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Ponderosa Nursing And Rehabilitation Center is a 1-star rated nursing home in De Kalb, TX with 110 beds. CMS sub-ratings: health inspections 2/5, staffing 1/5, quality measures 2/5.

The facility has 65 health violations on record. Federal fines total $444,020 across 51 enforcement actions. Most recent inspection: December 14, 2022.

Data synthesized from CMS.gov and Texas public inspection records. Reviewed by Christopher F. Nesbitt, Sr., NR-EMT & BU-trained Paralegal.

Inspection History Overview

Data current as of May 6, 2026 · Source: CMS Provider Data

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Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2023 5 penalties totaling $4,545

$4,545

Fine

$4,545

Fine

$4,545

Fine

$4,545

Fine

$4,545

Fine

2022 6 penalties totaling $29,355

$4,545

Fine

$4,545

Fine

$4,545

Fine

$4,545

Fine

$11,174

Fine

$13,636

Fine

2021 23 penalties totaling $193,543

$93,832

Fine

$91,228

Fine

$0

Payment Denial

$4,258

Fine

$4,258

Fine

$4,258

Fine

$4,258

Fine

$4,225

Fine

$4,258

Fine

$4,258

Fine

$4,258

Fine

$4,258

Fine

$4,258

Fine

$4,258

Fine

$4,258

Fine

$4,258

Fine

$4,258

Fine

$4,258

Fine

$4,258

Fine

$4,258

Fine

$4,258

Fine

$4,258

Fine

$4,258

Fine

2020 16 penalties totaling $202,950

$3,931

Fine

$3,603

Fine

$3,276

Fine

$2,948

Fine

$2,620

Fine

$2,293

Fine

$1,965

Fine

$56,193

Fine

$0

Payment Denial

$18,110

Fine

$1,638

Fine

$1,310

Fine

$983

Fine

$650

Fine

$52,080

Fine

$51,350

Fine

2019 1 penalties totaling $13,627

$13,627

Fine

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Health Violations by Year

2022 13 violations

Tag 0584 D Dec 14, 2022

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.

✓ Corrected: Feb 1, 2023
Tag 0677 D Dec 14, 2022

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

✓ Corrected: Jan 16, 2023
Tag 0679 D Dec 14, 2022

Provide activities to meet all resident's needs.

✓ Corrected: Jan 16, 2023
Tag 0684 E Dec 14, 2022

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

✓ Corrected: Jan 16, 2023
Tag 0689 D Dec 14, 2022

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

✓ Corrected: Jan 16, 2023
Tag 0695 D Dec 14, 2022

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

✓ Corrected: Jan 16, 2023
Tag 0880 E Dec 14, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Jan 16, 2023
Tag 0689 J Nov 23, 2022

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

✓ Corrected: Oct 9, 2022
Tag 0655 D Jul 7, 2022

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Jul 8, 2022
Tag 0677 D Jul 7, 2022

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

✓ Corrected: Jul 8, 2022
Tag 0689 D Jul 7, 2022

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

✓ Corrected: Jul 8, 2022
Tag 0695 E Jul 7, 2022

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

✓ Corrected: Jul 8, 2022
Tag 0812 F Jul 7, 2022

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

✓ Corrected: Jul 8, 2022

2021 17 violations

Tag 0610 D Oct 8, 2021

Respond appropriately to all alleged violations.

✓ Corrected: Oct 9, 2021
Tag 0684 K Sep 7, 2021

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

✓ Corrected: Sep 8, 2021
Tag 0755 K Sep 7, 2021

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

✓ Corrected: Sep 8, 2021
Tag 0550 D Aug 12, 2021

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Aug 13, 2021
Tag 0558 D Aug 12, 2021

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Aug 13, 2021
Tag 0584 D Aug 12, 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.

✓ Corrected: Aug 13, 2021
Tag 0677 E Aug 12, 2021

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

✓ Corrected: Aug 13, 2021
Tag 0679 E Aug 12, 2021

Provide activities to meet all resident's needs.

✓ Corrected: Aug 13, 2021
Tag 0686 G Aug 12, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Aug 13, 2021
Tag 0692 E Aug 12, 2021

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Aug 13, 2021
Tag 0695 E Aug 12, 2021

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

✓ Corrected: Aug 13, 2021
Tag 0726 D Aug 12, 2021

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Aug 13, 2021
Tag 0759 D Aug 12, 2021

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Aug 13, 2021
Tag 0761 D Aug 12, 2021

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.

✓ Corrected: Aug 13, 2021
Tag 0947 D Aug 12, 2021

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

✓ Corrected: Aug 13, 2021
Tag 0609 D Jan 15, 2021

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

✓ Corrected: Jan 16, 2021
Tag 0656 E Jan 15, 2021

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

✓ Corrected: Jan 16, 2021

2020 12 violations

Tag 0880 E Nov 23, 2020

Provide and implement an infection prevention and control program.

Tag 0677 E Oct 15, 2020

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

Tag 0880 L Oct 15, 2020

Provide and implement an infection prevention and control program.

Tag 0882 F Oct 15, 2020

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Tag 0921 E Oct 15, 2020

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

Tag 0880 K Jul 9, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 10, 2020
Tag 0658 J Feb 14, 2020

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Mar 4, 2020
Tag 0760 J Feb 14, 2020

Ensure that residents are free from significant medication errors.

✓ Corrected: Mar 4, 2020
Tag 0837 L Feb 14, 2020

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

✓ Corrected: Mar 4, 2020
Tag 0604 D Jan 23, 2020

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Tag 0689 J Jan 23, 2020

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

Tag 0804 F Jan 8, 2020

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Feb 1, 2020

2019 13 violations

Tag 0607 E Sep 19, 2019

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

✓ Corrected: Oct 11, 2019
Tag 0609 E Sep 19, 2019

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

✓ Corrected: Oct 11, 2019
Tag 0580 D Sep 5, 2019

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

✓ Corrected: Oct 4, 2019
Tag 0677 E Sep 5, 2019

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

✓ Corrected: Oct 4, 2019
Tag 0726 D Sep 5, 2019

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Oct 4, 2019
Tag 0755 D Sep 5, 2019

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

✓ Corrected: Oct 4, 2019
Tag 0761 D Sep 5, 2019

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.

✓ Corrected: Oct 4, 2019
Tag 0880 E Sep 5, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Oct 4, 2019
Tag 0695 E Apr 3, 2019

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

✓ Corrected: Apr 5, 2019
Tag 0580 E Feb 20, 2019

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

✓ Corrected: Feb 21, 2019
Tag 0607 F Feb 20, 2019

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

✓ Corrected: Feb 21, 2019
Tag 0610 F Feb 20, 2019

Respond appropriately to all alleged violations.

✓ Corrected: Feb 21, 2019
Tag 0755 E Feb 20, 2019

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

✓ Corrected: Feb 21, 2019

2018 4 violations

Tag 0925 F Dec 10, 2018

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

✓ Corrected: Dec 21, 2018
Tag 0583 E Aug 23, 2018

Keep residents' personal and medical records private and confidential.

✓ Corrected: Sep 21, 2018
Tag 0686 D Aug 23, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Sep 21, 2018
Tag 0726 E Aug 23, 2018

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Sep 21, 2018

2017 6 violations

Tag 0353 E Nov 8, 2017

Have enough nurses to care for every resident in a way that maximizes the resident's well being.

✓ Corrected: Dec 23, 2017
Tag 0371 F Nov 8, 2017

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

✓ Corrected: Dec 23, 2017
Tag 0465 F Nov 8, 2017

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

✓ Corrected: Dec 23, 2017
Tag 0249 C Jun 15, 2017

Ensure the activities program is directed by a qualified professional.

✓ Corrected: Jul 3, 2017
Tag 0493 F Jun 15, 2017

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility

✓ Corrected: Jul 3, 2017
Tag 0221 E Apr 5, 2017

Keep each resident free from physical restraints, unless needed for medical treatment.

✓ Corrected: May 5, 2017

Frequently Asked Questions About Ponderosa Nursing And Rehabilitation Center

What violations has Ponderosa Nursing And Rehabilitation Center received?
Ponderosa Nursing And Rehabilitation Center has 65 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
What is the quality rating of Ponderosa Nursing And Rehabilitation Center?
Ponderosa Nursing And Rehabilitation Center has a 1-star rating out of 5 from CMS. This rating indicates the facility may have quality concerns that should be investigated further. The rating is based on health inspections, staffing levels, and quality measures.
When was Ponderosa Nursing And Rehabilitation Center last inspected?
Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
Is Ponderosa Nursing And Rehabilitation Center safe?
Safety at Ponderosa Nursing And Rehabilitation Center should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
How do I contact Ponderosa Nursing And Rehabilitation Center?
Phone: (903) 667-2572. Address: 12520 Fm 1840, De Kalb, TX. For visiting hours and admission information, call the facility directly.
What services does Ponderosa Nursing And Rehabilitation Center offer?
Ponderosa Nursing And Rehabilitation Center is a skilled nursing facility with 110 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
What are better facilities near De Kalb, TX?
Compare Ponderosa Nursing And Rehabilitation Center with other nursing homes in De Kalb, TX on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.

Editorial Standards & Data Oversight

Data Source: This report is based on official public inspection records from the Centers for Medicare & Medicaid Services (CMS) Provider Data Catalog.

Editorial Process: Content generated using AI to synthesize complex regulatory data, then reviewed and verified for accuracy by our editorial team.

Professional Review: All content undergoes standards and compliance oversight by Christopher F. Nesbitt, Sr., Nationally Registered EMT & BU-trained Paralegal, using professional regulatory data auditing protocols.

Last verified: December 14, 2022 | Our methodology | Editorial standards | Report an error

This page is maintained by NursingHomeNews.org and is not affiliated with Ponderosa Nursing And Rehabilitation Center.

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