Above average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Laredo South Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
Call Light Not Within Reach: A resident with severe cognitive impairment, hemiplegia/hemiparesis, and extensive ADL dependence was observed in bed with his call light on the floor under the curtain and not within reach. The resident said he usually had the call light but did not remember when he last had it and would call out for help if needed. A CNA stated the call light should be within reach, another CNA said she may not have placed it there after giving the resident a shower, and the DON stated call lights are expected to always be within reach.
The facility did not obtain food from approved or satisfactory sources and failed to store, prepare, distribute, and serve food according to professional standards.
The facility did not ensure that a glucometer used for multiple halls was tested and documented daily as required. Logbook review showed missing entries on several dates, and staff interviews confirmed that night shift nurses were responsible for this task, though no official policy was in place. The DON and an LVN acknowledged the importance of accurate glucometer readings for safe insulin administration, but no facility policy was provided to the surveyor.
A wound care nurse failed to ensure privacy for a male resident with multiple medical conditions, including a pressure ulcer, by leaving the door open and only partially closing the privacy curtain during wound care. This resulted in the resident being exposed to people passing by in the hallway. The nurse acknowledged the oversight, and the DON confirmed that privacy protocols were not followed.
A resident with multiple chronic conditions was started on an anticoagulant for atrial fibrillation, but the care plan was not updated to address the new medication or related risks. Staff interviews confirmed the omission was an oversight, and there was confusion regarding responsibility for care plan audits, resulting in the deficiency.
A medication room was found unlocked and unattended, allowing unauthorized access to drugs and biologicals. Interviews with the ADM, DON, an RN, a CMA, and an LVN confirmed that the room should have been locked at all times when not in use, in accordance with facility policy. Each staff member with access reported locking the door after use, but the deficiency was directly observed by a surveyor.
A resident with severe cognitive impairment and limited mobility was physically assaulted by another resident, who grabbed his head, struck it against a wall, and punched him in the face. The incident resulted in a facial bruise and required staff intervention, but the assault was not prevented by existing behavioral interventions or monitoring.
A facility failed to develop a comprehensive care plan for a resident, omitting fall risk and the use of a fall mat. Despite the resident's low fall risk assessment, the care plan did not include fall prevention measures. Staff interviews revealed a lack of communication and documentation regarding the fall mat, which was placed as a precaution. The facility's policy requires care plans to address residents' needs, which was not followed in this instance.
A medication cart at the nursing station was found unlocked and unattended, contrary to facility policy. RN A left the cart unlocked for less than two minutes while away, although no residents accessed it. Interviews with RN A, the DON, and the Administrator confirmed the expectation that carts remain locked when not in use or out of sight.
The facility failed to update comprehensive care plans for three residents, leading to incomplete documentation of medical treatments and smoking status. A resident's care plan did not reflect a new prescription for Albuterol, another's smoking evaluation changes were not updated, and a third resident's smoking status was omitted. Interviews revealed a lack of proper auditing and coordination among staff.
The facility failed to maintain sanitary conditions in the kitchen, particularly with the juice dispenser nozzles, which were found with a congealed red substance. The nozzles were only cleaned at night, contrary to the facility's policy requiring daily cleaning. Staff interviews revealed poor communication and follow-up regarding maintenance, contributing to the unsanitary conditions.
The facility did not make the most recent survey results accessible to residents, family members, or legal representatives. During a group meeting, residents reported being unaware of the survey binder, which was later found in a drawer of an unattended reception desk. The binder contained letters from Texas Health and Human Services but lacked detailed information on specific violations. No policy was provided regarding the availability of survey results.
A resident's privacy was compromised during an insulin injection when RN A left the door open and did not use the privacy curtain, exposing the resident to view from the hallway. Interviews revealed RN A was unaware of the need for privacy measures, and the DON confirmed the importance of protecting resident dignity during such procedures.
A resident's code status was not updated from full code to DNR after receiving a DNR form from the family. The resident's care plan indicated DNR, but physician orders showed both full code and DNR. Staff interviews revealed communication lapses and lack of oversight in updating orders, with the DON and ADON often absent from meetings where changes were discussed.
The facility failed to maintain proper infection control signage for two residents on precautions. One resident on Enhanced Barrier Precautions lacked visible signage for PPE use, while another resident being tested for C. diff did not have isolation signs. Staff interviews confirmed the absence of signs and the potential risk of infection spread due to these oversights.
A resident with severe cognitive impairment eloped from the facility during lunchtime due to inadequate supervision and a malfunctioning Wanderguard system. The resident was found outside by a concerned family member and brought back without injuries. The Wanderguard antenna had been moved to the ceiling during a renovation, rendering it ineffective.
The facility failed to ensure a comprehensive care plan was reviewed and revised for a high-risk resident with severe cognitive impairment and multiple medical conditions. Despite the resident's high fall risk and recent falls, the care plan included only partial low-risk interventions and lacked necessary measures such as fall mats and low bed positioning. The DON acknowledged that the fall prevention policy was not fully adhered to, and care plan revisions were overlooked during daily interdisciplinary team meetings.
The facility failed to follow a physician's order to place a resident's Wanderguard bracelet on her right arm, instead placing it around her right ankle. This misplacement, combined with external signal interference, led to an elopement incident where the resident was able to leave the facility undetected.
Call Light Not Within Reach
Penalty
Summary
Reasonably accommodating resident needs and preferences was not provided for one resident when his call light was found on the floor underneath the curtain separating the room and was not within reach during an observation. The resident was a male with diagnoses including hypertensive heart disease, epileptic seizures related to external causes, depression, hemiplegia and hemiparesis following cerebral infarction, benign prostatic hyperplasia, and cognitive communication deficit. His quarterly MDS showed a BIMS score of 04, indicating severe cognitive impairment, and he was inattentive or had an altered level of consciousness. The MDS also showed he needed substantial to maximum assistance with 6 of 8 ADLs related to self-care. His care plan identified him as at risk for falls related to needing maximum assistance with ADLs and included an intervention to ensure his call light was within reach and to encourage him to use it for assistance as needed. During interview, the resident stated he usually had his call light but did not remember when he last had it, and said he did not think he could use it and would just call out for help if needed. A CNA stated the call light should be within reach and that all residents' call lights should be within reach. Another CNA stated she had given him a shower earlier and might not have put the call light within his reach, while the DON stated it was her expectation that call lights are always within reach of every resident and that all staff are responsible for ensuring this.
Failure to Follow Food Procurement and Handling Standards
Penalty
Summary
The facility failed to procure food from sources that are approved or considered satisfactory and did not store, prepare, distribute, and serve food in accordance with professional standards. This deficiency was identified during the survey process, indicating that the facility did not meet regulatory requirements for food safety and handling. No additional details about specific residents, staff, or events are provided in the report.
Failure to Ensure Daily Glucometer Testing and Documentation
Penalty
Summary
The facility failed to ensure the accurate testing and documentation of a glucometer used for residents in halls 100, 200, and 400. Review of the glucometer logbook revealed that test results were not recorded on multiple dates in July. The DON confirmed that it was the responsibility of night shift nurses to test the glucometers daily and record the results, and that both the DON and ADON were responsible for checking the logbooks to ensure compliance. However, the DON also stated there was no official policy in place regarding the frequency of glucometer testing, though it was considered best practice. Interviews with staff indicated that night shift nurses were trained to perform and document daily glucometer tests, but attempts to contact night shift nurses for further clarification were unsuccessful. The lack of recorded test results meant there was no verification that the glucometer was functioning accurately on the specified dates. The DON and an LVN both acknowledged the importance of accurate glucometer readings for safe insulin administration. No facility policy regarding glucometer testing frequency was provided to the surveyor upon request.
Failure to Provide Privacy During Wound Care
Penalty
Summary
A deficiency occurred when a wound care nurse (WCN) failed to provide adequate privacy for a male resident during wound care. The resident, who had diagnoses including congestive heart failure, hypertension, type 2 diabetes, and a pressure ulcer, was observed receiving wound care with the door left open and only part of the privacy curtain closed. This left the resident exposed to anyone passing by in the hallway. The WCN acknowledged the importance of privacy for residents and admitted that she should have closed the door or the rest of the curtain but did not do so, citing uncertainty about how the wound care process would be observed and stating she forgot to close the door. The Director of Nursing (DON) confirmed that the resident's privacy and dignity were not maintained, as the door or curtain should have been closed to prevent exposure. Review of the facility's policy on promoting and maintaining resident dignity emphasized the importance of protecting resident rights and maintaining privacy. The failure to follow these procedures resulted in a lack of privacy for the resident during a sensitive care procedure.
Failure to Update Care Plan After Initiation of Anticoagulant Therapy
Penalty
Summary
The facility failed to develop and implement a comprehensive, person-centered care plan for a resident who was started on an anticoagulant medication (Eliquis) for chronic atrial fibrillation. Despite the new physician order for the anticoagulant, the resident's care plan was not updated to include this medication or address associated risks such as bleeding and bruising. Interviews with facility staff, including the MDS Coordinator and DON, confirmed that the omission was an oversight and that the care plan should have been revised to reflect the new medication and its monitoring requirements. Record review showed that the resident had multiple diagnoses, including pulmonary fibrosis, congestive heart failure, hypertension, chronic kidney disease, and type 2 diabetes. The facility's policy required care plan updates upon any change in resident status, including new medications, but this process was not followed. Staff interviews revealed confusion about responsibility for care plan audits, with Medical Records staff stating they did not audit care plans and were unsure who was responsible. This lack of care plan revision after a significant medication change constituted the identified deficiency.
Medication Room Left Unlocked, Allowing Unauthorized Access
Penalty
Summary
A deficiency was identified when a medication room door was found slightly ajar and unlocked at 11:21 AM, allowing a surveyor to enter without a key. No employees were present in the medication room at the time. The surveyor remained at the entrance until the Administrator (ADM) was informed of the situation at 11:50 AM. The ADM confirmed that the medication room door was supposed to be closed and locked when unoccupied to prevent unauthorized access to medications. The ADM also stated that three staff members—an LVN, a CMA, and an RN—had keys to the medication room and had been working that day. Interviews with the RN, CMA, and LVN revealed that each had last accessed the medication room earlier that morning and each stated they had closed and locked the door upon leaving. The Director of Nursing (DON) also confirmed that the medication room should always be locked when not in use and described routinely checking the door to ensure it was secure. A review of the facility's policy indicated that medication storage areas, including rooms, must be lockable. The failure to keep the medication room locked was directly observed and confirmed through staff interviews and policy review.
Failure to Prevent Resident-to-Resident Physical Abuse
Penalty
Summary
The facility failed to ensure a resident's right to be free from abuse when one resident physically assaulted another. The incident occurred when a resident with moderate cognitive impairment and a history of psychiatric diagnoses approached another resident, who had severe cognitive impairment, hemiplegia, and required substantial assistance with mobility. The aggressor grabbed the other resident's head, hit it against the wall several times, and then punched him in the face with a closed fist. Staff intervened during the incident, but not before the assault had occurred. The assaulted resident was found to have a bruise near his left eye and cheek, but denied pain or discomfort. He was assessed by nursing staff, and his vital signs were recorded. The resident did not recall the incident after the day it occurred and did not display fear or withdrawal in the aftermath. The aggressor had no documented history of physical aggression prior to this event, and staff and social services confirmed that no such behaviors had been reported by the previous facility or responsible party. Witnesses indicated that the incident may have been triggered by a gesture or comment, but the physical assault was unprovoked and unexpected based on prior behavior. Both residents had care plans addressing behavioral issues, but the interventions in place did not prevent the altercation. The facility's policy defines abuse as the willful infliction of injury, including resident-to-resident altercations, and requires protections to prevent such events. Despite monitoring and behavioral interventions, the facility did not prevent the physical abuse, resulting in harm to a resident.
Failure to Implement Comprehensive Care Plan for Fall Risk
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for a resident, specifically addressing the risk for falls and the use of a fall mat. The resident, a female with multiple diagnoses including hydrocephalus, encephalopathy, and dysphagia, was assessed as having a low risk for falls. However, the initial baseline care plan did not reflect this risk, and the comprehensive care plan did not include interventions for fall prevention, such as the fall mat that was in place. Interviews with staff revealed a lack of communication and documentation regarding the fall mat's implementation. The CNA, LVN, and ADON were unaware of any falls experienced by the resident and could not confirm the reason for the fall mat's placement. The MDS nurse acknowledged that the fall mat should have been care planned and that the initial assessment should have triggered a comprehensive care plan addressing fall risk. The DON confirmed that the fall mat was placed as a precaution based on nursing judgment but was not communicated to the team or included in the care plan. The facility's policy requires comprehensive care plans to include measurable objectives and timeframes to meet residents' needs, which was not adhered to in this case. The lack of a care plan for the fall mat and fall risk could lead to staff being unaware of the resident's needs and appropriate interventions, although the resident had not experienced any falls during her stay.
Medication Cart Left Unlocked and Unattended
Penalty
Summary
The facility failed to ensure that drugs and biologicals were stored in locked compartments, as observed with one of the five medication carts located at the nursing station. During an observation, a medication cart was found unlocked and unattended at the nursing station for residents in the 500/600 hall. RN A, who was responsible for the cart, left it unlocked for less than two minutes while she walked to the kitchen. Although no one else was around the cart at the time, and all medications were non-narcotics, this oversight could have allowed residents access to the medications. Interviews conducted with RN A, the Director of Nursing (DON), and the Administrator confirmed the facility's policy that medication carts must be locked when not in use or not within the line of sight of the staff member. RN A acknowledged that she thought she had locked the cart and recognized the potential risk of residents accessing the medications. The DON and Administrator reiterated the importance of keeping medication carts locked to prevent residents from obtaining improper medication. A review of the facility's policy on medication carts confirmed the requirement to keep carts locked and within the staff's line of sight.
Failure to Update Comprehensive Care Plans
Penalty
Summary
The facility failed to ensure that comprehensive care plans were reviewed and revised by the interdisciplinary team after each assessment for three residents. Resident #14's care plan was not updated to include a respiratory plan of care after being prescribed Albuterol Sulfate Inhalation Nebulization Solution. Despite having active diagnoses of respiratory failure and pneumonia, the care plan did not reflect the use of this medication. Interviews with the DON, ADON, and MDS Coordinator revealed that the oversight was due to a lack of proper auditing and updating of care plans. Resident #30's care plan was not revised to reflect changes in her quarterly safe smoking evaluations. Although her assessment indicated she no longer required an apron while smoking, this change was not documented in her care plan. The DON and ADON acknowledged that the care plan was incomplete and should have been updated to reflect the current level of supervision required for smoking. The lack of documentation and coordination among staff contributed to this oversight. Resident #49's care plan failed to include his status as a smoker, despite his quarterly safe smoking assessment indicating he required supervision while smoking. The DON and ADON admitted that smoking should have been care planned, but it was not documented. The facility's policy on care plan updates upon status change was not followed, leading to incomplete care plans for these residents.
Unsanitary Conditions in Kitchen Due to Inadequate Cleaning of Juice Dispenser Nozzles
Penalty
Summary
The facility failed to maintain sanitary conditions in the kitchen, specifically regarding the juice dispenser nozzles, which were observed to have a thick, sticky, congealed red substance on and inside them. This issue persisted over the last four to six months, as noted by the dietary aid (DA) and dietary manager (DM), who acknowledged that the nozzles were only cleaned at night and that bacteria could potentially grow in the nozzles, posing a risk to residents. The maintenance supervisor (MS) was unaware of how to pull reports from the facility's electronic work order system and had not contacted the juice machine company, despite the ongoing issues. The facility's cleaning schedules did not include specific instructions for the juice nozzles, and the only work order related to the juice machine was closed without resolution. The facility's policy required daily cleaning of juice machines, but this was not being followed. Interviews with staff revealed a lack of communication and follow-up regarding the maintenance of the juice machine, contributing to the unsanitary conditions observed. The facility's failure to adhere to its own policies and procedures for maintaining clean and sanitized equipment could place residents at risk of foodborne illnesses.
Survey Results Not Accessible to Residents
Penalty
Summary
The facility failed to post the results of the most recent survey in a location that was easily accessible to residents, family members, and legal representatives. During a group meeting with ten residents, all participants stated they were unaware of or had not seen the survey results binder. An observation confirmed that the survey results book was not present in the common areas, nor was there any signage indicating its location. Further investigation revealed that the survey binder was found in a drawer of an unattended reception desk. The binder contained letters from Texas Health and Human Services regarding past surveys, but lacked detailed information on specific violations or deficiencies cited. The facility did not provide a policy regarding the availability of survey results to residents, family members, or legal representatives.
Failure to Ensure Resident Privacy During Insulin Administration
Penalty
Summary
The facility failed to ensure the privacy of a resident during the administration of a subcutaneous insulin injection. On the specified date, RN A administered insulin to a resident in their room without closing the door or using the privacy curtain, leaving the resident exposed to view from the hallway. This action was observed during a medication administration session where the resident was seated in a wheelchair, and their shirt was lifted to expose the abdomen for the injection. The failure to provide privacy during this procedure was noted as a deficiency in maintaining the resident's dignity and confidentiality. Interviews conducted with RN A and the Director of Nursing (DON) revealed a lack of awareness and adherence to privacy protocols. RN A admitted to administering injections in common areas and was unaware of the necessity to close doors or use privacy curtains during such procedures. The DON confirmed that residents should have their privacy protected during medication administration, emphasizing the importance of closing doors and curtains. Despite previous discussions with staff about privacy during medication administration, there was no recollection of a specific in-service training addressing this issue.
Failure to Update Resident Code Status
Penalty
Summary
The facility nursing staff failed to update the code status for a resident, resulting in conflicting orders of both full code and DNR. This discrepancy arose after the resident's family member submitted a DNR form, but the orders were not revised accordingly. The resident, an elderly female with a history of cerebral infarction, pneumonia, and respiratory failure, had her care plan indicating a DNR status, yet the physician orders reflected both full code and DNR. This inconsistency was not identified or corrected by the staff responsible for updating and auditing resident orders. Interviews with the facility's staff, including the DON, ADON, MDS Coordinators, and SW, revealed a lack of communication and oversight in updating the resident's code status. The DON and ADON were not always present at morning meetings where such changes were discussed, and the SW responsible for initial advance directives was on leave during the time of the change. The absence of a clear policy on code status and following physician's orders further contributed to the oversight, as no policy was provided during the survey.
Inadequate Infection Control Signage for Residents on Precautions
Penalty
Summary
The facility failed to maintain a comprehensive infection prevention and control program, specifically in the use of proper signage to prevent the transmission of communicable diseases. For Resident #51, who was on Enhanced Barrier Precautions (EBP), there was no visible sign advising staff and visitors to don personal protective equipment (PPE) before entering the room. The sign was obscured by an apron hanging on the door, which could lead to individuals entering the room without the necessary protective measures. Interviews with staff, including the Medical Assistant (MA), Registered Nurse (RN), and Director of Nursing (DON), confirmed the requirement for gown and gloves when providing care to Resident #51, and acknowledged the absence of a visible sign as a potential risk for spreading infection. Similarly, the facility failed to place a sign on the door of Resident #19, who was being tested for Clostridioides difficile (C. diff), indicating the need for isolation precautions. The absence of a sign meant that staff and visitors might not have been aware of the need for contact isolation measures, such as wearing gowns and gloves, and washing hands with soap and water. Interviews with the Assistant Director of Nursing (ADON) and other staff revealed a lack of awareness and communication regarding Resident #19's pending C. diff test, which contributed to the oversight in implementing proper isolation precautions. The facility's Infection Prevention and Control Program Policy outlines the responsibilities of the Infection Preventionist and staff in implementing transmission-based precautions according to CDC guidelines. However, the report indicates lapses in adherence to these protocols, as evidenced by the lack of appropriate signage and PPE for residents on EBP and isolation precautions. The DON and ADON acknowledged these deficiencies and the potential for cross-contamination and infection spread due to the lack of visible signage and proper PPE usage.
Resident Elopement Due to Inadequate Supervision and Wanderguard System Failure
Penalty
Summary
The facility failed to ensure that Resident #1 received adequate supervision, leading to the resident eloping from the facility during lunchtime. Resident #1, an elderly female with severe cognitive impairment, type two diabetes, acute kidney failure, and dementia, was found outside the facility in her wheelchair by a concerned family member. The staff did not hear the Wanderguard alarm, and it was later discovered that the Wanderguard antenna had been moved to the ceiling during a renovation, rendering it ineffective at detecting the bracelet on Resident #1's ankle. On the day of the incident, the Director of Nursing (DON) and Assistant Director of Nursing (ADON) responded to the call from the family member and found Resident #1 in the street by a stop sign. The resident was brought back inside without any visible injuries or distress. The DON and ADON confirmed that the Wanderguard system was not functioning correctly due to the antenna's placement, which was done by a contracted construction company without the Administrator's knowledge. Interviews with various staff members revealed that they were aware of the protocols for resident elopement. However, the failure to hear the Wanderguard alarm and the improper placement of the Wanderguard antenna contributed to the incident. The facility's records showed that the Wanderguard system was checked daily and was reported as working on the day of the elopement, but the system's effectiveness was compromised by the antenna's relocation.
Removal Plan
- Record review of the outside contractor invoice revealed the alarm system was assessed and functional on door and was set at door alarm to maximum range.
- Observation of Resident #1 revealed she had her wanderguard bracelet moved to right arm as indicated in physician order.
- Interview with the Administrator and DON revealed they both verified that R #1's wanderguard bracelet was moved to R #1's right arm.
- Record review of all sampled residents revealed they had a current wandering evaluation.
- Record review of facility in-services included: Elopement and Wandering Residents, What to do when door alarm sounds, locate cause of alarm, locate person who went out or in the door, Do not reset alarm without determining who entered or exited, All new admissions will have wandering assessment completed, All residents who are determined to be at risk of wandering will have care plan updated, Daily exit door checks by maintenance, notify administrator and maintenance immediately if any of the doors appear to malfunction, All residents have updated wandering assessments, Daily Wanderguard bracelet checks by charge nurses and documented in computer system, All residents who are determined to be at risk of wandering have an updated care plan, All residents have an updated wandering assessment, An electronic audit log for each exit door is kept and maintained by maintenance, All staff have been educated on the definition of elopement, if an employee observes a resident leaving the premises, he/she should: Attempt to prevent the resident from leaving in a courteous manner, Get help from other staff members in the immediate vicinity if necessary, Stay with the patient at all times, Instruct another staff member to inform the charge nurse or Director of Nursing services that a resident is attempting to leave or has left the premises. Call local law enforcement if necessary.
- In-services included staff signatures as evidence of receiving and understanding the in-service.
- Interviews conducted revealed 1 RN, 3 LVN's, 2 CNA's, 1 Business Office Manager, and 1 laundry aide from various shifts were all able to correctly identify the protocols for a resident elopement.
Failure to Update Comprehensive Care Plan for High-Risk Resident
Penalty
Summary
The facility failed to ensure the comprehensive care plan for a resident was reviewed and revised by the interdisciplinary team after each assessment, including both comprehensive and quarterly review assessments. The resident, an elderly female with severe cognitive impairment and multiple medical conditions, was admitted with a high risk for falls. Despite this, her care plan only included partial low-risk interventions and was not adequately updated to reflect her high fall risk and recent falls, including a hip fracture and subsequent falls that occurred during her stay. The resident's care plan initially included interventions such as ensuring the call light was within reach and encouraging its use, performing frequent rounds, and referring the resident to therapy. However, these interventions were deemed inadequate by the Director of Nursing (DON), who acknowledged that more comprehensive measures, such as fall mats and low bed positioning, were necessary but not implemented. The DON admitted that the fall prevention policy was not fully adhered to, and the care plan did not reflect all necessary interventions to prevent falls. Interviews with the DON revealed that the facility's fall prevention program was not effectively followed, and the care plan revisions were overlooked during daily interdisciplinary team meetings. The DON also noted that the facility's fall prevention policy was not well understood or properly executed by the staff, leading to insufficient care planning and increased risk of falls for the resident. The facility's policy required more thorough and individualized interventions for high-risk residents, which were not adequately documented or implemented in this case.
Failure to Follow Physician's Order for Wanderguard Placement
Penalty
Summary
The facility failed to provide treatment and care in accordance with the comprehensive person-centered care plan and professional standards of practice for a resident with dementia and exit-seeking behaviors. Specifically, the facility did not follow the physician's order to place the resident's Wanderguard bracelet on her right arm, instead placing it around her right ankle. This misplacement rendered the Wanderguard system ineffective, as it could not detect the bracelet at floor level, leading to an elopement incident where the resident was able to leave the facility undetected. Interviews with the Director of Nursing (DON), Assistant Director of Nursing (ADON), and a Licensed Vocational Nurse (LVN) confirmed the misplacement of the Wanderguard bracelet and highlighted the potential risks associated with not following physician orders. A work order from a contractor further revealed that the Wanderguard system at the front door had external signal interference issues, which, combined with the bracelet's incorrect placement, contributed to the system's failure to alert staff when the resident approached the door.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
We read the 43 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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Illustrative
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Nursing homes near Laredo
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Laredo West Nursing And Rehabilitation Center | 0.2 mi | ★★★★★ | 21 | 0 |
| Laredo Medical Center | 1.4 mi | ★★★★★ | 1 | 0 |
| Las Alturas Nursing & Transitional Care | 1.8 mi | ★★★★★ | 13 | 0 |
| Laredo Nursing And Rehabilitation Center | 2.7 mi | ★★★★★ | 8 | 0 |
| La Frontera Nursing & Rehabilitation | 4 mi | ★★★★★ | 0 | 0 |
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