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Cedar Creek Nursing: Advance Directive Rights Failure - TX

Healthcare Facility
Cedar Creek Nursing And Rehabilitation Center
Bandera, TX  ·  2/5 stars

During a standard health inspection completed on May 8, 2026, inspectors cited Cedar Creek for failing to honor residents' rights to request, refuse, or discontinue treatment, to decide whether they participate in experimental research, and to formulate an advance directive. The citation fell under a category the government classifies as a resident rights deficiency, one of the most fundamental categories in nursing home oversight because it concerns not clinical error but whether a facility respects what residents have already said they want.

The deficiency was assigned a scope and severity level of D, meaning inspectors characterized it as isolated and found no actual harm. But the federal rating system at that level still requires a finding of potential for more than minimal harm. For a violation involving advance directives, that language carries weight. An advance directive is the document a person completes to specify what medical interventions they want, or do not want, if they become unable to speak for themselves. Failing to follow one is not a paperwork problem.

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Cedar Creek was cited for five deficiencies total during the May inspection. The advance directive finding was among them.

What makes the citation harder to dismiss is what came after it. As of the inspection record, Cedar Creek had submitted no plan of correction. Facilities that receive deficiency citations are required to submit written plans detailing how they will fix the identified problem and when. Cedar Creek had not done that. The violation stood open, with no documented commitment to address it.

The inspection report does not name the residents involved, does not describe the specific circumstances in which their rights were not honored, and does not indicate how many people were affected. What it does confirm is that inspectors found the problem real enough to cite, and that the facility, weeks later, had taken no formal step to resolve it.

Advance directives and treatment refusal rights sit at the center of what it means to have control over your own body in a medical setting. Nursing home residents, many of whom are elderly, cognitively impaired, or in declining health, are among the people most likely to have completed such documents and most dependent on staff to follow them. The directive may say do not resuscitate. It may say no feeding tube. It may say stop dialysis. Whatever it says, the resident wrote it, or had someone write it for them, because they wanted it followed.

When a facility fails in this area, the inspection record does not always explain why. Sometimes staff are unaware a directive exists. Sometimes documentation is not accessible at the moment a decision needs to be made. Sometimes a family member's wishes override the resident's recorded ones, and no one intervenes. The Cedar Creek report does not say which of these happened, or something else entirely.

What the report does say is that five deficiencies were found, that one of them directly concerned residents' legal right to control their own medical care, and that the facility had not, as of the inspection record, told anyone what it planned to do about it.

Bandera is a small city in the Texas Hill Country, about an hour northwest of San Antonio. Cedar Creek is the kind of facility that serves a rural community where options for long-term care are limited and families often have few alternatives. That context does not change what inspectors found. It does mean that the residents living there have fewer places to turn.

The inspection record closes with the deficiency unresolved and the correction status unchanged.

Full Inspection Report

The details above represent a summary of key findings. View the complete inspection report for Cedar Creek Nursing and Rehabilitation Center from 2026-05-08 including all violations, facility responses, and corrective action plans.

Additional Resources


Editorial Standards

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: July 16, 2026  ·  Our methodology

Quick Answer

CEDAR CREEK NURSING AND REHABILITATION CENTER in BANDERA, TX was cited for violations during a health inspection on May 8, 2026.

The deficiency was assigned a scope and severity level of D, meaning inspectors characterized it as isolated and found no actual harm.

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 CEDAR CREEK NURSING AND REHABILITATION CENTER?
The deficiency was assigned a scope and severity level of D, meaning inspectors characterized it as isolated and found no actual harm.
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 BANDERA, 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 CEDAR CREEK NURSING AND REHABILITATION 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 675929.
Has this facility had violations before?
To check CEDAR CREEK NURSING AND REHABILITATION 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.


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