Mi Casita Nursing: Care Plan Failures Flagged - TX
Inspectors with the Centers for Medicare and Medicaid Services visited the facility at 2400 Quaker Ave on March 27, 2026. What they found was not a single lapse. It was a pattern of staff who knew the care plans existed and couldn't explain why they weren't being used.
At 9:20 that morning, inspectors observed Resident 40 with one cigarette and one lighter sitting in a cigarette box in the front pocket of his shirt. Three minutes later, they interviewed the nurse on duty. LVN B said she had been trained to consult the Kardex, a simplified version of the care plan, but said it had been a while since that training. She said she did not know why Resident 40 had the cigarette and lighter on him. She acknowledged he was sometimes non-compliant with the facility's smoking policies. She also said, plainly, that a potential harm to residents was their care plan not being followed.
That acknowledgment came from a bedside nurse. The same acknowledgment came from the top of the building.
The director of nursing, interviewed at 11:05 AM, said staff had been trained to check care plans. She said she did not know when that training last occurred. She said she did not know why the smoking care plan for Resident 40 was not being followed. Her answer to the question of what could go wrong: residents could not get the care they needed.
The administrator, interviewed at 1:41 PM, said she expected nursing staff to check and follow care plans. She said staff had been trained on them, but she did not know when. She said she did not know why the smoking care plan was not followed. She said there was a potential risk for danger.
Three people in positions of authority. None of them could say when training happened. None of them could explain the failure. All three could describe the consequences.
Resident 40's situation was not the only one inspectors flagged. At 3:48 PM, the director of nursing was asked about a second resident, Resident 7. That resident was receiving oxygen therapy. There was no oxygen therapy entry in the care plan.
The director of nursing said she did not know why. She said the care plan should have been updated when the physician's order came in. She said she and the MDS Coordinator were responsible for the accuracy and completeness of resident care plans. She said the care plan was the document all staff relied on to know how to care for a resident.
A physician had ordered oxygen for Resident 7. The order existed. The care plan did not reflect it. Staff caring for that resident had no documented guidance in the plan that governed their work.
The facility's own written policy, titled Policy and Procedure Comprehensive Care Planning, states that every resident will have all needs and specialized services care planned and revised routinely. The policy describes the care plan as the document meant to meet all requirements of the care process, with input from every member of the interdisciplinary team.
The gap between that policy and what inspectors observed on March 27 was not subtle. A resident carried a lighter he was not supposed to have. Another received oxygen therapy that no one had written into his plan. The nurses didn't know. The director of nursing didn't know. The administrator didn't know. And none of them could say when the last time was that anyone made sure they would.
Resident 40, for his part, told inspectors that none of the staff had ever told him he wasn't allowed to have a cigarette and lighter.
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.
Inspectors with the Centers for Medicare and Medicaid Services visited the facility at 2400 Quaker Ave on March 27, 2026.
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.