Levelland Nursing And Rehabilitation Center
Levelland Nursing and Rehabilitation Center in Levelland, TX — inspection on November 5, 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
During an interview on [DATE] the ADM stated she was sure CNA A did not work the night shift on [DATE] because they told CNA A she could not work until her certificate was renewed.
She stated she would check her time punch detail to see, then stated she did clock in and work last night.
She stated she told the DON that CNA A worked the night shift on [DATE] and the DON told her no, because CNA A was told last week she could not work.
She stated that CNA A was made aware she could not work until her certificate was renewed.
Record review of Off Cycle QA Meeting Document dated [DATE] reflected Identification of a system in need of immediate attention by QAPI Committee:A system failure was identified: On [DATE] it was found that a CNA license had lapsed while still working on the floor.Regional Compliance Nurse/ ADM/ DON initiated a Plan of Correction on [DATE]. HR will complete a full audit of license by [DATE].DON will keep a binder of all nursing licensures and will review monthly for compliance.DON/ADON will provide notification to nursing staff 60 days prior to licensure expiration.DON/ADON will provide any assistance needed to renew license or certification. ADM will oversee monthly for adherence.If either party determines that the system is not in compliance at any time during monitoring, the system will be discussed with QAAC for immediate change process.
Record review of facility policy Credentialing of Nursing Services Personnel dated (Revised [DATE]) reflected the following: Policy StatementNursing services personnel who require a license or certification to provide resident care or treatment without direction or supervision within the scope of the individual's license or certification must present verification of such license or certification prior to or upon employment.Policy Interpretation and Implementation2.
Nursing personnel requiring a license/certification are not permitted to perform direct resident care services until all licensing/background checks have been completed.8. A copy of annual license renewals/certifications (as applicable) must be presented to the director of nursing services no later than February 1st each year.
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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.