Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0925
F

Failure to Maintain Effective Pest Control Program

Kerrville, Texas Survey Completed on 07-31-2025

Penalty

Fine: $127,4206 days payment denial
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to maintain an environment free of pests, as evidenced by the presence of flies, gnats, and a roach in resident areas and other parts of the building. Observations included black flying insects around a resident's breakfast tray, which interfered with the resident's ability to eat and drink. Staff interviews confirmed that gnats were present in several rooms, particularly during the summer months, and that the primary method of control was to remove meal trays quickly. Staff reported pest sightings to their supervisors, but there was no indication of a systematic or effective pest control response prior to the recent intervention. Additional observations included a live roach in another resident's room and multiple flies in the medication room. A review of facility records showed a previous grievance regarding a bug in a resident's room. The facility's pest control policy required an effective program, but the presence of pests and staff accounts indicated that the program was not adequately preventing or addressing infestations at the time of the survey. Residents affected included those with moderate to severe cognitive impairment, some of whom were unable to communicate their concerns about pests.

An unhandled error has occurred. Reload 🗙