Cedar Manor Nursing Home: Staffing Post Outdated 12 Days - TX
Twelve days had passed. Nobody had updated it.
An inspector noticed the outdated posting at 9:40 that morning. Twenty minutes later, the administrator sat down for an interview and said her expectation was that the daily staffing sheet be posted every day. She identified the assistant director of nursing as the person responsible. Then she said she had not realized it wasn't being kept current.
The ADON, interviewed at 10:30 a.m., confirmed she was responsible for posting the daily nurse staffing hours. She said she had been busy with other job duties. She said she had just forgotten to keep it current for the past 12 days.
That stretch ran from August 9 through August 20, covering every shift across nearly two weeks. Residents at Cedar Manor, their family members, anyone who walked through that facility during that period and looked at the posting had no accurate information about how many registered nurses, licensed vocational nurses, or certified nurse aides were on the floor providing care.
The facility's own policy, dated January 1, 2024, states that staffing information will be made readily available in a readable format to residents and visitors at any given time, and that the nurse staffing sheet will be posted on a daily basis.
The violation was cited at the lowest level of harm, potential for minimal harm. Inspectors noted that the failure could place residents, their families, and visitors at risk of not knowing how many nursing staff are currently working to provide care on all shifts.
That framing, potential for minimal harm, is worth sitting with. Staffing levels in nursing homes are not an administrative formality. They are among the most direct predictors of whether a resident gets turned in time to avoid a pressure wound, whether a call light gets answered before someone tries to get up alone, whether medications are administered on schedule. The posting requirement exists because families and residents are entitled to know, in real time, whether the facility is adequately staffed to care for the people living there. When that information is 12 days stale, the transparency the requirement was designed to provide simply doesn't exist.
Cedar Manor sits at 1915 Greenwood Street in San Angelo. The inspection was a complaint survey, completed August 20, 2025.
The administrator's explanation, that she had not realized the posting wasn't being kept current, raises its own question. The sheet was posted directly outside her office door. She walked past it, presumably, every working day for nearly two weeks.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Cedar Manor Nursing and Rehabilitation Center from 2025-08-20 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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: September 22, 2026 · Our methodology
Cedar Manor Nursing and Rehabilitation Center in San Angelo, TX was cited for violations during a health inspection on August 20, 2025.
An inspector noticed the outdated posting at 9:40 that morning.
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.