Above average — CMS composite of the measures below.
A standard survey is most likely before around September 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 Houston County Nursing Home during CMS and state inspections, most recent first.
Staff were observed leaving peri wash solution uncovered on clean linen carts, contrary to facility policy and infection control standards. Multiple staff and leadership interviews confirmed the expectation that the solution be covered when not in use to prevent contamination and cross contamination during perineal care.
A resident who was fully dependent on staff for personal hygiene, due to advanced dementia and other conditions, was observed over two days with unclean fingernails containing a dark, brown substance. Despite facility policy and staff acknowledgment that nail care should be performed during daily care, the resident's nails were not cleaned as required.
The facility failed to maintain food safety and sanitation standards, as observed in the kitchen. The Dietary Aide did not wear a hairnet properly, and foods in storage were not labeled or dated correctly. Freezer #2 was not at the correct temperature, and personal foods were stored in kitchen refrigerators. The Dietary Manager demonstrated poor sanitation practices, such as not changing gloves after picking up items from the floor. These deficiencies could lead to foodborne illnesses and contamination.
The facility failed to ensure proper hand hygiene by a CNA during meal tray distribution, as observed on Hall 400. Despite being aware of the requirements, the CNA did not consistently sanitize her hands between residents, posing a risk of infection. The DON and Administrator acknowledged the issue and the lack of a specific policy for infection control during meal service.
The facility did not perform required annual Nurse Aide Registry (NAR) checks for five CNAs, as mandated by state requirements, due to a misunderstanding by the Administrative Assistant who believed the Employee Misconduct Registry (EMR) check was sufficient. This failure to adhere to the facility's abuse prevention policy placed the facility at risk of employing staff with potential criminal backgrounds.
The facility failed to maintain an accessible call light system for two residents, one with dementia and another with Alzheimer's. Observations revealed that call lights were not within reach, with only short metal cords available. Staff interviews highlighted a lack of training and awareness, and the Administrator admitted responsibility but relied on staff reports to address issues. The absence of a formal policy contributed to the oversight.
The facility failed to obtain a physician order, informed consent, or pre-restraint assessment before implementing a bed alarm for a resident with severe cognitive impairment and multiple diagnoses. Staff interviews revealed unawareness of bed alarm use, and the DON admitted responsibility for ensuring proper orders. Facility policies on restraints and physician orders were not followed.
The facility failed to ensure accurate MDS assessments for two residents, leading to incorrect coding of a geri-chair with a tray and a bed alarm. This discrepancy was acknowledged by the DON and Administrator, who admitted that inaccuracies could result in residents not receiving appropriate care.
The facility failed to develop and implement a comprehensive care plan for a resident with severe cognitive impairment and multiple diagnoses. Despite documented use of a bed alarm, the care plan and MDS did not reflect this, potentially leading to inappropriate care. Interviews revealed reliance on an offsite individual for MDS and care plans, with acknowledged risks of inaccuracies.
A resident was found to have bed rails installed without the facility attempting alternatives, conducting risk assessments, or obtaining informed consent and a physician's order. The resident, with multiple health conditions, used the bed rails independently, but the facility lacked documentation and awareness of their use, and no policy was in place for bed rail use.
Uncovered Peri Wash Solution on Linen Carts Breaches Infection Control
Penalty
Summary
The facility failed to maintain proper infection prevention and control practices regarding the storage of peri wash solution on clean linen carts. During observations, both clean linen carts were found with uncovered pails of peri wash solution. Staff interviews confirmed that the solution is used for perineal care during incontinent care, and that facility policy requires the solution to be kept covered when not in use to prevent contamination. Multiple staff members, including CNAs and an LVN, acknowledged that the solution should be covered to avoid cross contamination and the spread of germs and bacteria. Further interviews with the Assistant Administrator, DON, and Administrator confirmed awareness of the practice and the expectation that the peri wash solution be covered when not in use. Facility policies reviewed also indicated that standard precautions should be followed to prevent the spread of infection, and that perineal care should be provided in a manner that promotes cleanliness and prevents infection. The failure to keep the peri wash solution covered on the linen carts was directly observed and acknowledged by staff and leadership as contrary to facility policy and infection control standards.
Failure to Provide Necessary Nail Care for Dependent Resident
Penalty
Summary
A deficiency occurred when a resident who was dependent on staff for personal hygiene did not receive necessary nail care. The resident, who had diagnoses including dementia, Alzheimer's disease, anemia, and hypertension, was rarely or never understood and required total assistance for personal hygiene according to her care plan. Observations on multiple occasions over two days revealed that the resident's fingernails had a dark, brown substance underneath them, indicating they had not been cleaned. Staff interviews confirmed that nail care was expected to be performed during bed baths and daily care, but the resident's nails remained unclean during the observed period. The facility's policy required routine cleaning and inspection of nails during ADL care, but this was not followed for the resident in question. Staff acknowledged responsibility for nail care and noted that the resident sometimes resisted, but there was no care plan indicating resistance to nail care. The issue was identified through observation, interview, and record review, confirming that the resident did not receive the necessary services to maintain personal hygiene as required.
Food Safety and Sanitation Deficiencies
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as observed during a survey of the kitchen. The Dietary Aide (DA) did not wear a hairnet effectively, leaving parts of her hair exposed, which could potentially contaminate food. Additionally, the facility did not ensure that foods stored in refrigerators, freezers, and the dry pantry were labeled, dated, and not kept past their expiration dates. Items were also improperly stored on the floor in the dry pantry, and personal foods for staff were kept in refrigerators designated for kitchen use. The facility's freezer #2 was not maintained at an appropriate temperature to keep foods frozen solid, and eggs were procured from unapproved vendors. Containers of flour and sugar were stored on the floor, were not clean, and were not sealed properly. The dish rack used to store cups and bowls was dirty, and the DA continued to have her hair exposed during subsequent observations. These practices could lead to foodborne illnesses and food contamination, as acknowledged by the staff during interviews. The Dietary Manager (DM) admitted to not consistently checking labels and dates due to being busy and acknowledged that personal food items were improperly stored in the kitchen. The DM also demonstrated poor sanitation practices by not changing gloves after picking up a piece of paper from the floor and not using alcohol wipes to sanitize a thermometer between temperature checks. The facility's policies on hygiene, sanitation, and food storage were not followed, contributing to the deficiencies observed by the surveyors.
Inadequate Hand Hygiene During Meal Tray Distribution
Penalty
Summary
The facility failed to establish and maintain an infection prevention and control program, specifically in ensuring proper hand hygiene by staff during meal tray distribution. On 5/6/2024, CNA H was observed passing out meal trays to residents in rooms 401, 402, and 404 on Hall 400 without sanitizing her hands before or after handling the trays. Despite being employed at the facility for two years and being aware of the hand hygiene requirements, CNA H admitted to not consistently sanitizing her hands between residents, which could lead to the risk of infections among residents. During interviews, both the Director of Nursing (DON) and the Administrator confirmed that staff should sanitize their hands between residents when passing meal trays to prevent cross-contamination. The DON mentioned that recent trainings on infection control and hand hygiene had been conducted, but acknowledged the absence of a specific policy for infection control during dining or meal service. The Administrator also emphasized the importance of hand hygiene and indicated plans to in-service staff and conduct return demonstrations on proper hand hygiene practices during meal tray distribution.
Failure to Conduct Annual NAR Checks for CNAs
Penalty
Summary
The facility failed to implement its written policies and procedures to prevent abuse, neglect, and exploitation of residents, specifically by not conducting annual Nurse Aide Registry (NAR) checks for five Certified Nursing Assistants (CNAs). This oversight was identified during a survey, where it was revealed that the Administrative Assistant did not perform the required annual NAR checks for CNAs B, C, D, E, and F for the years 2023 and 2024. The Administrative Assistant mistakenly believed that the Employee Misconduct Registry (EMR) check, which included the nurse aide certification date, was sufficient. This misunderstanding led to a lapse in compliance with state requirements, which mandate annual NAR checks to ensure that staff members do not have criminal charges that would make them ineligible for employment. Interviews with the Director of Nursing (DON) and the Administrator confirmed that the facility's policy required both EMR and NAR checks upon hiring and annually thereafter. The failure to conduct these checks annually placed the facility at risk of employing staff with potential criminal backgrounds, which could compromise resident safety. The facility's abuse prevention policy outlined the necessity of screening potential employees for histories of abuse, neglect, or mistreatment, but the lack of annual NAR checks indicated a failure in adhering to these procedures. The Administrator acknowledged the oversight and indicated that the necessary checks would be completed immediately.
Deficiency in Call Light System Accessibility
Penalty
Summary
The facility failed to ensure that a working call system was available in each resident's bathroom and bathing area, specifically affecting two residents. Resident #4, a 90-year-old female with dementia and a history of hip fracture, did not have a pull cord attached to the emergency call button in her bathroom. Observations on two consecutive days confirmed the absence of a pull string, leaving only a short metal cord that was not accessible. Interviews with staff revealed a lack of awareness and training regarding the necessity of the call light cords reaching the floor, which could prevent residents from calling for help if they fell. Resident #13, who has Alzheimer's Disease and is rarely understood, also experienced issues with the call light system. Observations showed that the call light in her room was not within reach, as it only had a short metal string attached to the wall. Staff interviews indicated that the resident had a history of removing the string, and although it was reported to the Administrator, the issue persisted over multiple observations. The Director of Nursing acknowledged the problem, stating that the call light strings should be long enough to reach the floor, but there was no policy or log to ensure compliance. The Administrator, who also served as maintenance, admitted responsibility for checking the call lights but relied on staff to report missing strings. Despite being informed of the deficiencies, the Administrator only addressed the issue after it was brought to his attention. The lack of a formal policy or procedure for maintaining the call light system contributed to the oversight, potentially leaving residents unable to call for assistance in emergencies.
Failure to Obtain Proper Orders and Consents for Bed Alarm Use
Penalty
Summary
The facility failed to ensure that a resident was free from physical restraints imposed for purposes of discipline or convenience and that were not required to treat the resident's medical symptoms. Specifically, the facility did not obtain a physician order, informed consent, or pre-restraint assessment before implementing a bed alarm for a resident. The resident, a male with severe cognitive impairment and multiple diagnoses including prostate cancer, hypertension, and uncontrolled type 2 diabetes, had a bed alarm documented in his nurse's notes on multiple occasions. However, the comprehensive care plan did not address the use of the bed alarm, and the facility's records lacked the necessary consents and assessments. Interviews with facility staff, including a CNA, LVN, and the Director of Nursing (DON), revealed that they were unaware of any current residents using bed alarms. The DON acknowledged that the hospice company had brought in the bed alarm but did not write the order, and she admitted it was her responsibility to ensure proper orders were in place. The facility's policies on restraints and physician orders were not followed, and a policy for bed alarms was not provided. The administrator also confirmed that the resident was on hospice and that the necessary orders and consents were not obtained, which could place residents at risk of falls and harm.
Inaccurate MDS Assessments for Restraints and Alarms
Penalty
Summary
The facility failed to ensure the MDS assessment accurately reflected the status of two residents. For Resident #33, the MDS assessment dated [DATE] did not accurately code the use of a geri-chair with a tray as a restraint, despite multiple records indicating its use, including a physician order summary report, a comprehensive care plan, and an informed consent form. Observations confirmed the use of the geri-chair with a tray, and the resident was unable to be interviewed due to severe cognitive impairment. The DON acknowledged that the MDS assessments were being completed offsite and admitted that inaccuracies could lead to residents not receiving appropriate care. For Resident #188, the MDS assessment dated [DATE] failed to accurately code the use of a bed alarm, despite documentation in nurses' notes and a physician order summary report indicating its use. The comprehensive care plan did not address the use of a position change alarm, and there was no signed informed consent or pre-restraint assessment in the resident's closed record. The resident was severely cognitively impaired and had expired by the time of the review. Both the DON and the Administrator acknowledged the risk of residents not receiving appropriate care due to inaccurate MDS assessments and care plans.
Failure to Develop Comprehensive Care Plan for Resident
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for a resident with severe cognitive impairment and multiple diagnoses, including prostate cancer, hypertension, and uncontrolled type 2 diabetes. Despite the use of a bed alarm being documented in the resident's nursing notes on multiple occasions, the comprehensive care plan and MDS did not reflect the use of this alarm. This discrepancy indicates a failure to accurately assess and document the resident's needs, potentially leading to inappropriate care and decreased quality of life for the resident. Interviews with the Director of Nursing (DON) and the Administrator revealed that the facility was relying on an offsite individual to complete MDS and care plans until a new MDS nurse could be trained. Both acknowledged that inaccuracies in MDS and care plans could place residents at risk of not receiving appropriate care. The facility's policies on care planning and restraints emphasize the importance of accurate documentation and the use of the least restrictive devices, which were not adhered to in this case.
Failure to Follow Procedures for Bed Rail Use
Penalty
Summary
The facility failed to follow proper procedures before installing bed rails for a resident, identified as Resident #16. The facility did not attempt to use appropriate alternatives, assess the resident for risk of entrapment, or review the risks and benefits of bed rails with the resident or their representative. Additionally, the facility did not obtain informed consent or a physician's order for the use of bed rails. This oversight was observed for Resident #16, who had full bed rails on both sides of her bed for a period of two days. Resident #16, who was admitted to the facility with diagnoses including morbid obesity, polyneuropathy, monoplegia of the lower limb, and peripheral vascular disease, was found to have bed rails on her bed without proper documentation or consent. Despite being able to move the bed rails independently, the resident's care plan did not include the use of bed rails, and no assessments were conducted regarding their use. Interviews with facility staff, including the Director of Nursing and a charge nurse, revealed a lack of awareness and monitoring of the resident's use of bed rails, and the facility did not have a policy in place for bed rail use.
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What surveyors actually found near you
We read the 33 citations issued within 25 miles in the last 12 months — 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
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Crockett
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Whitehall Rehab & Nursing | 10.7 mi | ★★★★★ | 11 | 0 |
| Winfield Rehab & Nursing | 10.7 mi | ★★★★★ | 14 | 0 |
| Cass Valley Healthcare Center | 21.5 mi | ★★★★★ | 7 | 0 |
| Avir At Elkhart | 24.2 mi | ★★★★★ | 1 | 0 |
| Trinity Rehabilitation & Healthcare Center | 26.5 mi | ★★★★★ | 37 | 3 |
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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.