Average — CMS composite of the measures below.
A standard survey is most likely before around August 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 Cornerstone Gardens Llp during CMS and state inspections, most recent first.
Staff did not consistently knock before entering the rooms of three residents with severe cognitive impairment and multiple medical conditions, despite facility policy and resident preferences for privacy. Interviews confirmed that both staff and leadership were aware of the requirement to knock, but staff admitted to not following the policy, impacting residents' sense of privacy and dignity.
The facility did not maintain proper storage temperatures for refrigerated medications in one medication room, with temperatures falling below the required range for 18 out of 27 days. Night shift nurses, responsible for monitoring and documenting refrigerator temperatures, did not consistently follow procedures, possibly due to the use of PRN staff. The facility's policy requires refrigerated medications to be kept between 36 and 46 degrees Fahrenheit, but this standard was not met.
Surveyors found that food items in the kitchen were not consistently labeled, dated, or discarded according to facility policy, with several items observed to be expired, undated, or improperly stored. Dented cans and dirty kitchen equipment were also noted, and staff interviews confirmed that required procedures for food safety and sanitation were not always followed.
A resident with multiple medical conditions did not receive the scheduled number of showers over a two-week period, with records and interviews revealing missed showers due to facility water issues and inconsistent documentation of refusals. Staff and family accounts conflicted with recorded refusals, and linens were not changed as expected, resulting in a failure to provide necessary ADL care as outlined in the resident's care plan and facility policy.
A resident with severe cognitive impairment and multiple chronic conditions did not have their oxygen tubing changed and dated as required by physician orders and facility policy. Staff interviews confirmed that the tubing had not been replaced weekly, and confusion regarding hospice care responsibilities contributed to the failure to provide appropriate respiratory care.
A CNA failed to perform required hand hygiene between passing lunch trays to three residents with complex medical conditions, despite facility policy and staff training on infection control. Staff interviews confirmed knowledge of the hand hygiene protocol, but the lapse occurred during meal service, resulting in a deficiency in infection prevention practices.
Failure to Knock Before Entering Resident Rooms Violates Privacy and Dignity
Penalty
Summary
Staff failed to honor residents' rights to privacy and dignity by not consistently knocking before entering residents' rooms. Observations showed that a CNA and an Activity Assistant entered the rooms of three residents without knocking. These residents had significant medical conditions, including severe cognitive impairment, mobility issues, and chronic illnesses, as documented in their medical records and MDS assessments. Interviews with the affected residents revealed that they noticed staff did not always knock before entering. One resident expressed a preference for staff to knock every time and reported feeling upset when staff either did not knock or knocked too loudly. Another resident confirmed that staff did not always knock, and a third resident, though severely cognitively impaired, nodded in agreement when asked if she would like staff to knock before entering. Staff interviews confirmed awareness of the facility's policy requiring staff to knock before entering residents' rooms, except in emergencies. Both the CNA and Activity Assistant admitted to not knocking, citing reasons such as having their hands full. Facility leadership, including the ADM and DON, also acknowledged the policy and monitoring practices but could not explain why staff failed to comply in these instances. The facility's resident rights policy affirms the right to personal privacy and confidentiality.
Improper Storage Temperature for Refrigerated Medications
Penalty
Summary
The facility failed to ensure that drugs and biologicals were stored at the proper temperature in one of two medication rooms reviewed. Specifically, the refrigerator in Medication Room [ROOM NUMBER] was found to have temperatures below the required 36 degrees Fahrenheit for 18 out of 27 days in May, with recorded temperatures ranging from 30 to 34 degrees Fahrenheit. This was identified through observation and review of the refrigerator temperature log. The facility's policy requires refrigerated medications to be stored between 36 and 46 degrees Fahrenheit to maintain their integrity. Interviews with the DON and Administrator revealed that night shift nurses were responsible for checking and documenting refrigerator temperatures, but the use of PRN staff may have contributed to the failure to consistently monitor and address out-of-range temperatures. The DON stated that the process was to notify Maintenance if temperatures were out of range, and medications could be moved if necessary. The Pharmacist indicated that, in his professional opinion, the low temperatures did not adversely affect the medications. However, the facility did not ensure compliance with its own policy for medication storage.
Failure to Properly Store, Label, and Discard Food Items in Kitchen
Penalty
Summary
Surveyors observed multiple failures in the facility's kitchen regarding food storage, preparation, and sanitation. During inspections of the coolers, pantry, and freezer, several food items were found either undated, improperly labeled, or past their use-by dates. Examples included sausage, cheese, cabbage, and avocado in sealed bags without dates, lunch meats with missing or incomplete discard dates, and pico with an expired use-by date. The pantry contained dented cans and expired or undated dry goods, while the freezer had items with missing years or unreadable dates. Additionally, a drawer containing serving utensils was found to be dirty and contained debris. Interviews with dietary staff and management confirmed that the facility's policy required all food items to be sealed, labeled, and dated upon storage, and that expired or dented items should be removed. However, staff acknowledged that these procedures were not consistently followed, as evidenced by the surveyor's findings. The facility's own food storage policy outlined specific requirements for date marking, discard timelines, and regular checks, but these were not adhered to, resulting in the presence of expired, undated, and improperly stored food items, as well as unsanitary kitchen equipment.
Failure to Provide Scheduled Showers and Maintain Personal Hygiene
Penalty
Summary
The facility failed to provide necessary services to maintain personal hygiene for a resident who required assistance with activities of daily living (ADLs), specifically bathing. Review of records showed that the resident received only three showers or baths within a two-week period, despite being scheduled for showers three times per week. Documentation indicated that on at least two occasions, showers were marked as refused, but the resident and her family denied any refusals, instead citing facility water issues as the reason for missed showers. Interviews with the resident, her family, and multiple staff members confirmed inconsistencies in the provision of scheduled showers. The resident reported that her shower days were set, but one was skipped due to the water being off, and she had to take a sponge bath instead. Staff interviews revealed that CNAs and a shower aide were responsible for providing showers, with oversight from the charge nurse. Staff described procedures for documenting refusals and ensuring showers were rescheduled, but the records and resident accounts indicated that these procedures were not consistently followed. The facility's policy required that care and services for ADLs, including bathing, be provided based on the resident's assessment and needs. Despite this, the resident did not receive the scheduled number of showers, and her linens were not changed as expected. The deficiency was identified through record review and interviews, which demonstrated a failure to provide adequate personal hygiene care as required by facility policy and the resident's care plan.
Failure to Change and Date Oxygen Tubing for Resident Receiving Respiratory Care
Penalty
Summary
The facility failed to provide safe and appropriate respiratory care for a resident who required oxygen therapy. Specifically, the oxygen mask tubing for a resident was not changed and dated as required by facility policy and physician orders. Observation revealed that the oxygen tubing in use was dated over a month prior to the observation date, indicating it had not been replaced weekly as ordered. The resident's care plan and physician orders specified weekly tubing changes and monitoring of oxygen saturation, but these interventions were not followed. The resident involved had multiple diagnoses, including hypertensive heart disease, Alzheimer's disease with late onset, and was receiving palliative care. The resident was severely cognitively impaired and at risk for impaired gas exchange and ineffective breathing patterns. Interviews with facility staff confirmed that nurses were responsible for changing the oxygen tubing weekly, but the tubing in use had not been changed according to the schedule. There was also confusion regarding responsibility for the oxygen equipment after the resident transitioned to hospice care, which contributed to the oversight.
Failure to Follow Hand Hygiene Protocol During Meal Service
Penalty
Summary
The facility failed to establish and maintain an effective infection prevention and control program, specifically regarding hand hygiene practices during meal tray distribution. Observations revealed that a CNA did not sanitize or wash her hands between passing lunch trays to three residents. This lapse occurred despite the facility's policy requiring staff to wash hands before starting to pass trays, sanitize between trays, and wash hands again after every third tray. The CNA acknowledged being trained on the policy but admitted to forgetting to perform hand hygiene due to nervousness. The three residents involved had significant medical histories, including conditions such as polyneuropathy, hypertension, cognitive communication deficits, dysphagia, kidney disease, heart failure, chronic pain, dementia, diabetes, and osteoporosis. Their cognitive statuses ranged from intact to severe impairment, as indicated by their BIMS scores. The failure to follow proper hand hygiene protocols occurred during the lunch meal service, directly impacting these residents. Interviews with facility staff, including the CNA, Infection Preventionist, Administrator, and DON, confirmed awareness of the hand hygiene policy and the importance of preventing cross-contamination. Staff described the monitoring process as involving observation and management walkarounds. Despite this, the required hand hygiene steps were not followed during the observed meal service, resulting in a deficiency in the facility's infection control practices.
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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 Temple
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Avir At Temple East | 0.4 mi | ★★★★★ | 3 | 0 |
| Avir At Temple West | 0.6 mi | ★★★★★ | 1 | 0 |
| Morada Temple | 0.7 mi | ★★★★★ | 5 | 0 |
| Baylor Scott & White Continuing Care Hospital Skil | 1.1 mi | ★★★★★ | 1 | 0 |
| Avir At Weston | 1.2 mi | ★★★★★ | 3 | 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.