Skip to main content
Advertisement
Complaint Investigation

Cedar Manor Nursing And Rehabilitation Center

Inspection Date: August 20, 2025
Total Violations 2
Facility ID 676068
Location San Angelo, TX
Advertisement

Inspection Findings

F-Tag F0732

Nursing and Physician Services Deficiencies
Harm Level: Potential for Minimal Harm

F 0732

Post nurse staffing information every day.

Level of Harm - Potential for minimal harm

Based on observation, interviews and record reviews, the facility failed to ensure nurse staffing information was posted in a prominent place readily accessible to residents and visitors that included: The total number and the actual hours worked by the registered nurses, licensed practical nurses or licensed vocational nurses and certified nurse aides directly responsible for resident care per shift for 12 of 12 days [KS1] (8/9/25, 8/10/25, 8/11/25, 8/12/25, 8/13/25, 8/14/25, 8/15/25, 8/16/25, 8/17/25, 8/18/25, 8/19/25, 8/20/25)reviewed for required postings. 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.

Residents Affected - Many

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 REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

08/20/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Cedar Manor Nursing and Rehabilitation Center

1915 Greenwood St San Angelo, TX 76901

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

Advertisement

F-Tag F0921

Environmental Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and

the public.

Based on observation, interview, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents for 1 of 6 resident halls (Hall 3) reviewed for environmental concerns. The facility failed to replace missing and damaged ceiling panels in Hall 3. 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

Event ID:

Facility ID:

If continuation sheet

📋 Inspection Summary

Cedar Manor Nursing and Rehabilitation Center in San Angelo, TX inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in San Angelo, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Cedar Manor Nursing and Rehabilitation Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
« Back to Facility Page
Advertisement
Advertisement