Southern Specialty Rehab & Nursing
Southern Specialty Rehab & Nursing in Lubbock, TX — inspection on June 11, 2026.
Found 8 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
During an observation on 06/10/26 at 3:30 PM, LVN D provided
looked into his room while care was being provided. Resident #7 was able to be viewed from the
door and pull the privacy curtain for privacy during resident care. LVN D stated she did not close the door because she was waiting for the CNA and thought the CNA would close the door. LVN D stated she was trained about once a month regarding dignity for a resident. LVN D stated the residents could have self-image risks.
During an interview on 06/11/26 at 1:32 PM, the DON stated he expected the staff to pull the curtain all the way around the resident and close the door when providing resident care.
The DON stated the staff was recently trained on dignity, but he would have to look for the date.
The DON stated he did not know why the door was left open and the curtain not pulled around Resident #7 during resident care.
The DON stated residents could be at risk for getting embarrassed.
During an interview on 06/11/26 at 2:07 PM, the ADM stated he expected the staff to close the door and pull the privacy curtain during resident care to maintain privacy.
The ADM stated maybe LVN D was nervous and that was why she did not close the door or pull the privacy curtain.
The ADM stated he would have to look for the last time the staff was trained on dignity.
The ADM stated the residents were at risk of being embarrassed or having a dignity issue.
Record review of the undated facility policy titled Resident Rights revealed the following: Policy: The resident has a right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility, including those specified in this policy.
Policy Interpretation and ImplementationThe facility must treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life, recognizing each resident's individuality.
The facility must protect and promote the rights of the resident.
The facility must provide equal access to quality care regardless of diagnosis, severity of condition, or payment source. A facility must establish and maintain identical policies and practices regarding transfer, discharge, and the provision of services under the State plan for all residents regardless of payment source.
The facility will provide the Resident Rights to each newly admitted resident and upon any revision to the Resident Rights to each resident and/or representative.
676028 06/11/2026
Southern Specialty Rehab & Nursing 4320 W 19th Street Lubbock, TX 79407
During an interview on 06/11/2026 at 03:00 p.m. corporate nurse stated she could not find a policy on following physician orders.
676028 06/11/2026
Southern Specialty Rehab & Nursing 4320 W 19th Street Lubbock, TX 79407
by nursing.
The dietitian is responsible for evaluating nutritional adequacy and fluid requirements. On
orders.
676028 06/11/2026
Southern Specialty Rehab & Nursing 4320 W 19th Street Lubbock, TX 79407
During an interview on 06/11/2026 at 03:00 p.m.
676028 06/11/2026
Southern Specialty Rehab & Nursing 4320 W 19th Street Lubbock, TX 79407
physician.Checklist for completing proper steps in administration of medications.Adheres to the 6
676028 06/11/2026
Southern Specialty Rehab & Nursing 4320 W 19th Street Lubbock, TX 79407
Based on observation, interview, and record review, the facility failed to ensure all drugs and
carts (RT Cart A) reviewed for medication storage.
The facility failed to ensure RT Cart A was locked when not in use or unattended.
This failure could place residents at risk of medication errors or adverse effects.
The findings included:During an observation on 06/11/26 at 8:44 AM, RT Medication/Treatment Cart A was observed in the 200 Hall unlocked and unattended with the keys hanging from the opened lock. No staff or residents were observed within eyesight of the cart.During an observation and interview on 06/11/26 at 8:46 AM, RT F stated she had gone in a resident's room quickly to see what he needed. RT F stated she should have locked her cart when she stepped away from it. RT F opened the top drawer, and medications and supplies were observed in the cart. RT F stated she did not know the last time she was trained to keep her cart locked when she stepped away from it. RT F stated she did not know of a potential negative outcome to the residents.During an interview on 06/11/26 at 1:32 PM, the DON stated he expected the staff to keep their carts locked when not near them and their keys to be kept in their pocket or on their person.
The DON stated the staff were trained on medication storage within the last couple of months, but he did not have an exact date.
The DON stated he did not know why RT F did not lock her cart when she walked away from it.
The DON stated a potential negative outcome to the residents was that they could get a medication they do not need or a possible allergy to the medication.
During an interview on 06/11/26 at 2:07 PM, the ADM stated he expected the staff to lock their carts when they were not with them.
The ADM stated the facility had done in-services regarding medication storage but did not have an exact date.
The ADM stated he did not know why RT F did not lock her cart before she walked away.
The ADM stated a potential negative outcome to the residents was that the resident could get in there and grab or take the medications.
Record review of the facility policy titled, Medication Storage in the facility dated 2025 reflected the following: Policy: Medications and biologicals are stored safely, securely, and properly following manufacturer's recommendations or those of the supplier.
The medication supply is accessible only to license nursing personnel, pharmacy personnel, or staff members lawfully authorized to administer medications.Procedure:.2.
Only licensed nurses, the Consultant Pharmacist, and those lawfully authorized to administer medications are allowed unsupervised access to medications.
Medication rooms, carts, and medication supplies are locked or attended by persons with authorized access.
676028 06/11/2026
Southern Specialty Rehab & Nursing 4320 W 19th Street Lubbock, TX 79407
Findings included: During an observation on 06/10/2026 at 12:00 p.m. DA was wearing a black beanie covering the top of head leaving hair braids uncovered while assisting with serving the noon meal.
During an observation on 06/11/2026 at 10:45 a.m. DM was wearing a black headband with hair uncovered while preparing noon meal.
During an interview on 06/11/2026 at 10:48 a.m., the DA stated the purpose of a hair net was to keep hair from getting in the food. He stated he did not need to cover his braids, only his beard and top of head. He stated he had been trained in hair restraints while in the kitchen. He stated the potential negative outcome of not wearing hair restraint could be hair falling into food.
During an interview on 06/11/2026 at 10:51 a.m., the DM stated all staff in the kitchen were to wear hair restraints covering all hair including braids.
She stated she was aware DA was not properly wearing his hair restraint and did an in-service with DA on proper hair restraints on 06/10/2026.
She stated she wore a hair net over her head band but forgot to put it on.
She stated the purpose of the hair restraint was to keep hair from falling into food.
She stated all staff had been trained on proper hair restraints.
She stated she was responsible for monitoring kitchen staff for proper hair restraints.
She stated the potential negative outcome could be the food being contaminated with hair.
During an interview on 06/11/2026 at 11:20 a.m., the ADM stated he was not aware the kitchen staff were not properly wearing hair restraints. He stated the purpose of the hair restraint was to keep hair out of the food. He stated all staff have been in-serviced on wearing proper hair restraints while in the kitchen. He stated the DM and ADM were responsible for monitoring compliance with hair restraints. He stated the potential negative outcome could be infection control and someone could get sick from hair falling into food.
Record review of the facility's policy, titled Infection Control, dated revised April 9, 2025, reflected the following: We will ensure that all employees practice infection control in the Food and Nutrition Services Department and maintain sanitary food preparation.Procedure.9.
Restricted access to kitchen and dining areasa.
Only authorized employees necessary for the operation of the food service establishment, or as part of an organized educational event, shall be allowed in the food preparation or utensil washing areas, and all shall wear a hairnet or hair covering.
676028 06/11/2026
Southern Specialty Rehab & Nursing 4320 W 19th Street Lubbock, TX 79407
The facility failed to ensure CNA E changed her gloves and performed hand hygiene before going from dirty to clean during incontinence care for Resident #7.
This failure could place residents at risk for cross contamination and infection.
The findings included:
Record review of the admission record for Resident #7, dated 06/09/26 revealed a [AGE] year-old male who was admitted to the facility on [DATE] and readmitted on [DATE] with the following diagnoses: cerebral infarction (stroke), hemiplegia and hemiparesis following cerebral infarctions affecting the left non-dominant side (paralysis of the left side) and urinary tract infection (bladder infection).
Record review of the comprehensive MDS assessment for Resident #7, dated 12/20/25 revealed Resident #7's cognitive skills for daily decision making were severely impaired.
During an observation of catheter care and incontinence care on 06/10/26 at 2:50 PM, CNA E provided catheter care and incontinence care to Resident #7. CNA E wiped Resident #7's buttocks, removed the dirty brief and then placed a clean brief and a clean draw sheet under Resident #7. CNA E did not change her gloves or perform hand hygiene after removing the dirty brief and before placing the clean brief and draw sheet under Resident #7.
During an interview on 06/11/26 at 11:28 AM, CNA E stated she caught her mistake during incontinence care for Resident #7 after the fact. CNA E stated she was supposed to change her gloves after cleaning the resident and before putting on a new drawsheet and brief. CNA E stated she did not remember the last time she was trained on infection control. CNA E stated the risk to the resident was infection.
During an interview on 06/11/26 at 1:32 PM, the DON stated he expected the staff to have clean gloves and clean hands when putting on a clean brief on a resident.
The DON stated he did not know the last time CNA E was trained on infection control and stated he would look for it.
The DON stated he did not know why CNA E did not change her gloves and perform hand hygiene between dirty and clean procedures.
The DON stated the residents had a risk for infection.
During an interview on 06/11/26 at 2:07 PM, the ADM stated he expected the staff to take their gloves off, wash their hands and put on clean gloves between dirty and clean to prevent the spread of infection.
The ADM stated CNA E was recently trained for infection control but did not know exactly when.
The ADM stated a potential negative outcome to the residents was that it could cause a UTI or infection.
Record review of the facility's policy titled, Fundamentals of Infection Control Precautions undated reflected the following: A variety of infection control measures are used for decreasing the risk of transmission of microorganisms in the facility.
These measures make up the fundamentals of infection control precautions.1.
Hand HygieneHand hygiene continues to be the primary means of preventing the transmission of infection.
The following is a list of some situations that require hand hygiene:.after contact with a resident's mucous membranes and body fluids or excretions.GlovingGloves are worn for three important reasons1. To provide a protective barrier and prevent cross contamination of the hands when touching .body fluids.2. To reduce the likelihood that microorganisms present on the hands of personnel will be transmitted to residents during invasive or other resident-care procedures that involve touching a resident's mucous membranes or non-intact skin.3. To reduce the likelihood that hands of personnel contaminated with microorganisms from a resident.can transmit these microorganisms to another resident.Wearing gloves does not replace the need for hand washing because gloves may have small inapparent defects or be torn during use.
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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.