Memorial City Nursing And Rehabilitation Center

Penalties

• Apr 28, 2026 — Fine ($11,340)
• Jan 15, 2025 — Fine ($21,057)
• Sep 23, 2024 — Fine ($22,376)
• May 19, 2024 — Fine ($17,820)

Inspection findings

1. Apr 28, 2026 Health · 8 findings
   • Not serious Scope/severity D

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Apr 29, 2026 · CMS health inspection

   • Serious Scope/severity G

     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 Apr 29, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0628 Resident Rights Deficiencies

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

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

   • Serious Scope/severity G

     F0697 Quality of Life and Care Deficiencies

     Provide safe, appropriate pain management for a resident who requires such services.

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

   • Not serious Scope/severity F

     F0887 Infection Control Deficiencies

     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.

     Corrected Apr 29, 2026 · CMS health inspection

   • Not serious Scope/severity E

     K0345 Smoke Deficiencies

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

     Corrected Apr 29, 2026 · CMS fire safety

2. Nov 19, 2025 Health · 2 findings
   • Not serious Scope/severity E 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 20, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0919 Environmental Deficiencies

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

     Corrected Nov 20, 2025 · CMS health inspection

3. Jul 1, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0925 Environmental Deficiencies

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

     Corrected Jul 10, 2025 · CMS health inspection

4. Feb 13, 2025 Health · 7 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 Feb 17, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0695 Quality of Life and Care Deficiencies

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

     Corrected Feb 17, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Feb 17, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0925 Environmental Deficiencies

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

     Corrected Feb 17, 2025 · CMS health inspection

   • Not serious Scope/severity E

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Feb 17, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0913 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure operating rooms are properly protected and written records are maintained and available for inspection.

     Corrected Feb 17, 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 Feb 17, 2025 · CMS fire safety

5. Jan 24, 2025 Health · 2 findings
   • Not serious Scope/severity D 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 Jan 27, 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 Jan 27, 2025 · CMS health inspection

6. Jan 15, 2025 Health · 1 finding
   • Serious Scope/severity G Complaint

     F0686 Quality of Life and Care Deficiencies

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

     Corrected Jan 18, 2025 · CMS health inspection

7. Sep 23, 2024 Health · 4 findings
   • 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 Sep 26, 2024 · CMS health inspection

   • Serious Scope/severity K 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 Sep 26, 2024 · CMS health inspection

   • Serious Scope/severity K 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 Sep 26, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0925 Environmental Deficiencies

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

     Corrected Sep 26, 2024 · CMS health inspection

8. Jul 31, 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 Aug 5, 2024 · CMS health inspection

   • Not serious Scope/severity D 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 Aug 5, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0925 Environmental Deficiencies

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

     Corrected Aug 5, 2024 · CMS health inspection

9. May 19, 2024 Health · 1 finding
   • Serious Scope/severity G Complaint

     F0695 Quality of Life and Care Deficiencies

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

     Corrected May 20, 2024 · CMS health inspection

10. Apr 13, 2024 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Apr 20, 2024 · CMS health inspection

11. Dec 15, 2023 Health · 7 findings
    • 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 Jan 3, 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 Jan 3, 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 Jan 3, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Jan 3, 2024 · CMS health inspection

    • Not serious Scope/severity F

      K0352 Smoke Deficiencies

      Properly install and monitor supervisory attachments on automatic sprinkler systems.

      Corrected Dec 18, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0355 Smoke Deficiencies

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

      Corrected Dec 18, 2023 · 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 Dec 18, 2023 · CMS fire safety

12. Nov 21, 2023 Health · 1 finding
    • Not serious Scope/severity E 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 24, 2023 · CMS health inspection

13. Oct 11, 2023 Health · 1 finding
    • Not serious Scope/severity E Complaint

      F0925 Environmental Deficiencies

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

      Corrected Oct 16, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• BAIRD, DANIEL — managing control - governing body, NOT APPLICABLE, since 04/13/2021
• CARRUTH, SUSAN — corporate officer, NOT APPLICABLE, since 05/15/2017
• CARRUTH, SUSAN — managing control - governing body, NOT APPLICABLE, since 05/15/2017
• 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 — adp of the snf, NOT APPLICABLE, since 12/15/2022
• DEKOWSKI, DONOVAN — operational/managerial control, NOT APPLICABLE, since 12/15/2022
• FREUDENBERGER, JOSEPH — corporate officer, NOT APPLICABLE, since 04/01/2018
• FREUDENBERGER, JOSEPH — managing control - governing body, NOT APPLICABLE, since 04/01/2018
• GIBSON, PATRICIA — managing control - governing body, NOT APPLICABLE, since 08/01/2021
• HALEY, JEFF — managing control - governing body, NOT APPLICABLE, since 07/15/2016
• HUGHES, RUSTON — managing control - governing body, NOT APPLICABLE, since 01/01/2024
• JACKSON, WYMONA — adp of the snf, NOT APPLICABLE, since 01/01/2025
• KING, ELIZABETH — managing control - governing body, NOT APPLICABLE, since 01/17/2023
• MANDELBAUM, ELLIOT — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• NOBLE, CASSANDRA — operational/managerial control, NOT APPLICABLE, since 06/10/2024
• NOBLE, CASSANDRA — adp of the snf, NOT APPLICABLE, since 06/10/2024
• OFIELD, ELLEN — adp of the snf, NOT APPLICABLE, since 01/01/2025
• PISANI, ADAM — managing control - governing body, NOT APPLICABLE, since 01/15/2019
• ZAHARIA, ADRIAN — adp of the snf, NOT APPLICABLE, since 01/01/2025
• CSV RHEA MANAGEMENT HOLDCO, LLC — indirect ownership interest, NOT APPLICABLE, since 12/15/2022
• DWD TX HOLDINGS LLC — indirect ownership interest, NOT APPLICABLE, since 12/15/2022
• JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC — indirect ownership interest, NOT APPLICABLE, since 12/15/2022
• OAKBEND MEDICAL CENTER — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• OAKBEND MEDICAL CENTER — adp of the snf, NOT APPLICABLE, since 04/10/2025
• OAKBEND MEDICAL CENTER — 5% or greater direct ownership interest, 100%, since 04/01/2018
• REG LEASED OPCO LLC — indirect ownership interest, NOT APPLICABLE, since 12/15/2022
• REG OPERATOR HOLDCO LLC — indirect ownership interest, NOT APPLICABLE, since 12/15/2022
• REGENCY IHS CLINICAL CONSULTING, LLC — adp of the snf, NOT APPLICABLE, since 12/15/2022
• REGENCY IHS OF MEMORIAL CITY LLC — adp of the snf, NOT APPLICABLE, since 04/24/2025
• REGENCY IHS OF MEMORIAL CITY LLC — direct ownership interest, NOT APPLICABLE, since 12/15/2022
• REGENCY IHS OF MEMORIAL CITY LLC — operational/managerial control, NOT APPLICABLE, since 12/15/2022
• REGENCY IHS REHAB LLC — adp of the snf, NOT APPLICABLE, since 12/15/2022
• REGENCY INTEGRATED HEALTH SERVICES LLC — adp of the snf, NOT APPLICABLE, since 04/10/2025
• REGENCY INTEGRATED HEALTH SERVICES LLC — indirect ownership interest, NOT APPLICABLE, since 12/15/2022
• REGENCY INTEGRATED HEALTH SERVICES LLC — operational/managerial control, NOT APPLICABLE, since 12/15/2022
• REGENCY TEXAS HOLDINGS LLC — indirect ownership interest, NOT APPLICABLE, since 12/15/2022