Ganado Nursing And Rehabilitation Center
GANADO NURSING AND REHABILITATION CENTER in GANADO, TX — inspection on February 25, 2026.
Found 7 citations. 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
Resident #27, while near the large Activity calendar for February 2026, near the nursing desk area.
few days due to physical inability. 3.
Record review of Resident #29's admission Record dated
dementia, major depressive disorder, unsteadiness on feet, and need assistance with personal care.
Record review of Resident #29's admission MDS dated [DATE] documented with BIMs score of 11/15 (moderate cognitive impairment), required a walker/wheelchair, and for Activities (f section) included very important was keep up with the news, do things with groups of people, do favorite activities, and go outside to get fresh air.
Record review of Resident #29's care plan dated 1/27/2026 documented to encourage the residents to participate in activities that promote exercise, physical activity for strengthening and improved mobility.
Also, provide program of activities that accommodate the resident abilities.
Interview on 2/25/2026 at 11:24 AM with Resident #29 stated they did not have pretty nails activity on 2/23/2026, Monday and no appetizer hour scheduled for today. Resident #29 stated they had activities this morning and did not have any all week, and no activities on weekends.
Interview on 2/23/2026 at 10:00 AM with the ADM stated the Activity Director was not coming in today, Monday, 2/23/2026, due to physical ailments. ADM stated if Activity Director was not able to work, he would get staff together to ensure residents got the scheduled Activities.
Interview on 2/24/2026 at 2:00 PM with the ADM stated the Activity Director was not coming in today, Monday, 2/23/2026, due to physical ailments.
Interview on 2/25/2026 at 2:28 PM with the Activity Director stated she had been physically unable to go to work this week and does not work weekends.
The Activity Director stated she comes in for resident activities once a month when she is the manager on duty.
The Activity Director stated she did not have an assistant but had volunteers from community coming to visit and do different activities with residents.
The Activity Director stated the one-to-one on the activity calendar; meant she meets with resident individually.
The Activity Director stated the one-to-one notes were with her and not at the facility.
The Activity Director stated she did not find out until later the volunteer bingo was cancelled.
The Activity Director stated she was not aware the activities were not being held at the facility for residents.
The Activity Director stated she did not have a back-up plan if she was not able to make it to work for the scheduled activities.
The Activity Director stated on weekends she leaves board games and some volunteers for Bingo.
The Activity Director stated church volunteers come in on Sundays.
Activity Director usually gathers residents for activities and see if they wanted to come.
Record review of policy Activity programming dated 2011, was documented The Activity Director and staff will provide for ongoing Activity program. 1.
Recreation programs are based on the interest and needs of the resident expressed through the Activity assessment. 3.
Activity program area based on resident's leisure interests and implemented to meet the needs (physical, cognitive, creative, social, spiritual, independent, and sensory) of the residents. 5.
Those who cannot participate in group settings are provided individual programming. inability to participate could include those who refuse to participate in activates, those who are in isolation, or physician orders bed rest. 6.
Programming includes large groups, small groups, individual and independent opportunities. 7.
Programs may take place in the mornings, afternoons, and /or evenings that span throughout the entire week.
676242 02/25/2026
Ganado Nursing and Rehabilitation Center 107 E Rogers Ganado, TX 77962
Observation on 02/24/2016 at 11:15 a.m. revealed while providing incontinent care for Resident #37, CNA A used a back and forth motion to wipe the resident instead of a front to back motion.
During an interview on 02/24/2026 at 11:30 a.m. with CNA A, she stated she should have wiped front to back instead of using a back-and-forth motion and do multiple pass on the same area.
During an interview with the DON on 02/24/2026 at 3:05 p.m., she stated that staff should not do back and forth motion with wipes during incontinent care.
The staff should do a front to back pass with a wipe and change wipe before doing another pass to prevent fecal matter to enter the urinary tract and cause infection.
She stated infection control training and incontinent care training were provided at least once a year and staff's skills were check once a year by the DON and ADON.
Review of CNA proficiency audit for CNA A revealed she was passed proficiency on infection control and incontinent care on 10/15/2025.
Record review of facility's policy titled Perineal care, dated 04/25/2022, revealed, Gently perform perineal care, wiping from clean urethral area to dirty, rectal area.
676242 02/25/2026
Ganado Nursing and Rehabilitation Center 107 E Rogers Ganado, TX 77962
During an interview with the DON on 02/25/2026 at 10:59 a.m., the DON stated that Resident #11's Depakote order should have had an associated diagnoses, stated she did not know why it did not have one, and that it would be corrected.
Record review of the facility policy, Unnecessary Medications, revised 02/12/2025, revealed, It is the policy of this facility each resident remains free of unnecessary medications. An unnecessary drug is any drug when used - . without adequate indications for its use.
676242 02/25/2026
Ganado Nursing and Rehabilitation Center 107 E Rogers Ganado, TX 77962
were hers to make, she would provide a variety, but that cooks must follow the menu.
She stated that
November 2, 2025 through May 30, 2026, revealed breakfast for each day was: choice of juice, hot or cold cereal, fresh pasteurized eggs, bacon or sausage, breakfast bread, margarine, jelly, and whole milk.
Record review of the facility policy, Menu Approval and Honoring Residents Special Requests, and Food Brought to the Facility from Unapproved Sources, dated 2012, revealed, .Every attempt will be made to honor resident food preferences.
676242 02/25/2026
Ganado Nursing and Rehabilitation Center 107 E Rogers Ganado, TX 77962
During an interview with Resident #57 on 02/22/2026 at 10:32 a.m., the resident stated that she always ate in her room and all three meals were served cold. Resident #57 stated she generally enjoyed the taste of the meals, but that receiving cold food made it unpalatable.
During an interview with the Dietary Manager on 02/25/2026 at 1:36 p.m., the Dietary Manager stated that no residents had informed her that meals were served cold.
Record review of the facility policy, Daily Food Temperature Control, dated 2012, revealed, We will assure that food is served at a safe temperature.
676242 02/25/2026
Ganado Nursing and Rehabilitation Center 107 E Rogers Ganado, TX 77962
During an interview with Dietary [NAME] F on 02/25/2026 at 7:18 a.m., Dietary [NAME] F confirmed the jar of marmalade, labeled refrigerate after opening was stored in a non-refrigerated dry goods pantry after being opened and should have been refrigerated.
Dietary [NAME] F stated she did not know why the marmalade had not been properly stored.
During an interview with the Dietary Manager on 02/25/2026 at 1:36 p.m., the Dietary Manager stated the jar of marmalade, labeled refrigerate after opening was stored in a non-refrigerated dry goods pantry after being opened and should have been refrigerated.
Record review of the facility policy, Food Storage and Supplies, dated 2012, revealed, All facility storage areas will be maintained in and orderly manner that preserves the condition of food and supplies.
676242 02/25/2026
Ganado Nursing and Rehabilitation Center 107 E Rogers Ganado, TX 77962
were considered dirty or contaminated and she should have change her gloves and sanitize her hands
the staff should have changed her gloves and sanitize her hands before touching the resident and
review of the facility's policy titled Eye Ointment Administration , dated 2025, revealed, Identify the resident before administering medication [ .] wash hands, don gloves.
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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.