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Lone Star Rehab: Meal Timing Violations Cited - TX

Healthcare Facility
Lone Star Rehabilitation & Wellness Center
Stephenville, TX  ·  4/5 stars

Federal health inspectors who visited the facility on September 4, 2025, found a pattern of failures to serve meals and snacks when residents needed or requested them. The citation covered not just scheduled mealtimes but the alternative options that facilities are supposed to have ready for residents who eat on different schedules, wake up hungry in the middle of the night, or simply can't make it to a meal when the kitchen decides it's time.

The violation was classified as a pattern, meaning inspectors determined this wasn't an isolated incident. It happened enough times, to enough residents, that it represented something systemic about how the facility operates.

No actual harm was documented. That phrase appears in inspection records often enough that it can start to feel reassuring. It isn't. "Potential for more than minimal harm" is the language regulators attach when the conditions they found were the kind that hurt people, even if they can't point to a specific resident who was injured this time. For elderly and medically compromised residents, missed meals aren't a minor inconvenience. Malnutrition and dehydration can accelerate cognitive decline, delay wound healing, and weaken immune systems already under strain. The margin for error is thin.

Lone Star Rehabilitation & Wellness Center collected four total deficiencies during the September inspection. The meal timing citation was one piece of a broader picture inspectors assembled that day.

The facility reported the problem corrected as of October 14, 2025, forty days after inspectors walked out the door.

What changed between September 4 and October 14 isn't something the inspection record explains. Whether the kitchen added a late-night option, whether staff were retrained, whether someone finally stocked the refrigerator with something a resident could actually access at 10 p.m. — none of that appears in the file. The correction date is self-reported. The facility told regulators it had fixed the problem, and regulators recorded that claim.

For residents who spent any part of those forty days waiting on food that wasn't coming, the timeline is what it is.

Full Inspection Report

The details above represent a summary of key findings. View the complete inspection report for Lone Star Rehabilitation & Wellness Center from 2025-09-04 including all violations, facility responses, and corrective action plans.

Additional Resources

Editorial Standards & Data Disclosure

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: September 25, 2026  ·  Our methodology

Quick Answer

LONE STAR REHABILITATION & WELLNESS CENTER in STEPHENVILLE, TX was cited for violations during a health inspection on September 4, 2025.

The violation was classified as a pattern, meaning inspectors determined this wasn't an isolated incident.

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 LONE STAR REHABILITATION & WELLNESS CENTER?
The violation was classified as a pattern, meaning inspectors determined this wasn't an isolated incident.
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 STEPHENVILLE, 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 LONE STAR REHABILITATION & WELLNESS 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 455906.
Has this facility had violations before?
To check LONE STAR REHABILITATION & WELLNESS 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.