Lone Star Rehabilitation & Wellness Center
LONE STAR REHABILITATION & WELLNESS CENTER in STEPHENVILLE, TX — inspection on September 4, 2025.
Found 4 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
Review of facility document titled Strategies for Reducing the Risk of Falls revised on date December 2007 revealed: Transfer and Ambulation: Remind the resident and family to call as needed for assistance with transfer and ambulation.Room: call light within reach.
Review of facility policy titled Answering the Call Light revised date March 2021 revealed: Upon admission and periodically as needed, explain and demonstrate use of the call light to the resident.
Ask the resident to return the demonstration.When a resident is in bed or confined to a chair be sure the call light is within easy reach of the resident.
455906 09/04/2025
Lone Star Rehabilitation & Wellness Center 2601 Senator Robert J Glasgow Loop Stephenville, TX 76401
During an interview on 09/04/2025 at 1:45 PM the ADMN stated her expectation was criminal history checks and EMR/NAR checks were supposed to be ran prior to hire and EMR/NAR check should have been ran annually at date of hire.
The ADMN stated Payroll was responsible for ensuring Criminal/EMR NAR checks were to be completed prior to hire and EMR/NAR checks were to be ran annually upon anniversary date.
The ADMN stated she was ultimately responsible to ensure checks were completed.
The ADMN stated residents could have been affected by being exposed to staff who should not have been hired.
The ADMN stated what led to failure was turnover in the payroll in position.
The ADMN stated she felt they were completed but the facility had started having employee files uploaded electronically and documents may have been misplaced.
Record review of facility policy titled, Personnel Records dated 2/17/2023 revealed: A separate confidential folder will be maintained in conjunction with the personnel contents of payroll record folder and will contain the following confidential information: .a.
Criminal History Check (completed prior to hire) . d.
Misconduct Registry and Nurse Aide Registry Checks (completed prior to hire and annually)
Federal health inspectors cited LONE STAR REHABILITATION & WELLNESS CENTER in STEPHENVILLE, TX for a deficiency under regulatory tag F-F0804 during a standard health inspection conducted on 2025-09-04.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 4 deficiencies cited during this inspection of LONE STAR REHABILITATION & WELLNESS CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-14.
Federal health inspectors cited LONE STAR REHABILITATION & WELLNESS CENTER in STEPHENVILLE, TX for a deficiency under regulatory tag F-F0809 during a standard health inspection conducted on 2025-09-04.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests.
Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 4 deficiencies cited during this inspection of LONE STAR REHABILITATION & WELLNESS CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-14.
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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.