Above average — CMS composite of the measures below.
The next survey window likely opens around April 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 Hurst Plaza Nursing & Rehab during CMS and state inspections, most recent first.
A dietary service deficiency occurred when a pureed lunch tray was observed to be cold, overly salty, and unappealing in appearance, with pale and low-color items including turkey, brussels sprouts, polenta, and bread. The DM stated the turkey should have been prepared differently, acknowledged the food was cold and salty, and noted repeated resident complaints that meals, especially eggs and breakfast items, were often cold.
Kitchen fans in the facility’s only kitchen were observed with grease and dust buildup, including a floor fan, a wall fan in the dry storage area, and another fan near the refrigerators/freezers pointed toward the steam table. The Dietary Manager stated the dietary aide was responsible for weekly cleaning, but the fans had likely last been cleaned about 3 weeks earlier. The facility policy required food service areas to be kept clean and sanitary.
Expired medications remained on a nurses' medication cart, including loperamide and insulin pens that were past their expiration or discard dates. The LVN, ADON, and DON each stated they had checked the cart but missed the expired medications, despite expectations for routine cart checks. The facility policy stated expired medications should not be administered and pharmacy should be notified for replacement.
Infection Control: Foley Bags Left on the Floor. Surveyors observed two residents with indwelling Foley catheters whose drainage bags were touching the floor while they were in bed. Staff, including a CNA, LVN, and the DON, acknowledged that catheter bags should not touch the floor and that all staff were responsible for checking placement. One resident had severe cognitive impairment, and both residents had catheter care orders and infection-control-related instructions in their records.
The facility failed to provide adequate respiratory care, as staff did not change or date nasal cannula oxygen tubing for several residents according to policy. Observations revealed undated and improperly maintained equipment, such as nasal cannulas and nebulizer masks, posing infection risks. Interviews with staff indicated a lack of consistent monitoring and adherence to protocols, affecting residents' respiratory care.
A facility failed to implement a comprehensive baseline care plan for a resident with COPD, sleep apnea, and other conditions. The plan did not include necessary instructions for oxygen and sleep apnea treatments, nor did it address the need for regular oxygen saturation assessments. Interviews with facility staff highlighted the importance of the baseline care plan in guiding care until a comprehensive plan is developed.
A resident with multiple health issues experienced several falls and required oxygen therapy, but the facility failed to update the care plan to address these needs. Despite discussions by the IDT, the care plan did not reflect recent falls, oxygen use, or hospitalization, potentially affecting the resident's care quality.
A medication aide left a medication cart unattended and unlocked while administering medications, contrary to facility policy requiring carts to be secured when not in use. This incident occurred in the presence of two residents, posing a risk of unauthorized access to medications.
A facility failed to document a resident's COPD diagnosis and oxygen orders in the care plan, risking incorrect treatment. The resident, admitted for respite care, had medical orders for oxygen administration due to COPD, but these were not entered into the care plan. Interviews revealed the admitting nurse omitted the orders, contrary to facility policy requiring comprehensive documentation for immediate care needs.
Cold and Unappealing Pureed Meals
Penalty
Summary
The facility failed to ensure food and drink were palatable, attractive, and served at a safe and appetizing temperature for Kitchen 1. During observation and interview on 05/20/26 at 1:01 PM, three state surveyors and the Dietary Manager tasted a regular texture and pureed texture lunch tray. The pureed tray contained turkey with gravy, bread, brussels sprouts, and polenta, and it was described as unappealing in appearance and lacking color. The polenta was white, the brussels sprouts were pale yellow, the turkey was light pink with brown gravy, and the bread was light brown. The turkey tasted overly salty, and the food was cold. The Dietary Manager stated the plate should have had more color, the polenta was cold, and the gravy and turkey were salty. The Dietary Manager stated the turkey came prepared and that the cook should have used chicken broth to prepare the pureed turkey. She also stated that [NAME] F mixed chicken base paste with water and added it to the turkey, and that she did not taste it before serving. [NAME] F said residents might find the food overly salty. The Dietary Manager stated residents sometimes complained that eggs were cold and that kitchen staff tried to push food out as fast as they could. She also stated she began texting nursing staff when each hall cart was ready so it would not sit in the hallway. Record review showed a resident grievance on 01/30/26 stating food was always cold, and resident council minutes from 05/19/25 through 04/22/26 repeatedly documented complaints that food, especially breakfast and eggs, was cold.
Kitchen Fans Not Kept Clean
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety in its only kitchen, Kitchen 1, because fans used in the kitchen were not kept free of grease and dust. During observation, a fan on the floor was running with grease and dust accumulated on the front grille, a wall-mounted fan in the dry storage area was running with dust buildup, and another wall-mounted fan near the refrigerators and freezers was running and pointed toward the steam table with grease and dust built up on the front grille. The Dietary Manager stated that the fan on the ground had been removed because it was a trip hazard, that the hanging fans had been wiped off, and that evening shift had been told to clean the fans and remove the cover to clean the inside blades. She also stated the dietary aide was responsible for cleaning the fans weekly and that the last cleaning was probably 3 weeks earlier. The facility policy titled Sanitation Inspection stated that all food service areas shall be kept clean, sanitary, free from litter, rubbish, and protected from rodents, roaches, flies, and other insects.
Expired Medications Left on Medication Cart
Penalty
Summary
The facility failed to provide pharmaceutical services that ensured the accurate acquiring, receiving, dispensing, and administering of drugs and biologicals for 1 of 3 medication carts reviewed, the Hall 2 East nurses' medication cart. During observation, the cart contained 3 boxes of Loperamide 2 mg with an expiration date of 04/2026, one Toujeo Solostar insulin pen with an open date of 3/20/26 and a discard date of 05/15/26, and one Lantus insulin pen with an open date of 3/21/26 and a discard date of 04/18/26. These medications remained on the cart even though they were expired or past their discard dates. During interview, the LVN responsible for the cart stated she checked for expired medications that morning but missed them, and said she checked the cart daily for expired medications and expiration dates. The ADON stated nurses were expected to check their carts weekly and that ADONs were responsible for checking behind them weekly; she also stated she had audited the cart about a week earlier and missed the expired medications. The DON stated nurses were responsible for daily checks and that the ADON and DON were to go behind the nurses weekly to ensure expired medications were removed. The facility policy stated that if a medication is expired, it should not be administered and pharmacy should be notified for replacement.
Infection Control: Foley Bags Left on the Floor
Penalty
Summary
The facility failed to establish and maintain an infection prevention and control program for residents with indwelling catheters. For Resident #2, record review showed diagnoses including diabetes mellitus, renal insufficiency, and dementia, with a BIMS score of 00 indicating severe cognitive impairment. The resident’s care plan identified bladder incontinence related to a Foley catheter, and the physician orders included Foley catheter care every shift and an order to ensure the Foley bag was in a basin and not touching the floor when the bed was in the lowest position. On 05/19/26 at 12:08 PM and again on 05/20/26 at 9:40 AM, surveyors observed Resident #2 in bed with the Foley catheter bag hanging on the side of the bed and touching the floor. During an interview on 05/20/26, CNA C stated aides were responsible for making sure catheter bags were in a privacy bag or off the floor because of cross contamination, and later stated the bag should not touch the floor and should be placed in a basin or otherwise positioned off the floor. CNA C identified contamination as the risk. Record review and observations for Resident #42 showed similar findings. The resident had a Foley catheter with orders for catheter care every shift and drainage bag changes for infection control monitoring. On 05/18/26, 05/19/26, and 05/20/26, surveyors observed the catheter bag touching or lying flat on the floor. CNA E stated she had observed the bag on the floor at the start of her shift and moved it to the lowest part of the bed, and she stated staff were responsible for ensuring catheter bags were not touching the floor. LVN D and the DON both stated catheter bags were not supposed to touch the floor and that all staff were responsible for checking placement. The facility’s policies stated it maintained an infection prevention and control program and that indwelling catheter care should follow infection prevention and control procedures.
Inadequate Respiratory Care and Equipment Maintenance
Penalty
Summary
The facility failed to provide adequate respiratory care to several residents, as evidenced by multiple observations and interviews. Specifically, the staff did not change or date nasal cannula oxygen tubing for several residents according to the facility's policy and physician orders. This oversight occurred during specific shifts on multiple dates, affecting residents who required consistent respiratory care. Additionally, the facility staff did not bag and date sleep apnea masks when not in use, and failed to change a resident's nebulizer mask as per policy. Resident #3, for instance, was observed with nasal cannula tubing lying on the floor, undated, and not changed as required. Despite the resident's cognitive intactness and reliance on supplemental oxygen due to chronic obstructive pulmonary disease and asthma, the tubing was not maintained properly, posing a risk of infection. Similarly, Resident #4's oxygen tubing was not dated, and Resident #5's nebulizer mask was found unbagged and face down, indicating a lack of adherence to infection control protocols. Furthermore, Resident #6's and Resident #7's portable oxygen tubing attached to their wheelchairs was not changed or dated, and Resident #7's physician's order for continuous oxygen was not updated upon re-admission. These deficiencies highlight a systemic issue in the facility's management of respiratory care, potentially exposing residents to respiratory infections and other complications. Interviews with staff, including the RN, ADON, and DON, revealed a lack of consistent monitoring and adherence to established protocols, contributing to these lapses in care.
Failure to Implement Comprehensive Baseline Care Plan
Penalty
Summary
The facility failed to develop and implement a baseline care plan for a resident, identified as Resident #7, which included necessary instructions for effective and person-centered care. Upon review, it was found that the baseline care plan dated 09/15/24 did not address the resident's oxygen treatment, sleep apnea treatment, and the need for assessments of oxygen saturation levels every shift. This oversight was identified during an observation and interview with the resident, who was using a portable nasal cannula for oxygen due to COPD and difficulty breathing. The resident's medical history included chronic obstructive pulmonary disease, anemia, morbid obesity, sleep apnea, and atrial fibrillation. The resident's medical records indicated that he required assistance with various activities of daily living and had specific medical orders for oxygen and Bi-PAP treatments. However, these were not reflected in the baseline care plan. Interviews with the ADON and DON revealed that the baseline care plan is intended to guide staff in providing skilled care until a comprehensive care plan is developed. The failure to include all necessary care instructions in the baseline care plan could result in improper care for newly admitted residents. The facility's policy on baseline care plans was not provided for review.
Failure to Update Comprehensive Care Plan for Resident
Penalty
Summary
The facility failed to ensure that the comprehensive care plan for a resident addressed all necessary aspects of care, including recent falls, oxygen use, and hospitalization. The resident, who was admitted with diagnoses such as peripheral vascular disease, vascular dementia, and cerebral atherosclerosis, experienced multiple falls on specific dates, yet the care plan was not updated to reflect these incidents. Additionally, the care plan did not address the resident's oxygen use, which was ordered by hospice, nor did it include details of the resident's hospitalization following a fall that resulted in facial bruising. Observations and interviews revealed that the resident was often confused and required assistance for all care needs. Despite this, the care plan lacked revisions to address the resident's increased risk of falls and the need for oxygen therapy. The facility's interdisciplinary team (IDT) discussed the resident's care needs after each fall, but the care plan remained unchanged, failing to incorporate necessary interventions to prevent further incidents. Interviews with facility staff, including the MDS Coordinator, ADON, and DON, indicated a lack of adherence to facility policy regarding updating care plans for significant changes in a resident's condition. The staff acknowledged the need for a revised care plan but could not provide a reason for the oversight. The facility's policy requires the IDT to develop and update care plans based on resident assessments, yet this was not followed, potentially impacting the resident's quality of care.
Medication Cart Security Breach
Penalty
Summary
The facility failed to ensure the security of medication carts, as observed on the west hall where a medication aide (MA O) left her medication cart unattended and unlocked while administering medications to a resident. This incident occurred in front of a patient's door, with the cart left unsecured for approximately 1.5 minutes. During this time, two residents in wheelchairs were seen propelling by the cart, posing a risk of unauthorized access to the medications. Interviews with MA O, the Assistant Director of Nursing (ADON), and the Director of Nursing (DON) confirmed that it is the responsibility of all certified medication staff to lock the medication cart when unattended. The facility's policy, dated November 2020, mandates that all drugs and biologicals must be stored in locked compartments when not in use. The failure to adhere to this policy could lead to medication being missed, stolen, or accessed by residents, potentially resulting in adverse reactions.
Failure to Document Oxygen Orders for Resident with COPD
Penalty
Summary
The facility failed to provide treatment and care in accordance with professional standards of practice and the comprehensive care plan for a resident reviewed for quality of care. Specifically, the facility did not document the resident's diagnosis of Chronic Obstructive Pulmonary Disease (COPD) and the associated oxygen orders in the care program. This oversight was identified during a review of the resident's records, which showed that the September 2024 Treatment Administration Record (TAR) lacked documentation of nursing administration of oxygen tubing. The resident in question was a male admitted for respite care, with a history of COPD, Type 2 Diabetes Mellitus, anemia, sleep apnea, atrial fibrillation, and hypertension. Medical orders included the administration of oxygen at 3 liters per hour every shift due to COPD, along with other vital sign monitoring and observation for respiratory illness symptoms. However, these orders were not properly entered into the care plan, which could lead to incorrect treatment. Interviews with the facility's administration and nursing staff revealed that the admitting nurse was responsible for entering all physician orders, but the oxygen orders were omitted. The Director of Nursing (DON) acknowledged that there was no reason for this omission and emphasized the importance of consulting with medical orders to ensure resident care. The facility's policy on admissions from the community outlines the need for comprehensive documentation to meet immediate care needs, which was not adhered to in this case.
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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 Hurst
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bedford Wellness & Rehabilitation | 1.6 mi | ★★★★★ | 16 | 0 |
| La Dora Nursing And Rehabilitation Center | 2.1 mi | ★★★★★ | 6 | 0 |
| Parkwood Village | 2.3 mi | ★★★★★ | 1 | 0 |
| Westpark Rehabilitation And Living | 2.4 mi | ★★★★★ | 27 | 0 |
| Glenview Wellness & Rehabilitation | 2.8 mi | ★★★★★ | 18 | 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.