17, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

     Corrected Dec 17, 2024 · CMS health inspection

9. Sep 19, 2024 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 Oct 4, 2024 · CMS health inspection

10. Jul 17, 2024 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0644 Resident Assessment and Care Planning Deficiencies

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

      Corrected Aug 7, 2024 · CMS health inspection

11. Apr 9, 2024 Fire Safety · 12 findings
    • Not serious Scope/severity F

      E0039 Emergency Preparedness Deficiencies

      Conduct testing and exercise requirements.

      Corrected May 3, 2024 · CMS fire safety

    • 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 May 3, 2024 · CMS health inspection

    • 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 May 3, 2024 · 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 May 3, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0676 Quality of Life and Care Deficiencies

      Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

      Corrected May 3, 2024 · CMS health inspection

    • Not serious Scope/severity D

      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 May 3, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0727 Nursing and Physician Services Deficiencies

      Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

      Corrected May 3, 2024 · 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 May 3, 2024 · CMS health inspection

    • Not serious Scope/severity F

      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 May 3, 2024 · CMS health inspection

    • Not serious Scope/severity F

      K0372 Smoke Deficiencies

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

      Corrected May 3, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0374 Smoke Deficiencies

      Install smoke barrier doors that can resist smoke for at least 20 minutes.

      Corrected May 3, 2024 · CMS fire safety

    • Not serious Scope/severity C

      K0521 Services Deficiencies

      Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

      Corrected May 3, 2024 · CMS fire safety

12. Feb 7, 2024 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Develop and implement policies and procedures to prevent abuse, neglect, and theft.

      Corrected Mar 7, 2024 · CMS health inspection

13. Jan 23, 2024 Health · 2 findings
    • Not serious Scope/severity F 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 Feb 22, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0940 Administration Deficiencies

      Develop, implement, and/or maintain an effective training program for all new and existing staff members.

      Corrected Feb 22, 2024 · CMS health inspection

14. Dec 14, 2023 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0700 Quality of Life and Care Deficiencies

      Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

      Corrected Jan 3, 2024 · CMS health inspection

15. Nov 21, 2023 Health · 2 findings
    • Not serious Scope/severity E Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Dec 9, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0921 Environmental Deficiencies

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

      Corrected Dec 9, 2023 · CMS health inspection

16. Sep 8, 2023 Health · 2 findings
    • Not serious Scope/severity D Complaint

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

      Corrected Sep 23, 2023 · CMS health inspection

    • Not serious Scope/severity F Complaint

      F0925 Environmental Deficiencies

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

      Corrected Sep 23, 2023 · CMS health inspection

17. Feb 23, 2023 Health · 5 findings
    • Not serious Scope/severity D

      F0679 Quality of Life and Care Deficiencies

      Provide activities to meet all resident's needs.

      Corrected Mar 10, 2023 · CMS health inspection

    • Not serious Scope/severity D

      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 Mar 10, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0727 Nursing and Physician Services Deficiencies

      Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

      Corrected Mar 10, 2023 · CMS health inspection

    • Not serious Scope/severity F

      K0341 Smoke Deficiencies

      Install a fire alarm system that can be heard throughout the facility.

      Corrected Mar 10, 2023 · CMS fire safety

    • Not serious Scope/severity C

      K0521 Services Deficiencies

      Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

      Corrected Mar 10, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• MISTRETTA, CASSANDRA — operational/managerial control, NOT APPLICABLE, since 09/01/2023
• PFEIFER, MARY — operational/managerial control, NOT APPLICABLE, since 09/01/2023
• RANKIN, RON — operational/managerial control, NOT APPLICABLE, since 09/01/2023
• RANKIN, RON — adp of the snf, NOT APPLICABLE, since 09/01/2023
• THOMPSON, JOHNNY — corporate officer, NOT APPLICABLE, since 05/01/2024
• WOODS, DANA — adp of the snf, NOT APPLICABLE, since 09/01/2023
• DIMMITTTX, LLC — adp of the snf, NOT APPLICABLE, since 04/23/2025
• DIMMITTTX, LLC — operational/managerial control, NOT APPLICABLE, since 09/01/2023
• HART-LINE ASSOCIATES LP — adp of the snf, NOT APPLICABLE, since 09/01/2023
• HART-LINE ASSOCIATES LP — 5% or greater mortgage interest, NOT APPLICABLE, since 09/01/2023
• WEST WHARTON COUNTY HOSPITAL DISTRICT — adp of the snf, NOT APPLICABLE, since 09/01/2023