Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Deerings Nursing And Rehabilitation, Lp during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and a history of alcohol dependence was discharged without required physician documentation, a discharge planning meeting, or proper notification to the Ombudsman. Staff interviews confirmed that the necessary discharge procedures and documentation were not completed, and the resident's medical record lacked a discharge summary and post-discharge plan of care.
Two residents with significant cognitive and physical impairments were not treated with dignity during assisted dining, as staff stood while feeding them, failed to interact, and used personal phones during the meal. Facility guidelines and staff training require sitting at eye level and refraining from phone use, but these protocols were not followed, resulting in inattentive and undignified care.
Surveyors found that food items in the kitchen's dry storage, walk-in refrigerator, and freezer were not properly sealed, labeled, or dated, with some items stored on the floor and personal food items kept in the refrigerator. Staff did not check food temperatures prior to serving meals, and interviews revealed a lack of awareness of these requirements. Facility policies requiring proper food storage and temperature checks were not followed.
Staff failed to follow Enhanced Barrier Precautions by not wearing required PPE, specifically gowns and gloves, during high-contact care activities for two residents with open wounds and indwelling devices. The ADON and two nursing assistants provided care while wearing only gloves, contrary to facility policy, and staff interviews revealed lack of awareness or oversight regarding EBP requirements.
A resident with multiple medical conditions and a physician order for a pureed diet was served food that was runny and water-like instead of the required pudding-like consistency. Dietary staff were unaware of the correct texture, and the dietary manager did not verify the consistency or have documentation for any requested changes, despite facility policy specifying the appropriate consistency for pureed foods.
Three residents in a LTC facility experienced verbal abuse from staff members, including an LVN, a dietary manager, and a CNA. The incidents involved inappropriate language and confrontations, with one resident being scolded for not remembering bathroom locations, another confronted over a missed meal, and a third being yelled at to "shut up." These events were witnessed by other staff and a visitor, leading to reports to the facility's administration.
A resident with a history of diabetes and renal disease was involved in an incident where the Dietary Manager used profanity and confronted her disrespectfully. The Activity Director witnessed the event but failed to report it immediately to the Administrator, as required by the facility's policy. The resident was cognitively intact and expressed feeling safe at the time of the interview. The Dietary Manager was terminated following an investigation that confirmed the violation of the corporate code of conduct.
Failure to Ensure Safe and Documented Discharge Process
Penalty
Summary
The facility failed to ensure that a resident's transfer or discharge was conducted in accordance with required documentation and procedures, as outlined in both regulatory requirements and the facility's own policy. Specifically, the resident was discharged without a physician's documentation in the medical record to support a safe and effective transition of care. There was no evidence of a discharge planning meeting, no 30-day discharge notice issued, and no documentation that the Ombudsman was notified, as required. Multiple staff interviews confirmed the absence of these critical steps, and the resident's medical record lacked the necessary discharge summary and post-discharge plan of care. The resident in question had a history of alcohol dependence with withdrawal, depression, and weakness, and was noted to have severe cognitive impairment based on a BIMS score of 6. The care plan identified behavioral issues related to alcohol use and non-compliance with facility rules, including bringing alcohol into the building and smoking in his room. Despite these complex needs, the discharge process did not include an interdisciplinary team meeting or a comprehensive assessment of the resident's ongoing care needs, as required by the facility's discharge planning policy. The resident, who was his own responsible party, was reportedly agreeable to the move, but there was no documentation of a formal discharge plan or physician involvement in the process. Interviews with facility staff, including the previous Administrator, DON, RCN, and LVN, revealed inconsistent recollections regarding the discharge process. Some staff believed the resident left voluntarily, while others acknowledged that the required documentation and notifications were not completed. The physician did not recall signing a discharge notice or participating in a discharge planning meeting. The facility's policy mandates a thorough discharge planning process, including assessment, interdisciplinary planning, and documentation, none of which were evident in this case. The lack of proper discharge procedures and documentation could compromise the resident's safety and continuity of care.
Failure to Maintain Dignity and Attentive Care During Assisted Dining
Penalty
Summary
Staff failed to treat two residents with respect and dignity during assisted dining, as observed during a lunch meal. Certified Nursing Assistant (CNA) and a Hospitality Aide (HA) were seen standing while feeding residents who required assistance, despite facility guidelines and training that require staff to sit at eye level with residents during feeding. One aide moved a chair out of the way to stand, and another provided food to a resident without any interaction, offering continuous bites without pause. The same aide was also observed using her phone under the table while feeding, and at one point left the resident to answer a call without communicating with him. Additionally, a Registered Nurse (RN) was observed scrolling on her phone while she was supposed to be monitoring the dining room, both during and after the meal. Facility policy prohibits the use of personal communication devices during work hours and specifically during resident dining assistance. Interviews with staff confirmed they were trained to sit while feeding residents and to avoid phone use, but they did not follow these protocols. The Director of Nursing (DON) and Regional RN both stated that sitting at eye level and refraining from phone use are expected standards, and that these expectations are included in the employee handbook and dining room etiquette guidelines. The residents involved had significant cognitive and physical impairments, including Parkinson's Disease and multiple sclerosis, requiring varying levels of assistance with eating. One resident was noted to have severe cognitive impairment and needed supervision, while the other had moderate impairment and required substantial or maximal assistance. The lack of interaction and inattentive behavior by staff, including the use of phones and failure to sit at eye level, did not promote a dignified environment or enhance the residents' quality of life, as required by facility policy and federal regulations.
Deficient Food Storage, Labeling, and Temperature Control in Kitchen
Penalty
Summary
Surveyors observed multiple failures in the facility's kitchen regarding food storage, preparation, and service. In the dry storage area, food items such as pie crusts were found open and undated, and a box of thermal cups was stored on the ground between food racks. In the walk-in refrigerator, several food items were either undated, past their use-by dates, or lacked proper labeling, including a bottle of sparkling water with no resident label, containers of potato salad and apple jelly past their use-by dates, and a container of strawberries with only an open date. Additionally, a container with a red sauce was found with no label or date, and personal food items were stored in the refrigerator. In the walk-in freezer, uncovered and unlabeled single-serve containers of an orange frozen substance were found next to a container of orange-flavored sorbet. During meal service observations, staff did not check food temperatures prior to serving meals on two separate days. Interviews with staff revealed a lack of awareness regarding the requirement to take temperatures before serving, with staff only checking temperatures during cooking. The Dietary Manager (DM) was unaware of improper storage practices and acknowledged ongoing issues with staff storing personal items in the refrigerator and not labeling or dating opened food items. Facility policies reviewed by surveyors required food to be covered, labeled, and dated, and for temperatures to be checked and recorded prior to every meal service, but these procedures were not followed.
Failure to Follow Enhanced Barrier Precautions During Resident Care
Penalty
Summary
The facility failed to establish and maintain an effective infection prevention and control program, as evidenced by staff not following Enhanced Barrier Precautions (EBP) during care of two residents with open wounds and indwelling devices. For one male resident with obstructive and reflux uropathy, a stage 3 pressure ulcer on the coccyx, and an indwelling urinary catheter, the Assistant Director of Nursing (ADON) performed wound care while wearing only gloves, omitting the required gown as per the facility's EBP policy. The resident's care plan specifically indicated the need for EBP due to his open wound and catheter. In a separate incident, two nursing assistants provided incontinent care to a female resident with hepatic encephalopathy, hypertension, functional quadriplegia, and a stage 4 sacral pressure ulcer. Both staff members wore only gloves and did not don gowns as required by EBP for residents with open wounds. The care plan for this resident also specified the need for EBP. During interviews, the nursing assistants stated they were unaware of the resident's wound and the need for EBP, while the ADON acknowledged forgetting to apply the required PPE despite being responsible for infection prevention. Facility policy reviews confirmed that EBP requires both gloves and gowns during high-contact care activities for residents with wounds or indwelling devices, and that hand hygiene and proper glove use are fundamental to infection control. The Director of Nursing confirmed that the observed staff actions did not comply with these policies, as gowns were not worn and hand hygiene protocols were not followed between glove changes.
Failure to Provide Proper Pureed Diet Consistency
Penalty
Summary
A deficiency occurred when the facility failed to provide food prepared in a form designed to meet the individual needs of a resident who required a pureed diet. The resident, an elderly female with diagnoses including cerebral infarction, dementia, and type II diabetes mellitus, had a physician's order for a regular diet with pureed texture and nectar consistency fluids. Observations on two consecutive days revealed that the pureed food provided to her was runny and water-like, rather than the required smooth, pudding-like consistency. Interviews with the dietary staff and the dietitian confirmed that the pureed food should have a thicker, pudding-like consistency and should remain on the spoon when turned over. The dietary staff member responsible for preparing the tray was unaware that the puree should be thicker, having only received video training. The dietary manager admitted to not checking the consistency of the pureed food and referenced a communication sheet from nursing staff requesting a thinner puree, but was unable to produce this documentation. The facility's policy specified that blended foods should have a consistency similar to applesauce or mashed potatoes.
Verbal Abuse Incidents in LTC Facility
Penalty
Summary
The facility failed to protect three residents from verbal abuse by staff members. One incident involved a Licensed Vocational Nurse (LVN) who verbally abused a resident with cognitive impairments and a history of explosive behavior. The LVN yelled at the resident for speaking to staff inappropriately and scolded him for not remembering where he had previously used the bathroom. This interaction was witnessed by a visitor who reported the incident to the facility's interim administrator and the Health and Human Services Commission (HHSC) complaint hotline. Another incident involved a dietary manager who verbally confronted a resident returning from dialysis. The resident was upset because her lunch tray had not been saved, and the dietary manager responded by using inappropriate language and accusing the resident of complaining to the Ombudsman. This confrontation was witnessed by the Activity Director, who did not report the incident immediately. The resident involved had a history of making false accusations and was cognitively intact, as indicated by her BIMS score. The third incident involved a Certified Nursing Assistant (CNA) who yelled at a resident with severe cognitive impairment and a history of yelling out. The HR Manager overheard the CNA telling the resident to "shut up" and reported the incident to the administrator in training (AIT). The facility's policy on abuse and neglect clearly states that residents should not be subjected to abuse by anyone, and verbal abuse is defined as the use of disparaging and derogatory language towards residents.
Failure to Immediately Report Suspected Abuse
Penalty
Summary
The facility failed to ensure that all alleged violations involving abuse were reported immediately to the Administrator, as evidenced by an incident involving a resident and the Dietary Manager. The Activity Director witnessed the Dietary Manager using profanity and confronting the resident in a disrespectful manner after the resident expressed frustration over not having her lunch tray saved following dialysis. Despite witnessing this interaction, the Activity Director did not report the incident to the Administrator until the following day, indicating a lapse in the immediate reporting protocol. The resident involved in the incident was a female with a medical history that included adult-onset diabetes, end-stage renal disease, chronic kidney disease, and dependence on renal dialysis. She was cognitively intact with a BIMS score of 15 and used a wheelchair for mobility. The resident had a care plan noting a history of making false accusations, but the interventions listed did not address the need for immediate reporting of suspected abuse. The facility's investigation revealed that the Dietary Manager's conduct violated the corporate code of conduct, leading to her termination. The Activity Director admitted to not realizing the importance of immediate reporting, despite having received training during orientation. The Administrator confirmed that the expectation was for all suspicions or allegations of abuse to be reported immediately, highlighting a gap in staff adherence to the facility's abuse reporting policy.
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What surveyors actually found near you
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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 Odessa
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sienna Nursing And Rehabilitation | 0.7 mi | ★★★★★ | 2 | 0 |
| Focused Care At Odessa | 1.1 mi | ★★★★★ | 12 | 0 |
| Buena Vida Nursing And Rehab Odessa | 5.1 mi | ★★★★★ | 6 | 0 |
| Madison Medical Resort | 6.1 mi | ★★★★★ | 0 | 0 |
| Parks Health Center | 8.7 mi | ★★★★★ | 0 | 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.