Average — CMS composite of the measures below.
The next survey window likely opens around January 2027
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 Caraday Of Lampasas during CMS and state inspections, most recent first.
The facility failed to maintain a full-time DON and failed to provide RN coverage for at least 8 consecutive hours a day, 7 days a week. Record review showed no RN coverage on one day, and interviews confirmed the prior DON resigned, no DON was in place, the ADON was an LVN, and no nurse waiver was active. The regional nurse stated she had been covering as DON, but denied working on one of the dates reflected in the staffing report.
Food items in the freezer, dry storage, and dining area were observed without required expiration dates or date labels, including items stored in zip-lock bags, plastic containers, and a cereal dispensing container. Surveyors also found food debris on serving trays, coffee grounds on a cup tray, debris in a utensil container, and a black substance on the inside of the ice machine. Interviews with the CK, DM, DA, and ADM confirmed that staff were responsible for dating food and cleaning kitchen items, and facility policy required food to be dated and utensils/equipment to be cleaned and sanitized.
A nurse failed to sanitize a blood pressure monitor between use on two residents with hypertension, despite facility protocols requiring equipment cleaning after each use. The nurse acknowledged the importance of infection control but cited being rushed as the reason for the lapse. Review of training records showed no recent in-service specifically addressing sanitization of medical equipment.
Two residents in the facility were not provided with adequate hydration, leading to a deficiency in their care. One resident with Huntington's Disease was observed multiple times without fluids, despite having dry lips and skin. Another resident with Down Syndrome was found without fluids and was later diagnosed with dehydration after being sent to the ER. Staff interviews revealed inconsistent hydration practices and a lack of understanding of dehydration symptoms.
The facility failed to store and test food in accordance with professional standards, leading to potential contamination. An opened container of green beans was not discarded by the labeled date, and a staff member allowed a thermometer to touch food items during temperature testing. The DM and RD acknowledged these practices could lead to contamination, and the facility's policy did not address proper temperature testing methods.
A resident with severe cognitive impairment and diabetes had a blister-like lesion on her lip that was not documented in her care plan. Despite being on antibiotics for a bacterial infection, the lesion was not included in the care plan or wound care records. Interviews revealed the lesion was caused by a protruding tooth, and the DON confirmed it did not affect the resident's ability to eat or drink. The ADM was unaware of the omission, which violated the facility's care plan policy.
The facility failed to maintain accurate records and reconcile controlled medications at shift changes, as revealed by missing documentation for narcotic counts on a medication cart. Staff interviews confirmed the expectation of counting narcotics at each shift change, but no formal policy or orientation material supported this practice. This oversight could risk drug diversion and impact resident well-being.
Lack of Full-Time DON and RN Coverage
Penalty
Summary
The facility failed to designate a registered nurse to serve as the director of nursing on a full-time basis and failed to use the services of a registered nurse for at least 8 consecutive hours a day, 7 days a week. Record review of the RN Dayforce Data report showed there was no RN coverage on 2/15/2026, and the facility was cited for not having a full-time DON on 2/14/2026 and 2/15/2026 as of 02/26/2026. During interviews, the Business Office Manager stated the last DON resigned on 2/17/2026 and that nursing questions not handled by the ADON were to be directed to the regional nurse. The Area Regional Manager stated there was no current DON, the ADON was an LVN, and there was no nurse waiver in place. The Administrator also stated the previous DON resigned on 2/17/2026 and confirmed there were no nursing waivers. The Regional Nurse stated she had been covering as DON since mid-December, worked Monday through Friday, and denied working on 2/14/2026 despite the RN Dayforce Data report reflecting that she was working that day.
Food Items Not Properly Dated and Kitchen Equipment Not Kept Clean
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed. During observation of the freezer, burgers in a zip-lock bag, biscuits in a zip-lock bag, and garlic bread in a zip-lock bag were dated but had no expiration date on the package. During observation of the kitchen, pinto beans, spiral pasta, and orzo pasta in plastic containers were dated but had no expiration date on the package. The tray with serving bowls had food debris on it, the tray with cups had coffee grounds on it, and a plastic container holding kitchen utensils had food and debris at the bottom of the container. During observation of the dining area, cereal in a plastic dispensing container was not labeled with the date it was put in the container or an expiration date. The ice machine had a black substance on some of the plastic inside it. Interviews with the CK, DM, DA, and ADM confirmed that food items should be labeled with dates and expiration dates, that the kitchen and utensil containers should be cleaned daily, and that the ice machine should be checked between professional cleanings to ensure it was not dirty. The record review showed the facility policy required food items to be dated when received or opened and that utensils and portable equipment be thoroughly cleaned and sanitized.
Failure to Sanitize Blood Pressure Monitor Between Residents
Penalty
Summary
The facility failed to maintain proper infection prevention and control practices when a licensed vocational nurse (LVN) did not sanitize a blood pressure monitor between use on two residents. During observation, the LVN measured the blood pressure of one resident and then immediately used the same device on another resident without cleaning it in between. The LVN only sanitized the equipment after the surveyor brought the issue to her attention. Both residents involved had a diagnosis of hypertension and were cognitively intact, as indicated by their BIMS scores. Interviews revealed that the LVN was aware of the importance of sanitizing medical equipment between residents but stated she forgot due to being in a rush. The facility administrator confirmed that the facility's infection control protocol requires all medical equipment, including blood pressure cuffs, to be sanitized after each use. However, review of in-service training records showed there had been no specific training on sanitizing medical equipment between residents during the relevant period. The facility's infection control policy also indicated that non-invasive resident care equipment should be cleaned daily or as needed between use.
Failure to Provide Adequate Hydration to Residents
Penalty
Summary
The facility failed to provide adequate nutrition and hydration care for two residents, leading to a deficiency in maintaining their health. Resident #24, a male with Huntington's Disease and other conditions, was observed multiple times without fluids being offered, despite having dry lips and skin. His care plan indicated a potential for fluid deficit, yet interventions such as encouraging fluid intake and monitoring for dehydration symptoms were not effectively implemented. Similarly, Resident #18, a male with Down Syndrome and other health issues, was found without fluids in his room or nearby during observations. His care plan also highlighted a risk for fluid deficit, but there was no evidence of fluid intake being tracked or monitored. This resident experienced lethargy and was sent to the emergency room with a diagnosis of dehydration, among other conditions. Interviews with staff revealed a lack of consistent hydration practices and understanding of dehydration symptoms. The facility's policy on hydration was not adequately followed, as evidenced by the absence of fluids and the lack of staff engagement in offering hydration to non-communicative residents. The deficiency in providing sufficient fluids placed the residents at risk for dehydration and related health issues.
Deficiency in Food Storage and Temperature Testing
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as observed during a survey. An opened container of green beans was found in the refrigerator with a label indicating it should have been discarded four days prior. The Dietary Manager (DM) acknowledged that the green beans should have been discarded and stated that staff had been routinely trained to label and discard food items properly. The Administrator (ADM) also confirmed that the kitchen staff should have followed the policy regarding proper labeling and storage. Additionally, the facility did not ensure that food temperatures were tested in a manner that prevented contamination. During observations, a dietary staff member was seen allowing a food thermometer to touch various food items, including chicken strips, broccoli pieces, and gravy. Both the DM and the Registered Dietitian (RD) stated that the thermometer should not have touched the food to avoid contamination. The facility's policy on taking temperatures did not address how to test food temperatures without contaminating the food, only specifying acceptable temperatures and when reheating or discarding was required.
Failure to Document and Address Resident's Lip Lesion in Care Plan
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for a resident, which included measurable objectives and timeframes to meet the resident's medical, nursing, and mental and psychosocial needs. The resident, who had severe cognitive impairment and a diagnosis of diabetes mellitus, had a blister-like lesion on her bottom lip that was not documented in her care plan. The lesion, which was purplish-blue and approximately two centimeters in size, was observed during multiple visits and was noted to have been present since the resident's admission. Despite being on antibiotics for a bacterial infection of the lesion, there was no documentation of the lesion in the care plan or wound care records. Interviews with facility staff, including the Social Worker and the DON, revealed that the lesion was caused by a protruding front tooth and had been present since the resident's admission. The Social Worker had planned with a dentist to remove the tooth, but the dentist declined to remove a healthy tooth. The DON confirmed that the lesion had not hindered the resident's ability to eat or drink and that there were no signs of pain unless direct pressure was applied. The ADM was unaware that the lesion was not addressed in the care plan, which was against the facility's policy for comprehensive person-centered care plans.
Failure to Reconcile Controlled Medications
Penalty
Summary
The facility failed to maintain accurate drug records and reconcile controlled medications, specifically narcotics, at the start and end of each shift. This deficiency was identified during a record review on November 6, 2024, which revealed missing documentation for narcotic counts on November 1, 2024, across all shifts for one of the medication carts. Interviews with staff, including an LVN and an MDS Nurse, confirmed that narcotics were expected to be counted at every shift change, although there was no specific policy or orientation material outlining this requirement. Further interviews with the Director of Nursing (DON) and the Corporate Nurse revealed that the facility lacked a formal policy defining the parameters for change of shift narcotic counts. Although the facility had a document from the contracted pharmacy provider regarding drug discrepancies, loss, or diversion, it did not specifically address the procedure for shift change counts. This oversight in documentation and policy could potentially place residents at risk of drug diversion and affect their health and well-being.
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Illustrative
What surveyors actually found near you
We read the 45 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Lampasas
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lampasas Nursing And Rehabilitation Center | 0.8 mi | ★★★★★ | 10 | 1 |
| Lily Springs Rehabilitation And Healthcare Center | 0.9 mi | ★★★★★ | 6 | 0 |
| Copperas Cove Nursing & Rehabilitation | 16.4 mi | ★★★★★ | 12 | 0 |
| Hill Country Heights | 17.2 mi | ★★★★★ | 7 | 0 |
| Avir At Burnet | 22.5 mi | ★★★★★ | 5 | 0 |
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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.