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Bandera Nursing & Rehabilitation

πŸ“ 222 Fm 1077, Bandera, TX 78003 πŸ“ž (830) 796-4077 πŸ›οΈ 124 beds

Inspection History Overview

Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

April 5, 2025 Complaint Investigation

Fines and Penalties by Year

2025 1 penalties totaling $132,990

$132,990
Mar 21, 2025

Fine

2021 2 penalties totaling $147,934

$9,750
Dec 16, 2021

Fine

$138,184
May 20, 2021

Fine

2020 1 penalties totaling $9,992

$9,992
Sep 4, 2020

Fine

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Health Violations by Year

2025 7 violations

Tag 0580 D Apr 5, 2025

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Apr 6, 2025
Tag 0690 K Apr 5, 2025

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Apr 6, 2025
Tag 0656 E Mar 21, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Mar 22, 2025
Tag 0677 D Mar 21, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Mar 22, 2025
Tag 0679 E Mar 21, 2025

Provide activities to meet all resident's needs.

βœ“ Corrected: Mar 22, 2025
Tag 0684 E Mar 21, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Mar 22, 2025
Tag 0842 D Feb 20, 2025

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Feb 21, 2025

2024 4 violations

Tag 0689 J Jun 20, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jun 5, 2024
Tag 0677 E Jan 27, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jan 28, 2024
Tag 0712 F Jan 27, 2024

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

βœ“ Corrected: Jan 28, 2024
Tag 0842 F Jan 27, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Jan 28, 2024
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2022 9 violations

Tag 0644 D Nov 10, 2022

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

βœ“ Corrected: Nov 22, 2022
Tag 0656 D Nov 10, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Nov 22, 2022
Tag 0800 E Nov 10, 2022

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

βœ“ Corrected: Nov 22, 2022
Tag 0842 E Nov 10, 2022

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Nov 22, 2022
Tag 0677 E Jun 24, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jun 25, 2022
Tag 0689 D Jun 24, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jun 25, 2022
Tag 0759 D Jun 24, 2022

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Jun 25, 2022
Tag 0761 D Apr 28, 2022

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Apr 29, 2022
Tag 0773 D Apr 28, 2022

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

βœ“ Corrected: Apr 29, 2022

2021 13 violations

Tag 0584 E Dec 16, 2021

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

βœ“ Corrected: Dec 17, 2021
Tag 0677 D Dec 16, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Dec 17, 2021
Tag 0732 C Dec 16, 2021

Post nurse staffing information every day.

βœ“ Corrected: Dec 17, 2021
Tag 0755 D Dec 16, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Dec 17, 2021
Tag 0772 D Dec 16, 2021

Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.

βœ“ Corrected: Dec 17, 2021
Tag 0812 D Dec 16, 2021

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Dec 17, 2021
Tag 0880 D Dec 16, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jan 5, 2022
Tag 0908 E Dec 16, 2021

Keep all essential equipment working safely.

βœ“ Corrected: Dec 17, 2021
Tag 0600 K May 20, 2021

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Jun 16, 2021
Tag 0607 K May 20, 2021

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

βœ“ Corrected: Jun 16, 2021
Tag 0609 K May 20, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Jun 16, 2021
Tag 0610 K May 20, 2021

Respond appropriately to all alleged violations.

βœ“ Corrected: Jun 16, 2021
Tag 0835 K May 20, 2021

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

βœ“ Corrected: Jun 16, 2021
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2020 3 violations

Tag 0812 B Oct 29, 2020

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Oct 30, 2020
Tag 0689 D Oct 9, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Oct 10, 2020
Tag 0880 E Sep 4, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Sep 29, 2020

2019 7 violations

Tag 0583 D Apr 5, 2019

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Apr 10, 2019
Tag 0657 D Apr 5, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Apr 10, 2019
Tag 0695 D Apr 5, 2019

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Apr 10, 2019
Tag 0759 D Apr 5, 2019

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Apr 10, 2019
Tag 0801 C Apr 5, 2019

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

βœ“ Corrected: Apr 10, 2019
Tag 0880 D Apr 5, 2019

Provide and implement an infection prevention and control program.

βœ“ Corrected: Apr 24, 2019
Tag 0919 E Apr 5, 2019

Make sure that a working call system is available in each resident's bathroom and bathing area.

βœ“ Corrected: Apr 10, 2019
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2018 8 violations

Tag 0623 E Mar 30, 2018

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Apr 2, 2018
Tag 0641 E Mar 30, 2018

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Apr 2, 2018
Tag 0695 E Mar 30, 2018

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Apr 2, 2018
Tag 0755 D Mar 30, 2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Apr 2, 2018
Tag 0761 E Mar 30, 2018

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Apr 2, 2018
Tag 0812 F Mar 30, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Apr 2, 2018
Tag 0842 E Mar 30, 2018

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Apr 2, 2018
Tag 0880 E Mar 30, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Apr 2, 2018

2017 19 violations

Tag 0689 E Dec 15, 2017

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jan 4, 2018
Tag 0755 D Dec 15, 2017

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Jan 4, 2018
Tag 0223 K Mar 20, 2017

Protect each resident from all abuse, physical punishment, and involuntary separation from others.

βœ“ Corrected: Apr 17, 2017
Tag 0226 K Mar 20, 2017

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

βœ“ Corrected: Apr 17, 2017
Tag 0279 K Mar 20, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Apr 17, 2017
Tag 0280 K Mar 20, 2017

Allow residents the right to participate in the planning or revision of care and treatment.

βœ“ Corrected: Apr 17, 2017
Tag 0323 K Mar 20, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

βœ“ Corrected: Apr 17, 2017
Tag 0325 H Mar 20, 2017

Ensure residents maintain acceptable nutritional status.

βœ“ Corrected: Apr 17, 2017
Tag 0354 C Mar 20, 2017

Use a registered nurse at least 8 hours a day, 7 days a week.

βœ“ Corrected: Apr 17, 2017
Tag 0365 E Mar 20, 2017

Provide food in a way that meets a resident's needs.

βœ“ Corrected: Apr 17, 2017
Tag 0371 F Mar 20, 2017

Store, cook, and serve food in a safe and clean way.

βœ“ Corrected: Apr 17, 2017
Tag 0428 E Mar 20, 2017

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

βœ“ Corrected: Apr 17, 2017
Tag 0431 E Mar 20, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

βœ“ Corrected: Apr 17, 2017
Tag 0465 F Mar 20, 2017

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Apr 17, 2017
Tag 0490 K Mar 20, 2017

Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident .

βœ“ Corrected: Apr 17, 2017
Tag 0498 E Mar 20, 2017

Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.

βœ“ Corrected: Apr 17, 2017
Tag 0514 E Mar 20, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

βœ“ Corrected: Apr 17, 2017
Tag 0518 F Mar 20, 2017

Train all employees on what to do in an emergency, and carry out unannounced staff drills.

βœ“ Corrected: Apr 17, 2017
Tag 0520 K Mar 20, 2017

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.

βœ“ Corrected: Apr 17, 2017
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