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Nursing Facility

Castro County Nursing & Rehabilitation

1621 BUTLER, DIMMITT, TX 79027

Owned by: For profit - Limited Liability company

Safety Pulse

AI-GENERATED FAMILY INSIGHTS

  • Medication Safety: Significant concerns regarding proper labeling and secure storage of medications, including controlled substances, posing a potential risk of medication errors and diversion.

  • Infection Control & Food Safety: Documented failures in infection prevention and control, coupled with potential issues in food sourcing, storage, and preparation, creating a heightened risk of illness.

  • Bed Rail Misuse & Environmental Hazards: Inadequate safety protocols for bed rail use and maintenance, alongside a failure to maintain a safe and comfortable environment, raise concerns about resident falls and overall well-being.

Note: This summary is generated from recently documented safety inspections and citations.

Regional Context

This Facility51
DIMMITT AVERAGE10.4

390% more violations than city average

Source: 3-year federal inspection history (CMS.gov)

Quick Stats

51Total Violations
114Certified Beds
Safety Grade
F
75/100 Score
F RATED
Safety Audit Result
Legal Consultation Available

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Violation History

CITATION DATEJanuary 1, 2026
F-TAG: 0727

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.

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.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0761

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.

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.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0700

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.

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.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0880

Provide and implement an infection prevention and control program.

Provide and implement an infection prevention and control program.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0921

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

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

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0609

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

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

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0925

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

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

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0583

Keep residents' personal and medical records private and confidential.

Keep residents' personal and medical records private and confidential.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0760

Ensure that residents are free from significant medication errors.

Ensure that residents are free from significant medication errors.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0880

Provide and implement an infection prevention and control program.

Provide and implement an infection prevention and control program.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0679

Provide activities to meet all resident's needs.

Provide activities to meet all resident's needs.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0609

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

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

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0627

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

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

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Scope & Severity (CMS Alpha)
Harm Level Detected
CITATION DATEJanuary 1, 2026
F-TAG: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0760

Ensure that residents are free from significant medication errors.

Ensure that residents are free from significant medication errors.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0607

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

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

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0558

Reasonably accommodate the needs and preferences of each resident.

Reasonably accommodate the needs and preferences of each resident.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0578

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.

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.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0584

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.

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.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0695

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

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

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0699

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

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

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0727

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.

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.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0880

Provide and implement an infection prevention and control program.

Provide and implement an infection prevention and control program.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0924

Put firmly secured handrails on each side of hallways.

Put firmly secured handrails on each side of hallways.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0600

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

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

Scope & Severity (CMS Alpha)
Harm Level Detected
CITATION DATEJanuary 1, 2026
F-TAG: 0607

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

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

Scope & Severity (CMS Alpha)
Harm Level Detected
CITATION DATEJanuary 1, 2026
F-TAG: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope & Severity (CMS Alpha)
Harm Level Detected
CITATION DATEJanuary 1, 2026
F-TAG: 0623

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

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

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0801

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.

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.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0550

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

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

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0584

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.

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.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0609

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

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

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0644

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

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

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0607

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

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

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0940

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

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

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0578

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.

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.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0584

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.

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.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0636

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0676

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

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

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0727

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.

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.

Scope & Severity (CMS Alpha)
Potential for Harm

Regional Safety Benchmarking

City Performance (DIMMITT)AVG: 10.4

390% more citations than local average

"Comparative analysis is essential for identifying systemic neglect. Our benchmarks are updated monthly using raw CMS files."

Critical Evidence

Full Evidence Dossier

Documented history of neglect citations, staffing failures, and ownership risk profiles. Perfect for families, legal preparation, or professional due diligence.

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Open Guide
Source: CMS.gov / Medicare.gov
Dataset Sync: Feb 2026
Audit ID: NH-AUDIT-1C1B5C39