Wellington Rehab: PASARR Screening Failure - TX
When inspectors arrived at the Temple facility on August 27, 2025, they found that Wellington had failed to complete a Pre-Admission Screening and Resident Review referral for Resident 1, a person identified as needing a Comprehensive Mental Wellness Care evaluation. PASARR screenings exist to connect nursing home residents who have serious mental illness or intellectual disabilities with specialized services they would not otherwise receive. Missing the referral meant Resident 1 had gone without that connection.
The administrator, referred to in inspection records as the ADM, told the surveyor he understood the submission window was 30 business days. He did not dispute that the referral had not been submitted. When asked what could happen to a resident who never received specialized services, he said it depended on the resident and their condition.
That answer, careful and noncommittal as it was, captured the problem inspectors documented. Wellington's leadership understood the stakes. They described them accurately when asked. The referral still hadn't gone out.
At 1:42 p.m. that afternoon, the surveyor asked the administrator and the Director of Nursing to produce the facility's PASARR policy. One minute later, the administrator said the facility's PASARR Resident Assessment policy was its PASARR policy. An hour later, the Director of Nursing said the same thing. The two answers were identical, and neither pointed to a standalone policy governing how and when referrals were supposed to be submitted.
What inspectors found when they reviewed the document itself was a policy last updated in May 2021, more than four years before the inspection. Its instructions were brief: the facility would refer to the state's PASARR policy. It did not lay out specific procedures of its own. It did not establish timelines or assign responsibility for tracking referrals. It deferred entirely to an outside document.
The in-service training records told a similar story. Inspectors reviewed Wellington's staff education logs covering April through August 2025, five months of training records. Nowhere in those records had staff received any retraining on PASARR requirements. Not once in that window had the facility taken the process back to its employees and walked through what the screening was for, who it applied to, or what happened when a referral was missed.
The administrator said residents have a right to receive specialized services. He was right about that. PASARR exists specifically because nursing homes have historically admitted residents with serious mental illness without connecting them to the psychiatric, behavioral, or therapeutic support they needed. The screening process is the mechanism that's supposed to prevent that. A facility that identifies a resident as PASARR-positive and then doesn't submit the referral has found the problem and declined to act on it.
Inspectors cited the violation at a level of minimal harm or potential for actual harm, with few residents affected. Wellington was cited under F0644, the federal tag covering PASARR referral and screening requirements.
The facility's policy, unchanged since 2021, gave staff almost nothing to work from beyond a directive to consult the state. Its training records showed no one had revisited the topic in at least five months. And when the surveyor sat across from the administrator and the Director of Nursing and asked them to explain the facility's process, both offered the same circular answer: the assessment policy was the policy.
Resident 1 was still waiting on a referral that the administrator had already acknowledged was overdue.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Wellington Rehabilitation and Healthcare from 2025-08-27 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: October 2, 2026 · Our methodology
Wellington Rehabilitation and Healthcare in Temple, TX was cited for violations during a health inspection on August 27, 2025.
Missing the referral meant Resident 1 had gone without that connection.
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.