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Lone Star Ranch: Walker Attack Undocumented - TX
The attack occurred on October 8 between two residents at Lone Star Ranch Rehabilitation and Healthcare Center....
Latest reports, citations, and penalties from CMS data
The attack occurred on October 8 between two residents at Lone Star Ranch Rehabilitation and Healthcare Center....
The social worker and MDS coordinator told inspectors during a joint interview that they "should have" updated the care plan earlier....
Federal inspectors observed the violation during a complaint investigation....
The patient also has atrial fibrillation, COPD, and high blood pressure....
The MDS Nurse admitted she "had just missed the wound" when completing the assessment after the resident's readmission....
The incident occurred November 12 when Resident #3 accidentally bumped into Resident #2 while walking with LVN A through the men's secured unit....
The resident, identified only as a woman in her 80s, was supposed to receive showers on Tuesday, Thursday and Saturday evenings according to her care plan....
A hospice aide discovered the wound without its protective bandage during morning care around 9:00 AM....
Federal inspectors documented the safety breach during a complaint investigation at Advanced Health & Rehab Center of Garland....
Federal inspectors found a pattern of basic hygiene failures during a November complaint investigation....
The violation represents continued non-compliance from an October 15 survey at the facility....
The confusion began on November 7 when CNA #114 asked for the director of nursing's phone number....
The resident remained suspended in the air for the entire 10-foot journey, visibly swinging as her weight shifted side to side....
Resident #1 died at Optalis Health and Rehabilitation at St....
The facility ultimately treated 29 residents and 15 staff members for scabies....
The violation affected all residents in the facility....
The incident at Pasadena Nursing Center on November 25, 2025, exposed a breakdown in the facility's abuse reporting procedures....
The resident, identified as Resident #10 in inspection records, told investigators she had no idea the picture was being taken....
Someone had been using his debit card for DoorDash food deliveries and Lyft rides without his knowledge or consent....
The October incident at The Harrison at Heritage involved a resident found in their room after what inspectors documented as a suicide attempt....