Above average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Allegiant Wellness And Rehab during CMS and state inspections, most recent first.
Food Storage Items Improperly Labeled and Stored: Surveyors observed multiple food storage issues in the kitchen, including dry goods with incomplete labeling and dating, a tray of prepared beverages in the refrigerator with no date or description, a premade salad marked for discard but still present, and frozen vegetables left exposed to air in the freezer. The DM said he was new, had not reviewed all products, and was training staff, while the Cook said he had not reviewed the facility’s storage policy.
Staff failed to follow infection control practices during resident care and service activities. An LVN did not disinfect a BP machine between residents, an MA used an unclean key to open lidocaine packages for two residents, a CNA did not perform hand hygiene while serving meal trays and assisting residents with meals, and an LVN used unclean scissors and did not change gloves during wound care for a resident. The DON stated staff were expected to perform hand hygiene between resident contacts, clean equipment between uses, and use dirty-to-clean technique during treatments.
Medication administration errors exceeded the allowed rate when an MA failed to fully follow two residents' orders during med pass. One resident received topical Biofreeze to the knees but not the lower back as ordered, and another resident received MiraLAX without the ordered amount of fluid. The MA stated she did not read the MAR thoroughly and had not measured the fluid, and the DON stated staff should verify the MAR and measure unmarked cups.
Missing Daily Nurse Staffing Posting: The facility failed to keep the daily nurse staffing and census posting visible and available for residents and visitors. An observation found no posting at the front entrance or nurse's station, and later the DON and HR both could not locate the required public posting. The facility policy stated direct care daily staffing numbers are to be posted for every shift.
A resident with a dehisced surgical knee wound and physician orders for NPWT did not have a wound care plan included in their comprehensive care plan. Staff interviews confirmed the omission, and facility policy requiring care plan updates for significant condition changes was not followed.
A CNA and RN failed to prevent an NPO, G-tube-dependent resident with severe cognitive impairment and a swallowing disorder from receiving and consuming a solid food tray, despite clear orders and signage. The CNA, unfamiliar with the resident, did not verify the diet order and provided the tray, which was partially consumed before the error was discovered by the RN.
The facility's kitchen failed to meet food safety standards, with unsealed, undated, and unlabeled food items found in the refrigerator and dry storage. Staff interviews revealed a lack of adherence to the facility's food storage policy, increasing the risk of food-borne illnesses for residents.
The facility failed to maintain sanitary conditions for garbage storage, with observations of uncovered trash receptacles in the kitchen and an open dumpster door outside. Staff interviews confirmed the expectation for trash cans to be covered and dumpster doors to remain closed, as per the facility's policy.
Food Storage Items Improperly Labeled and Stored
Penalty
Summary
The facility failed to store food in accordance with professional standards for food service safety in the kitchen. During observation of the dry storage area, surveyors found 6 storage bags of pudding mix marked only with a date of 7/15 and no use-by date or description of the contents. In the same area, bags of scalloped potatoes, strawberry gelatin mix, and 4 bags of biscuit mix were observed with only a single date marked on the packages. In the reach-in refrigerator, surveyors observed a tray of prepared beverages including water and juice with no date or description on the tray. In the walk-in freezer, a large box of frozen green peas was partially open, and the bag inside containing green peas/mixed vegetables was open to the air. In the walk-in cooler, a premade salad was observed with a 07/17/2025 date and “discard by 2nd shift” written on the package, and a bag of yellow cheese was observed with no use-by date. The Dietary Manager stated he had recently started in the position and had not yet gone through all of the products. He said the facility had just received a truck before the initial kitchen observation, that he had noticed some items but had not caught the dates on the storage bags, and that he was in the process of training staff. The Cook stated he had just started, was primarily cooking food, and had not reviewed the facility’s storage policy. The Administrator stated the facility policy was the Texas Food Establishment Rules and did not provide a copy.
Infection Control Lapses During Vital Signs, Medication Administration, Meal Service, and Wound Care
Penalty
Summary
The facility failed to establish and maintain an infection prevention and control program for multiple staff members and residents. During observation, LVN C took a blood pressure machine into the rooms of Residents #63 and #57 and did not disinfect the machine before entering, between the vital sign checks, or before going into Resident #25's room. LVN C then plugged the machine in without disinfecting it. In interview, LVN C stated she did not clean the blood pressure machine and only used hand sanitizer after each use, and she guessed the failure could cause the spread of infections. MA D was observed administering lidocaine patches to Resident #3 and Resident #25 by using a key from her pocket to cut open the lidocaine patch packages because scissors were not available. MA D did not clean the key before or after use and returned it to her pocket after opening each package. MA D stated she had lost her scissors and used the key because it was the fastest way to open the package. She also stated she did not think about cleaning the key before or after use and realized this would be a problem. CNA A was observed serving meal trays in the dining room and on Hall 100 without performing hand hygiene between resident contacts. CNA A assisted Residents #16, #39, and #4 in the dining room by cutting food, opening butter, and removing dessert tops, then returned to the service line without using hand sanitizer. CNA A then served trays to Residents #7, #37, #11, and #65 on Hall 100, touching overbed tables and residents while setting up meals, and did not wash her hands or use hand sanitizer between residents. CNA A stated she was supposed to use hand sanitizer between each tray and that she was trying to get the trays served timely. LVN B was observed performing wound care on Resident #3's right lateral ankle. LVN B removed scissors from the treatment cart drawer, used them to open packages and cut treatment materials, and placed the scissors back in the drawer without cleaning them. LVN B donned gloves and a gown, entered the room, removed the old dressing, cleaned the wound, and applied treatment and an occlusive dressing without changing gloves during the procedure. LVN B stated she did not think about changing her gloves and acknowledged that changing gloves from dirty to clean was part of the treatment process. The DON stated staff were expected to use hand hygiene between resident contacts, clean equipment between uses, and use dirty-to-clean technique during treatments.
Medication Administration Errors Exceeded Allowed Rate
Penalty
Summary
The facility failed to keep the medication error rate below 5% during a medication pass, with 2 errors in 30 opportunities for a 6% error rate. During observation, MA D administered Biofreeze Cool the Pain external gel 4% to Resident #25's knees but did not apply it to the resident's lower back as ordered. The physician's order dated 02/22/2025 directed that Biofreeze Cool Gel 4% be applied to the knees and lower back three times daily at 9:00 a.m., 3:00 p.m., and 9:00 p.m. During another observation, MA D gave Resident #63 MiraLAX 17 gm without the appropriate amount of fluid. The physician's order dated 07/21/2025 directed MiraLAX Oral Powder 17 gm/scoop one time daily with 4 to 8 ounces of fluid at 8:00 a.m. In interview, MA D stated she knew she had to apply the pain gel to both knees but did not know about the back, and said she signed off on the MAR without looking thoroughly. She also stated she thought the cups held 4 ounces of fluid but had never measured them. The DON stated staff should read the MAR before and after giving medications and that fluid amounts should be measured if cups are not marked.
Missing Daily Nurse Staffing Posting
Penalty
Summary
The facility failed to ensure nurse staffing information was posted daily and readily accessible to residents and visitors with all required information on 2 of 3 days reviewed. On 07/22/2025 at 9:00 AM, an observation found no daily staff posting in or around the front entrance or at the nurse's station. On 07/23/2025 at 11:11 a.m., an observation and interview found that current nurse staffing and census information was not available in a public posting, and the DON stated she could not locate the daily census and nurse staffing posting. During interview, the DON stated the posting was the responsibility of HR and that she was unable to provide a timeline for how long it had been missing. She stated the purpose of the posting was to inform residents and facility guests how many staff members were working. During a later interview, HR stated the posting was kept at the receptionist desk daily, but she also could not locate it and did not know how long the daily nurse staffing information and census had not been posted. Record review of the facility policy titled, Staffing, Sufficient and Competent Nursing, revised August 2022, indicated that direct care daily staffing numbers are posted in the facility for every shift.
Failure to Develop Comprehensive Wound Care Plan
Penalty
Summary
The facility failed to develop a comprehensive, person-centered care plan addressing the wound care needs of a resident who was admitted with a dehisced surgical wound on the right knee, following knee surgery. The resident had physician orders for Negative Pressure Wound Therapy (NPWT) three times per week, with specific care instructions. Despite these orders and the presence of an active wound requiring specialized care, the resident's comprehensive care plan did not include any interventions, goals, or timetables related to wound care. This omission was confirmed through observation, record review, and staff interviews. The treatment nurse, responsible for developing wound care plans, acknowledged that no care plan had been created for the resident's knee wound. The DON also confirmed that wound care should have been included in the care plan and was unaware of its absence. Facility policy required the interdisciplinary team to review and update care plans when there is a significant change in a resident's condition, but this was not followed in this case.
Failure to Prevent NPO Resident from Receiving and Consuming Food Tray
Penalty
Summary
A certified nursing assistant (CNA) and a registered nurse (RN) failed to provide adequate supervision and assistance to prevent an accident involving a resident who was designated as NPO (nothing by mouth) and required tube feeding due to dysphagia. Despite clear physician orders, care plan documentation, and signage indicating the NPO status, the CNA provided a solid food tray to the resident, who then consumed approximately 50% of the meal. The RN discovered the error after the meal had been eaten and confirmed that the resident was not supposed to receive any food by mouth. The resident involved had a complex medical history, including metabolic encephalopathy, type 2 diabetes with neuropathy, morbid obesity, and acute respiratory failure with hypoxia. The resident was assessed as having severe cognitive impairment and a documented swallowing disorder, with specific care plan interventions to monitor for aspiration. The facility's records, including transfer orders, care plan, and physician orders, consistently indicated the resident's NPO status and the need for enteral nutrition via a G-tube. The CNA, who was unfamiliar with the resident and did not notice the NPO sign above the bed, assumed the resident should receive a meal tray and did not verify the diet order with nursing staff. The RN later confirmed the error and notified the physician and family. The incident was documented in progress notes, and subsequent interviews with staff confirmed that the resident was the only NPO and G-tube patient in the facility at the time. The facility's policy required staff to confirm diet orders and be trained on the risks of aspiration, but this protocol was not followed in this instance.
Food Safety Deficiencies in Facility Kitchen
Penalty
Summary
The facility failed to adhere to professional standards for food safety in its kitchen, as observed during a survey. Specifically, food items in the refrigerator were not properly sealed, dated, or labeled. An unsealed bag of sliced cheese was found exposed to air, and glasses of milk and juice were undated and unlabeled. This lack of proper labeling and sealing could lead to food spoilage and potential health risks for residents. Additionally, the facility's dry storage area was not maintained according to standards. Used seasoning containers and other food items were found on the floor, and several food packages, including potato chips, breadcrumbs, and tea bags, were unsealed. This improper storage could expose food to contamination and pests, further increasing the risk of food-borne illnesses among residents. Interviews with staff, including a dietary aide, the dietary manager, and the dietician, revealed a lack of adherence to the facility's food storage policy, which is based on the Texas Food Establishment Rules. Staff acknowledged the risks associated with improper food storage and labeling, such as food spoilage and pest infestation, which could lead to residents becoming ill. The dietary manager emphasized that all kitchen staff are responsible for ensuring food safety measures are followed daily.
Improper Garbage Disposal Practices
Penalty
Summary
The facility failed to maintain garbage storage receptacles in a sanitary condition, as observed in the kitchen and outside dumpster area. During an observation, a large trash receptacle in the kitchen was found without a lid, despite not being in use. This was confirmed by a dietary aide who acknowledged that trash cans should be covered to prevent attracting flies. Additionally, the facility's only trash dumpster was observed with its door open and a trash bag hanging out, which could attract pests and rodents. Interviews with staff, including a dietary aide, the dietary manager, and the dietitian, confirmed that the expectation was for trash receptacles to be covered when not in use and for the dumpster doors to remain closed. The facility's Garbage Containment and Disposal Policy, based on the Texas Food Establishment Rules, requires that receptacles and waste handling units be durable, cleanable, insect and rodent-resistant, leakproof, and nonabsorbent. The policy also mandates that outside receptacles have tight-fitting lids, doors, or covers, and that refuse be stored in a manner inaccessible to insects and rodents. The failure to adhere to these standards was noted during the survey, with staff acknowledging the importance of keeping trash receptacles covered to prevent pest attraction.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Crowley
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Crowley Nursing And Rehabilitation | 1 mi | ★★★★★ | 0 | 0 |
| Park Bend Rehabilitation And Healthcare Center | 1 mi | ★★★★★ | 7 | 2 |
| Avir At Burleson | 3 mi | ★★★★★ | 3 | 0 |
| Estates Healthcare And Rehabilitation Center | 4 mi | ★★★★★ | 29 | 3 |
| Advanced Rehabilitation & Healthcare Of Burleson | 4.2 mi | ★★★★★ | 13 | 1 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.