Cedar Manor Nursing And Rehabilitation Center

Inspection findings

1. Mar 5, 2026 Health · 8 findings
   • Not serious Scope/severity E Complaint

     F0680 Quality of Life and Care Deficiencies

     Ensure the activities program is directed by a qualified professional.

     Corrected Mar 27, 2026 · CMS health inspection

   • 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 Mar 27, 2026 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Mar 27, 2026 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0914 Environmental Deficiencies

     Provide bedrooms that don't allow residents to see each other when privacy is needed.

     Corrected Mar 27, 2026 · 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 Mar 27, 2026 · CMS health inspection

   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Mar 19, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Mar 19, 2026 · 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 19, 2026 · CMS fire safety

2. Aug 28, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Aug 29, 2025 · CMS health inspection

3. Aug 20, 2025 Health · 2 findings
   • Not serious Scope/severity C Complaint

     F0732 Nursing and Physician Services Deficiencies

     Post nurse staffing information every day.

     Corrected Aug 21, 2025 · CMS health inspection

   • Not serious Scope/severity D 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 Aug 21, 2025 · CMS health inspection

4. Apr 28, 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 Apr 29, 2025 · CMS health inspection

5. Feb 28, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Mar 20, 2025 · CMS health inspection

6. Dec 12, 2024 Fire Safety · 8 findings
   • Not serious Scope/severity F

     E0041 Emergency Preparedness Deficiencies

     Implement emergency and standby power systems.

     Corrected Jan 2, 2025 · CMS fire safety

   • Not serious Scope/severity E

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Jan 2, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Dec 27, 2024 · CMS health inspection

   • Not serious Scope/severity B

     F0910 Environmental Deficiencies

     Ensure resident rooms meet each resident's needs.

     Corrected Dec 13, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Jan 10, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

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

     Corrected Dec 30, 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 Jan 10, 2025 · CMS fire safety

   • Not serious Scope/severity C

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Jan 30, 2025 · CMS fire safety

7. Nov 10, 2023 Health · 3 findings
   • 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 Dec 7, 2023 · 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 Dec 7, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0849 Administration Deficiencies

     Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

     Corrected Dec 7, 2023 · CMS health inspection

8. Oct 19, 2023 Health · 5 findings
   • Not serious Scope/severity E 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 Oct 20, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0697 Quality of Life and Care Deficiencies

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

     Corrected Oct 20, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0758 Pharmacy Service Deficiencies

     Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

     Corrected Oct 20, 2023 · CMS health inspection

   • Not serious Scope/severity F

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Nov 30, 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 Nov 30, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• ATWOOD, MARK — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• BLAKE, GARY — adp of the snf, NOT APPLICABLE, since 02/01/2024
• BLAKE, GARY — operational/managerial control, NOT APPLICABLE, since 02/01/2024
• BLAKE, MALISA — operational/managerial control, NOT APPLICABLE, since 02/01/2024
• BUNDRANT, BRADLY — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• DANKWORTH, MIKE — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• FRICKE, RHETT — corporate officer, NOT APPLICABLE, since 02/01/2024
• FRICKE, RHETT — managing control - governing body, NOT APPLICABLE, since 02/01/2024
• HUGGINS, LINDA — corporate director, NOT APPLICABLE, since 02/01/2024
• HUNT, JOHN — adp of the snf, NOT APPLICABLE, since 04/14/2025
• HUNTER, WILLIAM — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• REASOR, TYLER — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• ROWAN, LISA — adp of the snf, NOT APPLICABLE, since 04/14/2025
• STUDER, SCOTT — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• WILLIG, ZACHARY — corporate director, NOT APPLICABLE, since 01/01/2025
• ZUNIGA, ELIZABETH — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• BALLINGER MEMORIAL HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 02/01/2024
• SAN ANGELO II ENTERPRISES LLC — adp of the snf, NOT APPLICABLE, since 04/14/2025
• SAN ANGELO II ENTERPRISES LLC — operational/managerial control, NOT APPLICABLE, since 02/01/2024