Concho Health & Rehabilitation Center
CONCHO HEALTH & REHABILITATION CENTER in EDEN, TX — inspection on November 18, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
The surveyor left a message but did not receive a return call. An interview with DON on 10/17/2025 at 2:30PM revealed she was not employed on the date this allegation occurred.
She was the current Interim DON and started on 10/15/2025 and does not have access to electronic health records as of this time.
She stated her expectation is for and abuse, neglect, or misappropriation to be reported to her or the Administrator immediately.
Record review of facilities in-service records revealed a one-on-one written in-service dated 10/17/2025 with the administrator, DON, ADON, and MDS coordinator regarding reporting every allegation of abuse or neglect to HHSC per guidelines.
Abuse and Neglect in-services were started on 10/16/2025 with facility policy labeled Abuse and Neglect attached.
Record review of Texas Unified Licensure Information Portal (TULIP) on 10/16/25 at 4:30 P.M. revealed no self-reported incidents regarding allegations of abuse were reported for Resident # 1 .
Record review of undated facility policy on 10/17/2024 titled, Abuse, Neglect revealed: 1.
Residents should not be subjected to abuse by anyone, including, but not limited to, facility staff, other residents, consultants and volunteers, staff of other agencies serving the resident, family members or legal guardians, friends, or other individuals. 2.
Facility employees must report all allegations of abuse, neglect, exploitation, mistreatment of residents, misappropriation of resident property or injury of unknown source to the facility administrator.
The facility administrator or designee will report to HHSC all incidents that meet the criteria of Provider Letter 2024-14 dated 8/29/2024.a. If the allegations involve abuse or result in serious bodily injury, the report is to be made within 2 hours of the allegationb. If the allegation does not involve abuse or serious bodily injury, the report must be made within 24 hours of the allegation.
Record Review of Provider Letter 2024-14 dated 8/29/2024 revealed a nursing facility must report the following types of incidents, in accordance with applicable state and federal requirements: abuse, neglect, exploitation, death due to unusual circumstances, a missing resident, misappropriation, drug theft, suspicious injuries of unknown source, fire, emergency situations that pose a threat to resident health and safety, communicable disease situations that are an unusual or abnormal event that poses a threat to resident health and safety.
Do report abuse or an incident that results in serious bodily injury immediately but not later than two hours after the incident occurs or is suspected. Do report an incident that does not result in serious bodily injury immediately but no later that 24 hours after the incident occurs or is suspected.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.