Mi Casita Nursing: Cell Phone Dignity Violations - TX
Four residents at Mi Casita Nursing and Rehabilitation Center told inspectors that certified nursing assistants used personal cell phones while performing perineal care, the most intimate form of hygiene assistance a nursing home provides. They said it happened on every shift. They said every CNA in the building did it. They said they felt ignored, embarrassed, and certain that sooner or later someone was going to make a mistake because they were too distracted to pay attention.
The findings came from a March 27, 2026 inspection by the Centers for Medicare and Medicaid Services. Inspectors cited the facility for failing to protect the dignity and rights of four residents.
The residents described two distinct problems. The first was personal care, including peri-care, performed while a CNA carried on a phone conversation or scrolled through a screen. The second was mealtimes. CNAs were on their phones while feeding residents who could not feed themselves, and the residents said the distraction caused long gaps between bites. They sat there, food in front of them, waiting for someone to look up.
None of the four residents knew the names of the aides involved. They couldn't give inspectors a specific date or time. What they could say was that it happened so consistently, across so many staff members and so many shifts, that identifying one person felt beside the point.
The facility's assistant director of nursing, interviewed at 3:33 p.m. on the day of the inspection, acknowledged that phones should never be used in resident rooms, hallways, or nurses' stations. She said staff were trained on privacy, resident rights, and cell phone use during orientation, and that the training continued through ongoing education. She said supervisors made rounds and corrected problems when they found them. She said the potential consequences included mistakes and HIPAA violations.
What she did not say was that the problem had been caught before, or that anyone had been disciplined, or that the four residents who complained had ever received a response to their concerns.
The gap between what the administrator described and what residents experienced is the center of the finding. A training program that runs through orientation and continues through department-level education, a monitoring system built on rounds and grievance response, a clear policy that phones stay out of resident spaces entirely — and still, four residents told the same story, independently, about the same pattern of behavior happening across every shift.
The residents' words in the inspection report are worth reading closely. They did not say they were inconvenienced. They said they felt like they were not a priority. They said they were embarrassed. They said their privacy was violated. One concern that appeared repeatedly was the fear of mistakes, the sense that a CNA half-present in a phone conversation is a CNA who might miss something, skip a step, or cause harm without realizing it.
CMS rated the violation at the lowest level of harm, minimal harm or potential for actual harm, affecting a small number of residents. No immediate jeopardy was cited. The facility was directed to submit a plan of correction.
But the harm residents described was not minimal to them. Being bathed by someone who is on the phone is not a minor inconvenience. Sitting with a fork halfway to your mouth while the person feeding you reads a text is not a small indignity. For people who depend entirely on others for the most basic functions of daily life, the attention of the person in the room is not a courtesy. It is the care itself.
The residents said they did not know who to complain to. They did not know the names of the aides. They knew only that it happened constantly, that no one had stopped it, and that they had learned to expect it.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Mi Casita Nursing and Rehabilitation Center from 2026-03-27 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 19, 2026 · Our methodology
MI CASITA NURSING AND REHABILITATION CENTER in LUBBOCK, TX was cited for violations during a health inspection on March 27, 2026.
They said it happened on every shift.
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.