Mi Casita Nursing: Oxygen Tubing Left Unchanged - TX
Nobody had changed it. Nobody had said anything.
The nurse responsible for the change that Sunday night was the facility's own Assistant Director of Nursing. She told inspectors she was working as the charge nurse on night shift that evening, the designated shift for weekly oxygen equipment changes. She took care of both Resident 1 and Resident 17 during those hours. She got busy. She skipped the tubing changes for both of them. And when her shift ended, she did not tell the nurse coming on that the task had never been done.
She acknowledged, when inspectors interviewed her on March 27, that the potential consequence of missing the change was respiratory complications.
The Director of Nursing said the risk was infection. The administrator said the same: infection. All three of them gave inspectors the same answer about what could go wrong. All three of them described a system in which night shift charge nurses changed the tubing and nursing administration monitored whether it happened, through spot checks during rounds.
The spot checks hadn't caught it.
Resident 17, who uses oxygen, told inspectors during a separate conversation that one staff member was particularly reliable about changing the tubing and adding water to the humidifier canister. Not everyone was. She had noticed the difference.
The facility's own oxygen policy, dated October 2017, states plainly that tubing will be dated and changed weekly. The dating requirement exists precisely so that anyone walking past can see at a glance whether the change is overdue. The tubing on Resident 17's equipment was dated. It was just eleven days old.
The administrator told inspectors she had no idea the March 22 changes hadn't been completed for either resident. Her expectation, she said, was that staff would follow physician orders. The charge nurse responsible for following those orders that night was the Assistant Director of Nursing, one of the facility's own senior clinical managers.
There is no indication in the inspection record that anyone discovered the lapse before the federal survey team arrived. The ADON did not report it to oncoming staff. Nursing administration did not catch it on rounds. The administrator learned about it from inspectors.
Inspectors classified the violation as causing minimal harm or potential for actual harm, with few residents affected. The inspection was completed March 27, 2026.
What the inspection record does not resolve is how long both residents spent breathing through equipment that should have been swapped out the previous Sunday, and whether the pattern extended to other weeks or other residents. The facility's spot-check system, by the accounts of its own leadership, was the safeguard. It did not work here.
Resident 17 already knew some staff were better about the tubing than others. She had been paying attention.
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.
The nurse responsible for the change that Sunday night was the facility's own Assistant Director of Nursing.
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.