Lone Star Ranch Rehabilitation And Healthcare Cent
Lone Star Ranch Rehabilitation and Healthcare Cent in Kingsville, TX — inspection on May 28, 2026.
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 facility failed to ensure the 400-hall wound care cart was left unlocked and unattended by LVN A.
This failure could place residents at risk of access and ingestion of medications not intended for resident and drug diversion.
Findings were: Observation on 5/28/26, at 10:45 a.m., the 400-hall wound care cart was unlocked parked outside of room [ROOM NUMBER].
The ADON locked the cart when walking by and stated it was the wound cart.
During an interview on 5/28/26 at 12:15 p.m., LVN A verbalized she was performing wound care inside a room on the 400 hallway. LVN A stated she did access the wound cart after initially gathering supplies to get more gauze and thought she locked the cart. LVN A stated it is policy and procedure to lock all carts, including the wound care cart. LVN A stated a resident could have accessed the items in the cart, but there was only one resident on the hall and she was in the room with that resident.
During an interview on 5/28/26 at 12:20 p.m., the DON stated it is the expectation of staff to lock medication and wound carts when unattended.
The DON stated a resident could have ingested something from the cart and it was our responsibility to keep residents safe even if this was the only resident on the hall.
During an interview on 5/28/26 at 1:30 p.m., the Administrator stated it was the expectation that staff assigned to a cart (wound care or medication cart) lock it when unattended and all staff can lock a cart if they see it unlocked.
The Administrator stated it is the policy of the facility to keep all medication carts and wound care carts locked.
The Administrator stated the staff member had been counseled and tomorrow there is an all staff meeting and this will be discussed at the meeting.
Record review of a facility policy titled, Storage of Medication reviewed 6/24/2025, reflected 1.
Drugs and biologicals used in the facility are stored in locked compartments under proper temperature, light and humidity controls. 8.
Compartments (including, but not limited to, drawers, cabinets, rooms, refrigerators, carts and boxes) containing drugs and biologicals are locked when not in use.
Record review of a facility policy titled, Treatment cart set up reviewed January 2023, reflected in unnumbered bullet points carts are to be locked when not in use.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
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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.