Jourdanton Nursing and Rehabilitation: Record Gaps - TX
That admission, recorded at 1:47 p.m. during a November 2025 complaint inspection, sits at the center of a documentation deficiency federal inspectors cited at the Jourdanton facility.
The problem is straightforward, and the administrator described it herself. A medication administration record, known as a MAR, is the document nurses and aides sign after giving a resident a drug. A treatment administration record, a TAR, works the same way for procedures and therapies. When a nurse gives a pill, she signs. When she doesn't sign, the record goes blank. And a blank, the administrator acknowledged, tells you nothing.
She went further. If a progress note was supposed to be in a chart and wasn't there, she said, she'd have to track down the staff member who should have written it and make them document what occurred. Not fix it in the moment. Not catch it in real time. Go back after the fact and reconstruct what may or may not have happened.
The facility's own policies said something different was supposed to be happening. A medication administration policy, carrying a 2025 copyright date, required staff to sign the MAR after administering a medication and to correct any discrepancies and report them to a nurse manager. A separate documentation policy, dated 2024, stated that each resident's medical record shall contain an accurate representation of the resident's actual experiences, with enough information to provide a complete, accurate, and timely picture of the resident's progress.
Accurate. Complete. Timely. The administrator's own words described a system where none of those three things could be guaranteed.
Inspectors classified the deficiency under F0842, which covers medical record accuracy and completeness. The level of harm was listed as minimal harm or potential for actual harm, and the number of residents affected was noted as few.
Those classifications can be easy to gloss over. They are not, in practice, small problems.
A medication record with a blank line is not a paperwork inconvenience. It is a gap in the only documentation a nurse, a physician, or a family member has to determine whether a resident received care. If a resident's condition changes, if a drug interaction is suspected, if a family member asks whether their mother got her blood pressure medication on a Tuesday morning, the answer lives in that record. A blank says nothing. And in a nursing home, nothing is not a neutral answer.
The administrator's description of her own response to the problem, tracking down staff after the fact to reconstruct missing entries, raises its own questions. A documentation entry written hours or days after the fact is not the same as one written at the time of care. It is a reconstruction. It may be accurate. It may not be.
Jourdanton Nursing and Rehabilitation operates at 1504 Highway 97E in Jourdanton, a small city of roughly 4,000 people in Atascosa County, south of San Antonio. The inspection was a complaint survey, meaning it was triggered by a specific concern brought to regulators rather than a routine scheduled visit.
The facility's own policies, reviewed by inspectors during the survey, were not in dispute. The gap was between what those policies required and what the administrator described as the actual practice when something went wrong.
She said she would have to bring that staff member back.
What she did not say was that it hadn't happened.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Jourdanton Nursing and Rehabilitation from 2025-11-21 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: August 30, 2026 · Our methodology
Jourdanton Nursing and Rehabilitation in Jourdanton, TX was cited for violations during a health inspection on November 21, 2025.
That admission, recorded at 1:47 p.m.
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.