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Nesbit Living & Recovery Center

📍 1215 Ashby, Seguin, TX 78155 📞 (830) 379-1606 🛏️ 134 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2020 1 penalties totaling $10,660

$10,660
Oct 27, 2020

Fine

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Health Violations by Year

2025 2 violations

Tag 0561 D Mar 14, 2025

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Mar 17, 2025
Tag 0880 E Mar 14, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 17, 2025

2024 17 violations

Tag 0558 D Jun 5, 2024

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Jun 7, 2024
Tag 0561 D Jun 5, 2024

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Jun 7, 2024
Tag 0583 D Jun 5, 2024

Keep residents' personal and medical records private and confidential.

✓ Corrected: Jun 7, 2024
Tag 0584 E Jun 5, 2024

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Jun 7, 2024
Tag 0645 E Jun 5, 2024

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Jun 7, 2024
Tag 0656 D Jun 5, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jun 7, 2024
Tag 0677 D Jun 5, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Jun 7, 2024
Tag 0689 D Jun 5, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jun 7, 2024
Tag 0695 E Jun 5, 2024

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Jun 7, 2024
Tag 0727 E Jun 5, 2024

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

✓ Corrected: Jun 7, 2024
Tag 0756 D Jun 5, 2024

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Jun 7, 2024
Tag 0761 D Jun 5, 2024

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Jun 7, 2024
Tag 0812 F Jun 5, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jun 7, 2024
Tag 0813 D Jun 5, 2024

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

✓ Corrected: Jun 7, 2024
Tag 0880 E Jun 5, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 7, 2024
Tag 0921 E May 16, 2024

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

✓ Corrected: Jun 5, 2024
Tag 0839 E Mar 22, 2024

Employ staff that are licensed, certified, or registered in accordance with state laws.

✓ Corrected: Apr 22, 2024
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2023 17 violations

Tag 0553 D May 5, 2023

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

✓ Corrected: May 12, 2023
Tag 0570 E May 5, 2023

Assure the security of all personal funds of residents deposited with the facility.

✓ Corrected: May 12, 2023
Tag 0578 E May 5, 2023

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: May 12, 2023
Tag 0607 E May 5, 2023

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: May 9, 2023
Tag 0657 D May 5, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: May 12, 2023
Tag 0727 F May 5, 2023

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

✓ Corrected: May 12, 2023
Tag 0759 E May 5, 2023

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: May 12, 2023
Tag 0760 D May 5, 2023

Ensure that residents are free from significant medication errors.

✓ Corrected: May 12, 2023
Tag 0842 E May 5, 2023

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: May 12, 2023
Tag 0847 E May 5, 2023

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

✓ Corrected: May 12, 2023
Tag 0850 E May 5, 2023

Hire a qualified full-time social worker in a facility with more than 120 beds.

✓ Corrected: May 12, 2023
Tag 0921 E May 5, 2023

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

✓ Corrected: May 12, 2023
Tag 0941 F May 5, 2023

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

✓ Corrected: May 12, 2023
Tag 0942 E May 5, 2023

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

✓ Corrected: May 12, 2023
Tag 0944 F May 5, 2023

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

✓ Corrected: May 12, 2023
Tag 0946 E May 5, 2023

Provide training in compliance and ethics.

✓ Corrected: May 12, 2023
Tag 0949 E May 5, 2023

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

✓ Corrected: May 12, 2023

2022 14 violations

Tag 0761 D Oct 20, 2022

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Nov 1, 2022
Tag 0584 E Oct 4, 2022

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Oct 5, 2022
Tag 0684 D Aug 19, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Aug 20, 2022
Tag 0812 E Aug 19, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Aug 20, 2022
Tag 0880 D Aug 19, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 20, 2022
Tag 0656 E Jul 1, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Aug 28, 2022
Tag 0684 E Jul 1, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Aug 28, 2022
Tag 0637 D Mar 11, 2022

Assess the resident when there is a significant change in condition

✓ Corrected: Apr 15, 2022
Tag 0641 D Mar 11, 2022

Ensure each resident receives an accurate assessment.

✓ Corrected: Apr 15, 2022
Tag 0656 F Mar 11, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Apr 15, 2022
Tag 0732 E Mar 11, 2022

Post nurse staffing information every day.

✓ Corrected: Apr 8, 2022
Tag 0804 D Mar 11, 2022

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Apr 8, 2022
Tag 0808 D Mar 11, 2022

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

✓ Corrected: Apr 8, 2022
Tag 0812 E Mar 11, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Apr 8, 2022
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2021 6 violations

Tag 0656 D Jun 15, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jul 31, 2021
Tag 0582 D Mar 26, 2021

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: May 17, 2021
Tag 0640 B Mar 26, 2021

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

✓ Corrected: May 17, 2021
Tag 0645 E Mar 26, 2021

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: May 17, 2021
Tag 0656 E Mar 26, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: May 17, 2021
Tag 0812 E Mar 26, 2021

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: May 17, 2021

2020 7 violations

Tag 0557 D Oct 30, 2020

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

✓ Corrected: Nov 29, 2020
Tag 0600 J Oct 30, 2020

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Nov 29, 2020
Tag 0550 D Oct 27, 2020

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Nov 27, 2020
Tag 0644 D Oct 27, 2020

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: Nov 27, 2020
Tag 0675 D Oct 27, 2020

Honor each resident's preferences, choices, values and beliefs.

✓ Corrected: Nov 27, 2020
Tag 0825 D Oct 27, 2020

Provide or get specialized rehabilitative services as required for a resident.

✓ Corrected: Nov 27, 2020
Tag 0842 D Aug 3, 2020

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Aug 4, 2020
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2019 10 violations

Tag 0550 D Jul 12, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Aug 2, 2019
Tag 0558 D Jul 12, 2019

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Aug 2, 2019
Tag 0623 D Jul 12, 2019

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Jul 26, 2019
Tag 0637 D Jul 12, 2019

Assess the resident when there is a significant change in condition

✓ Corrected: Jul 31, 2019
Tag 0656 D Jul 12, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Aug 6, 2019
Tag 0686 D Jul 12, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Jul 13, 2019
Tag 0689 D Jul 12, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jul 13, 2019
Tag 0698 D Jul 12, 2019

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Aug 2, 2019
Tag 0700 D Jul 12, 2019

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

✓ Corrected: Jul 13, 2019
Tag 0812 E Jul 12, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Aug 2, 2019

2018 8 violations

Tag 0582 B Jul 13, 2018

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Aug 3, 2018
Tag 0637 E Jul 13, 2018

Assess the resident when there is a significant change in condition

✓ Corrected: Jul 27, 2018
Tag 0641 E Jul 13, 2018

Ensure each resident receives an accurate assessment.

✓ Corrected: Jul 27, 2018
Tag 0656 F Jul 13, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jul 27, 2018
Tag 0803 E Jul 13, 2018

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

✓ Corrected: Aug 3, 2018
Tag 0805 E Jul 13, 2018

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

✓ Corrected: Aug 3, 2018
Tag 0812 F Jul 13, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Aug 3, 2018
Tag 0880 E Jul 13, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 3, 2018
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2017 5 violations

Tag 0431 E Oct 6, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Oct 10, 2017
Tag 0328 E Jun 1, 2017

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

✓ Corrected: Jun 23, 2017
Tag 0354 C Jun 1, 2017

Use a registered nurse at least 8 hours a day, 7 days a week.

✓ Corrected: Jun 23, 2017
Tag 0371 F Jun 1, 2017

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Jun 23, 2017
Tag 0388 E Jun 1, 2017

Make sure that all required doctor visits are made personally.

✓ Corrected: Jun 23, 2017
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