Ganado Nursing And Rehabilitation Center

Penalties

• May 15, 2025 — Fine ($8,422)

Inspection findings

1. Feb 25, 2026 Fire Safety · 13 findings
   • Not serious Scope/severity F

     E0025 Emergency Preparedness Deficiencies

     Create arrangements with other facilities to receive patients.

     Corrected Feb 26, 2026 · CMS fire safety

   • Not serious Scope/severity E Complaint

     F0679 Quality of Life and Care Deficiencies

     Provide activities to meet all resident's needs.

     Corrected Feb 26, 2026 · 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 Feb 26, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     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 Feb 26, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0757 Pharmacy Service Deficiencies

     Ensure each resident’s drug regimen must be free from unnecessary drugs.

     Corrected Feb 26, 2026 · CMS health inspection

   • Not serious Scope/severity E Complaint

     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 Feb 26, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0804 Nutrition and Dietary Deficiencies

     Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

     Corrected Feb 26, 2026 · 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 Feb 26, 2026 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Feb 26, 2026 · CMS health inspection

   • Not serious Scope/severity E

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected Feb 26, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Feb 26, 2026 · 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 Feb 26, 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 26, 2026 · CMS fire safety

2. May 15, 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 Apr 28, 2025 · CMS health inspection

3. Nov 15, 2024 Health · 6 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 Nov 16, 2024 · CMS health inspection

   • 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 Nov 16, 2024 · CMS health inspection

   • Not serious Scope/severity E 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 Nov 16, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Nov 16, 2024 · 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 Nov 16, 2024 · CMS health inspection

   • Not serious Scope/severity F

     K0341 Smoke Deficiencies

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

     Corrected Dec 10, 2024 · CMS fire safety

4. Oct 21, 2024 Health · 2 findings
   • Not serious Scope/severity C Complaint

     F0732 Nursing and Physician Services Deficiencies

     Post nurse staffing information every day.

     Corrected Oct 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 Oct 22, 2024 · CMS health inspection

5. Sep 29, 2023 Health · 5 findings
   • Not serious Scope/severity D Complaint

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Oct 27, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Oct 27, 2023 · CMS health inspection

   • 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 Oct 27, 2023 · CMS health inspection

   • Not serious Scope/severity F

     K0344 Smoke Deficiencies

     Have an alternate power supply for its alarm system.

     Corrected Oct 27, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

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

     Corrected Oct 27, 2023 · CMS fire safety

6. Aug 31, 2023 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Sep 28, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• BAIN, JAMES — adp of the snf, NOT APPLICABLE, since 04/09/2025
• BLAKE, GARY — adp of the snf, NOT APPLICABLE, since 09/01/2022
• BLAKE, GARY — operational/managerial control, NOT APPLICABLE, since 09/01/2022
• BLAKE, MALISA — operational/managerial control, NOT APPLICABLE, since 09/01/2022
• BOWERS, SEAN — managing control - governing body, NOT APPLICABLE, since 07/01/2024
• CISNEROS, ALFRED — managing control - governing body, NOT APPLICABLE, since 02/18/2008
• COBB, TRAVIS — managing control - governing body, NOT APPLICABLE, since 10/05/2022
• COOPER, STEPHEN — managing control - governing body, NOT APPLICABLE, since 11/11/2022
• HARDIN, SHERRIE — managing control - governing body, NOT APPLICABLE, since 09/04/2024
• HUGGINS, LINDA — corporate director, NOT APPLICABLE, since 09/01/2022
• KERZEE, RICHARD — managing control - governing body, NOT APPLICABLE, since 09/24/2007
• KORENEK, PATRICIA — managing control - governing body, NOT APPLICABLE, since 05/05/2018
• QUINN-FRANKEL, MOLLY — adp of the snf, NOT APPLICABLE, since 01/01/2025
• SOECHTING, PAUL — managing control - governing body, NOT APPLICABLE, since 11/22/2024
• STRACK, JOE — managing control - governing body, NOT APPLICABLE, since 02/11/2022
• THOMPSON, JOHNNY — corporate officer, NOT APPLICABLE, since 01/01/2024
• WILLIG, ZACHARY — corporate director, NOT APPLICABLE, since 01/01/2025
• GANADO I ENTERPRISES LLC — operational/managerial control, NOT APPLICABLE, since 09/01/2022
• GANADO I ENTERPRISES LLC — adp of the snf, NOT APPLICABLE, since 09/01/2022
• WEST WHARTON COUNTY HOSPITAL DISTRICT — direct ownership interest, NOT APPLICABLE, since 09/01/2022