Below average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Deerings Nursing And Rehabilitation during CMS and state inspections, most recent first.
A resident with stroke, aphasia, severe cognitive impairment, and poor safety awareness was found on the floor and was lifted into a wheelchair by two CNAs who hooked their arms under his arms instead of using a gait belt. The nurse was not notified when he was found on the floor, despite facility policy and DON expectations for immediate nurse assessment and safe transfer procedures.
Food Storage, Labeling, and Hair Restraint Deficiencies: Surveyors observed numerous dry storage and refrigerated food items that were opened and not sealed, not labeled or dated, or past the use-by date. Covered and uncovered items were mixed in storage areas, raw ground beef was stored above ready-to-eat items, and several dispensers and utensils were left uncovered. The DM's hair net also did not fully cover the front and sides of her hair, contrary to facility policy and the Food Code.
Dual occupancy rooms in several halls did not provide full visual privacy for both beds. Observation showed that Rooms 301, 303, 307, 308, 312, 404, 405, 410, and 411 each had an A and B bed, but only one side curtain was present, leaving a four-foot gap and allowing privacy for only one bed. The DON stated residents were expected to have full visual privacy, and the facility's resident rights policy stated residents have a right to personal privacy, including accommodation and medical treatment.
Failure to complete a Significant Change MDS for a resident with worsening pressure ulcers and behavior changes. The resident had severe cognitive impairment, delirium, delusions, and multiple pressure wounds including a stage IV ulcer and additional stage III/unstageable wounds. MDS reviews showed a later quarterly assessment documenting behaviors and a pressure ulcer, while the DON and MDS Coordinator stated they did not realize the changes required a Significant Change in Status MDS.
A resident with a stage III heel wound and a stage IV elbow pressure ulcer did not receive ordered wound treatments on multiple days, and the TAR showed no documentation for several scheduled dressing changes. During observation, the elbow dressing was absent, and the resident said staff had not covered it yet. RNs stated treatments were supposed to be completed and signed off in the TAR, while the DON and Administrator stated wound care should be done per orders and documented.
Expired insulin pens were found in two nurse med carts for residents with DM2 and sliding-scale insulin orders. Staff found one pen for one resident and two pens for two other residents that had been open longer than 28 days, and the DON and Administrator stated nurses were expected to remove expired insulin from the carts.
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.
Improper Floor Transfer and Failure to Notify Nurse
Penalty
Summary
The facility failed to ensure adequate supervision and safe assistance devices were used for a resident with severe cognitive impairment, poor safety awareness, and substantial assistance needs for transfers. The resident had diagnoses including stroke, depression, anxiety, and aphasia, and his care plan identified him as being at risk for falls related to cognitive deficit and poor safety awareness. The care plan did not include specific instructions for how to transfer him. During an observation, the resident was found sitting on the floor in the doorway of his room. CNA A asked why he was on the floor, and the resident said he needed to get something. CNA A told him he should have used the call light. CNA A and CNA B then stood on either side of the resident, hooked their arms under his arms, pulled him up, and placed him in his wheelchair. The resident was not transferred using a gait belt, and the nurse was not notified when he was found on the floor. The DON stated that when a resident is found on the floor, staff were expected to get the nurse, keep the resident safe until assessment, and use a gait belt to assist the resident off the floor. LVN C stated she had not been told the resident was on the floor and expected aides to notify her when a resident fell. PT D stated the correct method was to notify the nurse first, have two people, and use a gait belt, and that hooking under the arms could cause shoulder dislocation. The facility policy for transfers required a gait belt and noted that two persons may be required, and the fall policy required immediate assessment and notification after a fall.
Food Storage, Labeling, and Hair Restraint Deficiencies
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety in the kitchen. During the initial kitchen tour, multiple dry storage items were observed opened and not sealed, including cornstarch, instant mashed potatoes, taco seasoning, refried beans, dried pinto beans, bowtie pasta, potato chips, granola, candy pieces, peppered gravy mix, and graham cracker crusts. Several items were not labeled or dated, and multiple containers had dates that did not identify whether they were received, opened, or use-by dates. The surveyor also observed several items past the use-by date, including bottles of sesame seeds, oregano, ground mustard, and ground ginger. In addition, two plastic tubs of resident water pitchers were uncovered, as were pans, bowls, utensils, and coffee filters on the juice machine. In the walk-in refrigerator, the surveyor observed a container of applesauce past its use-by date, olives and guacamole with dates that did not specify whether they were received, opened, or use-by dates, and condiment cups and beverage glasses that were not labeled or dated. Other refrigerated items, including sausage patties, raw ground beef, sliced jalapenos, sliced turkey, tortillas, grated cheese, and cake, were either not dated or not properly sealed. The raw ground beef was wrapped in plastic wrap with red liquid seeping out and was stored on a shelf above covered beverage cups. In the spice rack above the blender, bottles of rosemary, paprika, and basil leaves were observed with use-by dates that were past due. During the follow-up visit, the Dietary Manager's hair net did not cover the front and sides of her hair. In interview, the Dietary Manager stated that labeling should include the name, received date, opened date, and use-by date, that opened refrigerated items were good for 6 days before disposal, and that dry storage items were good until the use-by date or for 1 year after the received date if no use-by date was present. She also stated that items should be resealed after opening and that she had previously trained staff on these practices and would repeat the training. The facility policy required food items removed from original containers to be labeled, dry bulk foods to be stored in covered containers, opened dry foods to be resealed and dated, refrigerated raw foods to be stored below cooked or ready-to-eat foods, leftovers to be dated with a 7-day expiration, and hair nets or hats covering the hairline to be worn at all times.
Dual Occupancy Rooms Lacked Full Visual Privacy
Penalty
Summary
The facility failed to ensure that 9 of 48 dual occupancy rooms reviewed for privacy were designed or equipped to provide full visual privacy. Observation of Rooms 301, 303, 307, 308, 312, 404, 405, 410, and 411 on halls 3 and 4 showed each room had an A and B bed, but only one side curtain was present in each room. The curtain provided full visual privacy for only one bed and left a four-foot gap, so both beds could not have total visual privacy. During interview, the Administrator stated that residents were expected to have full visual privacy and that if rooms did not provide it, residents might not receive the privacy and dignity they wanted. The facility policy titled Resident rights stated that the resident has a right to personal privacy, including accommodation and medical treatment.
Failure to Complete Significant Change MDS After Pressure Ulcers and Behavior Changes
Penalty
Summary
The facility failed to complete a comprehensive assessment within 14 days after a significant change in condition for one resident. Resident #7 was a female admitted on 11/8/2024 with diagnoses including chronic venous hypertension with bilateral lower extremity complications, peripheral vascular disease, and unspecified protein calorie malnutrition. Her record also showed diagnoses of delirium and delusions added on 4/1/2026, and a stage IV pressure ulcer of the right elbow added on 4/8/2026, along with a stage III pressure ulcer diagnosis added on 12/2/2025. Review of the resident’s MDS assessments showed a quarterly assessment with a BIMS score of 6 and no coded behaviors or pressure ulcers, followed by a later quarterly assessment with a BIMS score of 7, behaviors occurring 1 to 3 days, rejection of care and wandering occurring 1 to 3 days, and a pressure ulcer coded as present. The later assessment also documented one unstageable pressure ulcer/injury not present on admission or reentry. Wound care documentation dated 5/19/2026 showed a stage IV pressure wound to the right elbow present for greater than 118 days, a stage III wound to the left heel present for greater than 17 days, and a stage III wound to the right posterior thigh that was resolved that same day. The order summary dated 5/21/2026 listed treatment orders for the stage IV right elbow pressure ulcer, the stage III left heel pressure wound, and the stage III right posterior thigh wound. During interviews, the DON stated the MDS Coordinator was responsible for completing the Significant Change in Status MDS after the interdisciplinary team identifies the significant change, and stated she did not realize pressure ulcers or a change in behavior were causes for a Significant Change in Status MDS. The MDS Coordinator stated she was not aware that a Significant Change MDS needed to be completed and said the failure could cause the resident to miss care areas such as wound care or other care areas not being identified and/or a comprehensive care plan not being completed.
Missed wound care and undocumented dressing changes for pressure ulcers
Penalty
Summary
The facility failed to ensure that a resident with pressure ulcers received ordered wound treatments and dressing changes for a stage III pressure wound to the left heel and a stage IV pressure ulcer to the right elbow. The resident had multiple diagnoses including chronic venous hypertension, peripheral vascular disease, unspecified protein-calorie malnutrition, delirium, and delusions, and the quarterly MDS showed a BIMS score of 7 with severe cognitive impairment. The care plan directed staff to administer treatments as ordered and replace loose or missing dressings as needed for both wounds. The physician orders required daily and PRN wound care for both the left heel and right elbow wounds, including cleansing, application of calcium alginate with silver, collagen sheet for the elbow, skin prep, gauze wrap, and tape. The wound care progress note from the wound care MD documented that both wounds were improving and showed no signs of infection. However, the TAR showed no treatment recorded for either wound on 5/10/2026, 5/14/2026, 5/16/2026, 5/17/2026, 5/18/2026, and 5/20/2026. During observation on 5/21/2026, the resident’s right elbow dressing was not present, and later that day the dressing was still not present. The resident stated the nurses had not covered it yet and that RN A would replace the dressing when she arrived. RN A stated that treatments were signed off when completed and that charge nurses performed treatments when she was not in the facility, while RN M stated charge nurses or the treatment nurse could replace a dislodged dressing. The DON and Administrator stated that wound care should be performed per orders and documented in the TAR, and the facility policy for Pressure Injury: Prevention, Assessment, and Treatment did not include guidance for facility expectations regarding following wound care orders.
Expired insulin pens found in medication carts
Penalty
Summary
The facility failed to provide pharmaceutical services that ensured accurate administration of medications for residents receiving insulin. During observation and record review, an insulin pen for Resident #15 was found in the hall 3 nurse medication cart with an open date of 04/10/26 and was identified as expired. Resident #15 had a diagnosis of type 2 diabetes and had a physician order for Merilog SoloStar insulin to be given by sliding scale before meals and at bedtime. The hall 4 nurse medication cart contained two expired insulin pens: one for Resident #24 with an open date of 04/10/26 and one for Resident #56 with an open date of 04/14/26. Resident #24 had a diagnosis of type 2 diabetes and orders for Humalog by sliding scale before meals and at bedtime, and Resident #56 had a diagnosis of type 2 diabetes with orders for Fiasp FlexTouch by sliding scale before meals and at bedtime. Staff stated the expired insulin pens had not been noticed when the carts were taken over, and the facility's insulin pen use instructions stated that once removed from cool storage, the pen can be used for up to 28 days and should not be used after that time.
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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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
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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) |
|---|---|---|---|---|
| Madison Medical Resort | 0.9 mi | ★★★★★ | 4 | 0 |
| Buena Vida Nursing & Rehab Odessa | 1.2 mi | ★★★★★ | 4 | 0 |
| Parks Health Center | 2.7 mi | ★★★★★ | 10 | 0 |
| Focused Care At Odessa | 5.1 mi | ★★★★★ | 12 | 0 |
| Sienna Nursing And Rehabilitation | 5.4 mi | ★★★★★ | 24 | 0 |
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