Caprock Nursing & Rehabilitation

Penalties

• Oct 18, 2024 — Fine ($10,145)

Inspection findings

1. Jan 20, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Jan 21, 2026 · CMS health inspection

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

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Nov 25, 2025 · CMS health inspection

3. Aug 6, 2025 Health · 1 finding
   • 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 Aug 30, 2025 · CMS health inspection

4. May 21, 2025 Health · 5 findings
   • Not serious Scope/severity E

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected May 22, 2025 · CMS health inspection

   • Not serious Scope/severity D

     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 May 22, 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 May 22, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0725 Nursing and Physician Services Deficiencies

     Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

     Corrected May 22, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0803 Nutrition and Dietary Deficiencies

     Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

     Corrected May 22, 2025 · CMS health inspection

5. Apr 25, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0602 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from the wrongful use of the resident's belongings or money.

     Corrected Apr 27, 2025 · CMS health inspection

6. Oct 18, 2024 Health · 3 findings
   • Serious Scope/severity G Complaint

     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 Sep 26, 2024 · CMS health inspection

   • Serious Scope/severity G Complaint

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

     Corrected Sep 26, 2024 · CMS health inspection

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

7. Jul 24, 2024 Health · 1 finding
   • Not serious Scope/severity D 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 Sep 6, 2024 · CMS health inspection

8. Mar 26, 2024 Health · 8 findings
   • Not serious Scope/severity D

     F0557 Resident Rights Deficiencies

     Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

     Corrected May 6, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected May 6, 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 May 6, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected May 6, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0679 Quality of Life and Care Deficiencies

     Provide activities to meet all resident's needs.

     Corrected May 6, 2024 · 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 May 6, 2024 · CMS health inspection

   • Not serious Scope/severity D

     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 6, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0908 Environmental Deficiencies

     Keep all essential equipment working safely.

     Corrected May 6, 2024 · CMS health inspection

9. Oct 26, 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 30, 2023 · CMS health inspection

10. Jan 31, 2023 Health · 5 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 Feb 23, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0657 Resident Assessment and Care Planning Deficiencies

      Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      Corrected Feb 23, 2023 · 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 Feb 23, 2023 · 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 Feb 23, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Feb 23, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• BLAKE, GARY — operational/managerial control, NOT APPLICABLE, since 06/01/2022
• BLAKE, GARY — adp of the snf, NOT APPLICABLE, since 06/01/2022
• BLAKE, MALISA — operational/managerial control, NOT APPLICABLE, since 06/01/2022
• FREGIA, MILTON — managing control - governing body, NOT APPLICABLE, since 05/07/2022
• GARDNER, SHANNON — managing control - governing body, NOT APPLICABLE, since 08/22/2022
• GARDZINA, MARGARET — managing control - governing body, NOT APPLICABLE, since 02/26/2024
• HENRY, PAUL — managing control - governing body, NOT APPLICABLE, since 05/09/2009
• HUGGINS, LINDA — corporate director, NOT APPLICABLE, since 06/01/2022
• RANKIN, RON — adp of the snf, NOT APPLICABLE, since 04/11/2025
• SCHMIDT, STEVEN — adp of the snf, NOT APPLICABLE, since 04/11/2025
• STRATTON, CHARLES — corporate officer, NOT APPLICABLE, since 05/01/2005
• STRATTON, CHARLES — managing control - governing body, NOT APPLICABLE, since 05/01/2005
• WILLIG, ZACHARY — corporate director, NOT APPLICABLE, since 01/01/2025
• BORGER I ENTERPRISES LLC — adp of the snf, NOT APPLICABLE, since 06/01/2022
• BORGER I ENTERPRISES LLC — operational/managerial control, NOT APPLICABLE, since 06/01/2022
• LIBERTY COUNTY HOSPITAL DISTRICT NO 1 — 5% or greater direct ownership interest, 100%, since 06/01/2022