Kennedy Health & Rehab
Kennedy Health & Rehab in Lufkin, TX — inspection on September 16, 2025.
Found 3 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
Observation conducted on 9/13/25 at 8:15 p.m. showed a notice over all facility time clocks notifying staff not to clock in until they had completed required in-services on abuse and neglect.
Notification to the Administrator on 9/13/2025 at 8:30 p.m. that the IJ had been lifted. An IJ was identified on 9/12/25.
The IJ template was provided to the facility on 9/12/25 at 3:34 p.m.
While the IJ was removed on 9/13/25 the facility remained out of compliance at a scope of Isolated and severity level of no actual harm with potential for more than minimal harm that was not IJ due to ongoing need for in-services on abuse and neglect, abuse coordinator and notification of abuse process.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/16/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Kennedy Health & Rehab
504 N John Redditt Dr Lufkin, TX 75904
SUMMARY STATEMENT OF DEFICIENCIES
During an interview with Resident # 16 on 9/13/25 at 8:15 p.m. he was able to confirm that they had completed the safe survey on 9/13/2025 and been asked about abuse and neglect, whether they felt safe and who they were to report abuse to.
During an interview with Resident # 17 on 9/13/25 at 8:18 p.m. he was able to confirm that they had completed the safe survey on 9/13/2025 and been asked about abuse and neglect, whether they felt safe and who they were to report abuse to.
During an interview with Resident # 18 on 9/13/25 at 8:20 p.m. he was able to confirm that they had completed the safe survey on 9/13/2025 and been asked about abuse and neglect, whether they felt safe and who they were to report abuse to.
During an interview with Resident # 19 on 9/13/25 at 8:23 p.m. he was able to confirm that they had completed the safe survey on 9/13/2025 and been asked about abuse and neglect, whether they felt safe and who they were to report abuse to.
During an interview with Resident # 20 on 9/13/25 at 8:25 p.m. he was able to confirm that they had completed the safe survey on 9/13/2025 and been asked about abuse and neglect, whether they felt safe and who they were to report abuse to.
Record review of facility's in-service documentation reviewed on 9/11/25 for Reporting Abuse and Neglect dated 9/10/2025 indicated that 13 employees had been in-serviced. CNA B and CNA C were not listed on this document.
Record review of safety surveys conducted on 9/13/25 indicated that they had conducted a safety survey with all residents at the facility and all who were able to participate were able to identify who to report abuse to and how to report and all indicated that they had not observed any abuse or neglect.
Record review on 9/13/25 at 8:10 p.m. of in-service documentation showed that all but six staff had been in-serviced on abuse and neglect and all staff had been notified that they would be taken off the schedule until they had been in-serviced on abuse and neglect and reporting requirements.
Record review of in-service documentation dated 9/12/2025 indicated that CNA B and CNA C were in-serviced on abuse, neglect and reporting requirements.
This in-service shows that it included specific reporting requirements that abuse must be reported immediately to the abuse coordinator and that it must be reported by voice phone call, not text message.
Observation conducted on 9/13/25 at 8:15 p.m. showed a notice over all facility time clocks notifying staff not to clock in until they had completed required in-services on abuse and neglect.
Observation conducted on 9/13/25 at 8:00 p.m. of abuse coordinator signs located on each hallway, at each nurses station and in the dining room. It included the name of the Administrator as well as the number to the abuse hotline.
Record review of Resident #1's skin assessment dated [DATE] at 11:44 a.m. showed no signs of injury.
Notification to Administrator on 9/13/2025 at 8:30 p.m. that the IJ had been lifted. An IJ was identified on 9/12/25.
The IJ template was provided to the facility on 9/12/25 at 3:34 p.m.
While the IJ was removed on 9/13/25 the facility remained out of compliance at a scope of Isolated and severity level of no actual harm with potential for more than minimal harm that is not IJ due to ongoing need for in-services on abuse and neglect, abuse coordinator and notification of abuse process.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/16/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Kennedy Health & Rehab
504 N John Redditt Dr Lufkin, TX 75904
SUMMARY STATEMENT OF DEFICIENCIES
During an interview with Resident # 17 on 9/13/25 at 8:18 p.m. he was able to confirm that they had completed the safe survey on 9/13/2025 and been asked about abuse and neglect, whether they felt safe and who they were to report abuse to.
During an interview with Resident # 18 on 9/13/25 at 8:20 p.m. he was able to confirm that they had completed the safe survey on 9/13/2025 and been asked about abuse and neglect, whether they felt safe and who they were to report abuse to.
During an interview with Resident # 19 on 9/13/25 at 8:23 p.m. he was able to confirm that they had completed the safe survey on 9/13/2025 and been asked about abuse and neglect, whether they felt safe and who they were to report abuse to.
During an interview with Resident # 20 on 9/13/25 at 8:25 p.m. he was able to confirm that they had completed the safe survey on 9/13/2025 and been asked about abuse and neglect, whether they felt safe and who they were to report abuse to.
Record review of facility's in-service documentation reviewed on 9/11/25 for Reporting Abuse and Neglect dated 9/10/2025 indicated that 13 employees had been in-serviced. CNA B and CNA C were not listed on this document.
Record review on 9/13/25 at 8:10 p.m. of in-service documentation showed that all but six staff had been in-serviced on the changes to the suspension pending investigation policy and all staff had been notified that they would be taken off the schedule until they had been in-serviced.
Record review of in-service documentation dated 9/12/2025 indicated that CNA B and CNA C were in-serviced on abuse, neglect and reporting requirements.
This in-service shows that it included specific reporting requirements that abuse must be reported immediately to the abuse coordinator and that it must be reported by voice phone call, not text message.
Record review on 9/13/25 at 8:12 p.m. of the facility suspension pending investigation policy update.
There was no date on the policy but the change from the old policy to the new policy was the addition that was as follows: All staff must be informed when an employee is suspended- Suspended employee is not to be in the facility and staff must ask them to leave and call the administrator/DON if they enter the facility.
Observation conducted on 9/13/25 at 8:00 p.m. of abuse coordinator signs located on each hallway, at each nurses station and in the dining room. It included the name of the Administrator as well as the number to the abuse hotline.
Observation conducted on 9/13/25 at 8:15 p.m. showed a notice over all facility time clocks notifying staff not to clock in until they had completed the required in-services on recent policy changes.
Record review of Resident #1's skin assessment dated [DATE] at 11:44 a.m. showed no signs of injury.
Notification to Administrator on 9/13/2025 at 8:30 p.m. that the IJ had been lifted. An IJ was identified on 9/12/25 The IJ template was provided to the facility on 9/12/25 at 3:34 p.m.
While the IJ was removed on 9/13/25 the facility remained out of compliance at a scope of Isolated and severity level of no actual harm with potential for more than minimal harm that is not IJ due to ongoing need for in-services on abuse and neglect, abuse coordinator and notification of abuse process.
Facility ID:
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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.