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Cedar Manor: Exposed Wires, Missing Ceiling Tiles - TX

Healthcare Facility
Cedar Manor Nursing And Rehabilitation Center
San Angelo, TX  ·  3/5 stars

Federal inspectors found numerous missing and damaged ceiling tiles throughout Hall 3 during an August 19 visit. The exposed infrastructure created safety hazards and left residents living in what inspectors described as an "unpleasant, unsanitary, and unsafe" environment.

Resident #6 told inspectors the damaged ceiling had persisted "for a while now" and looked "bad and cheap." The resident said he had questioned staff about when repairs would be completed but received only vague responses that maintenance was "working on it."

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"They paid good money to have a nice place, but that looked bad and cheap," the resident told inspectors during an interview on August 19.

The Maintenance Director confirmed that ceiling tiles were removed during air conditioning system work but admitted he "had not had time to replace" them despite the project finishing weeks earlier. He acknowledged the missing tiles "looked bad" and promised to order replacements.

The facility's Administrator similarly admitted the damaged ceiling made the facility appear "junky and un-kept." She told inspectors on August 20 that residents "deserved to have a home that was well taken care of and looked nice."

Both the Maintenance Director and Administrator promised to order replacement tiles immediately, but neither could specify a timeline for completion during their interviews with inspectors.

The inspection report noted that the deficient conditions could expose residents to "a diminished quality of life" due to the deteriorated environment. Hall 3 serves as a primary corridor where residents must travel daily for meals, activities, and medical appointments.

Federal regulations require nursing homes to maintain environments that are "safe, functional, sanitary, and comfortable" for residents. The exposed electrical components and air ducts in Hall 3 violated these standards by creating potential safety hazards and unsanitary conditions.

The facility failed to establish any timeline for completing the ceiling repairs despite acknowledging the work had been finished for weeks. The Maintenance Director's admission that he simply hadn't found time to replace the tiles suggested a lack of prioritization for residents' living environment.

Resident #6's frustration reflected broader concerns about the facility's maintenance standards. His comment about paying "good money" highlighted the disconnect between the care fees charged and the actual living conditions provided.

The inspection revealed that while the facility was quick to promise immediate action once confronted by federal inspectors, the weeks-long delay in basic ceiling repairs suggested systematic maintenance issues. The Administrator's acknowledgment that the conditions made the facility look "junky" indicated awareness of the problem that had gone unaddressed.

The exposed wires and ducts in Hall 3 created multiple risks beyond appearance issues. Uncovered electrical components pose fire and electrocution hazards, while open air ducts can harbor dust, debris, and contaminants that compromise air quality for residents with respiratory conditions.

Federal inspectors classified the violation as causing "minimal harm or potential for actual harm" affecting "few" residents. However, the finding demonstrates how seemingly minor maintenance failures can significantly impact residents' daily living experience and safety.

The facility's promises to order replacement tiles came only after federal scrutiny, raising questions about how long residents would have continued living with the exposed ceiling infrastructure without outside intervention.

Resident #6's direct criticism of the facility's appearance and his unsuccessful attempts to get answers from staff illustrated the powerlessness many nursing home residents feel when basic environmental standards deteriorate around them.

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


Editorial Standards

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

Quick Answer

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 numerous missing and damaged ceiling tiles throughout Hall 3 during an August 19 visit.

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.

Frequently Asked Questions

What happened at Cedar Manor Nursing and Rehabilitation Center?
Federal inspectors found numerous missing and damaged ceiling tiles throughout Hall 3 during an August 19 visit.
How serious are these violations?
Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
What should families do?
Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in San Angelo, TX, (5) Report any new concerns directly to state authorities.
Where can I see the full inspection report?
The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from Cedar Manor Nursing and Rehabilitation Center or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 676068.
Has this facility had violations before?
To check Cedar Manor Nursing and Rehabilitation Center's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.


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