Cedar Manor Nursing And Rehabilitation Center
Cedar Manor Nursing and Rehabilitation Center in San Angelo, TX — inspection on August 20, 2025.
Found 2 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
The facility failed to ensure the daily staffing information up to date and was posted in a prominent location on 08/20/25.
This failure could place residents, their families, and visitors at risk of not knowing how many nursing staff are currently working to provide care on all shifts. [KS2] [KS1]List the dates of the 12 days in the based on statement [KS2]The failure statement should include the 12 datesFindings Included: During an observation on 08/20/25 at 9:40 AM, the daily staffing posted located outside the Administrator's door was dated 08/08/25.
During[KS1] an interview on 08/20/25 at 10:00 AM, the Administrator stated her expectation was that the daily staffing be posted daily.
The Administrator stated the ADON was responsible for posting the daily staffing.
The Administrator stated she had not realized that it was not being kept current.
During[KS2] an interview on 08/20/25 at 10:30 AM the ADON stated she was responsible for posting daily nurse staffing hours but had been busy with other job duties and just had forgotten to keep the posting current for the past 12 days.
Review of policy titled Nurse Staffing Posting Information dated 01/01/2024 revealed: It is the policy of this facility to make staffing information readily available in a readable format to residents and visitors at any given time .
The nurse staffing sheet will be posted on a daily basis. [KS1]Did we ask the Administrator why it was important the nurse staffing info be posted every day? It would be helpful to have her stating how residents were/could be affected if the information was not posted. [KS2]Did we ask the ADON about the 12 days referenced in the based on statement? It would be helpful to have the ADON saying she had not posted the info for 12 days, starting on 8/9/25.
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
676068 08/20/2025
Cedar Manor Nursing and Rehabilitation Center 1915 Greenwood St San Angelo, TX 76901
and the public.
sanitary, and comfortable environment for residents for 1 of 6 resident halls (Hall 3) reviewed for
This deficient practice could place residents at risk of a diminished quality of life due to exposure to an environment that is unpleasant, unsanitary, and unsafe.
Findings included: Observation conducted on 08/19/25 at 1:45 PM revealed the following: Hall 3 had numerous missing and damaged ceiling tiles.
Electrical wires and air ducting in the ceiling were left uncovered. An interview on 08/19/25 at 2:20 PM Resident #6 stated that the tiles in Hall 3 had been torn up for a while now, and it looked like crap. He stated they paid good money to have a nice place, but that looked bad and cheap. Resident #6 stated he had asked staff why tiles were not repaired but they had no idea and stated that maintenance was working on it. In an interview on 08/19/25 at 3:00 PM the Maintenance Director stated that Hall 3 had some work done on it involving the air conditioning system and the tiles were removed.
The Maintenance Director stated that the work was completed a few weeks ago and he had not had time to replace the ceiling tiles.
The Maintenance Director stated that Hall 3's missing and damaged ceiling tiles needed to be replaced and looked bad. He said he would order tiles to make Hall 3 look better. In an interview on 08/20/25 at 3:30 PM the Administrator stated Hall 3 ceiling tiles needed to be replaced and she would order replacements and have them installed asap[KS1] .
Missing and damaged tiles made the facility look junky and un-kept, and residents deserved to have a home that was well taken care of and looked nice. [KS1]Clarify who would order replacements, and have them installed asap
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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.