Cedar Manor Nursing: 12 Days Without Staff Posting - TX
Federal inspectors found the facility's daily staffing board outside the administrator's office was dated August 8 when they arrived on August 20. The posting is required to show the total number and actual hours worked by registered nurses, licensed practical nurses, and certified nurse aides on each shift.
The violation affected "many" residents, according to the inspection report. Federal law requires nursing homes to post current staffing levels in prominent locations so families can monitor whether their loved ones are receiving adequate care.
Administrator stated her expectation was that daily staffing information be posted every day. She told inspectors the assistant director of nursing was responsible for the postings and that she "had not realized that it was not being kept current."
The assistant director of nursing told inspectors at 10:30 AM on August 20 that she was responsible for posting the daily nurse staffing hours but had been busy with other job duties. She said she had "just forgotten to keep the posting current for the past 12 days."
The facility's own policy, dated January 1, 2024, states: "It is the policy of this facility to make staffing information readily available in a readable format to residents and visitors at any given time. The nurse staffing sheet will be posted on a daily basis."
Inspectors documented the violation occurred on every day they reviewed: August 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, and 20. The failure spanned nearly two weeks.
Federal regulations require nursing homes to post staffing information because research shows inadequate nursing care increases risks of bedsores, weight loss, infections, and other preventable harm. Families use these postings to understand whether sufficient staff are available to provide proper care.
The inspection was conducted in response to a complaint. Inspectors classified the violation as having potential for minimal harm.
Cedar Manor Nursing and Rehabilitation Center is located at 1915 Greenwood Street in San Angelo. The facility serves residents requiring skilled nursing care and rehabilitation services.
The violation occurred despite the administrator's stated expectation that staffing information be updated daily. The 12-day gap meant families visiting during that period had no way to verify current staffing levels or compare them to previous days.
Nursing home staffing levels directly impact resident safety and quality of care. Lower staffing ratios correlate with higher rates of preventable complications, longer response times to resident calls, and increased risk of medical emergencies going undetected.
The assistant director of nursing's admission that she was too busy with other duties to maintain the required posting raises questions about workload distribution and oversight at the facility. Federal inspectors noted the administrator had not noticed the outdated information despite walking past the posting area regularly.
The facility must submit a plan of correction explaining how it will ensure daily staffing information is posted consistently. The plan must address both the immediate posting requirements and long-term measures to prevent similar oversights.
Families depend on accurate, current staffing information to make informed decisions about their loved ones' care. The 12-day gap at Cedar Manor left them unable to assess whether adequate nursing staff were available during critical care periods.
The violation demonstrates how administrative failures can compromise transparency requirements designed to protect nursing home residents and inform their families about care quality.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Cedar Manor Nursing and Rehabilitation Center from 2025-08-20 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
Cedar Manor Nursing and Rehabilitation Center in San Angelo, TX was cited for violations during a health inspection on August 20, 2025.
Federal inspectors found the facility's daily staffing board outside the administrator's office was dated August 8 when they arrived on August 20.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.