Above average — CMS composite of the measures below.
The next survey window likely opens 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 Meadows Of Corsicana, Llc during CMS and state inspections, most recent first.
Surveyors identified that kitchen staff did not consistently follow facility policies for food storage, labeling, and discarding. Dry pasta in storage had outdated or incomplete labels and one bag of spaghetti was not properly sealed. In the walk-in refrigerator, a covered pudding and a container of leftover chicken noodle soup were present without labels for contents, preparation dates, or discard dates. Moldy red bell peppers were found in a box, and a cut pepper was stored in an unsealable, unlabeled plastic bag. An opened bottle of hot sauce lacked any indication of when it was opened, when it should be discarded, or whether it was a personal item or used in food preparation. Staff interviews and the written date-marking policy confirmed that all foods were expected to be dated, labeled, and discarded within specified time frames, but these requirements were not followed in practice.
Staff failed to follow infection control policies during meal service and perineal care. One CNA passed multiple lunch trays from room to room, including to a room on enhanced barrier precautions, without performing hand hygiene between residents. Another CNA provided peri-care to a resident with multiple comorbidities and bowel/bladder incontinence, pulling wipes from a common package with soiled gloves and not changing gloves when moving from the peri-area to the bottom. Both CNAs later acknowledged they had been trained to perform hand hygiene and glove changes at specific points in care and that failure to do so could lead to infection, contrary to facility hand hygiene and peri-care policies and the infection control expectations described by the ADM and DON.
Surveyors found a medication cart on one hall left unattended and unlocked while an LVN was inside a resident’s room with the privacy curtain closed, allowing access to medications in the cart’s drawers. The LVN acknowledged being trained on the facility’s policy requiring carts and narcotics to be locked and stated she forgot to lock both the cart and the computer screen. The DON and ADM confirmed that staff are trained to keep medication carts locked whenever they are not in direct use or in the nurse’s line of sight and that the nurse or MA using the cart is responsible for securing it, but they could not explain why the cart was left unsecured in this instance.
The facility failed to discard expired milk in a timely manner, as observed in the walk-in refrigerator. The Dietary Manager forgot to conduct her routine check for expired products, leading to a violation of the facility's policy requiring dairy products to be discarded within three days of their use-by date. Interviews revealed shared responsibility among staff for discarding expired items, which was not executed properly.
A resident was observed using oxygen therapy without documented physician's orders upon admission. The resident, with a history of respiratory issues, confirmed using oxygen for breathing difficulties. An LVN was unaware of the oxygen use, and the DON emphasized the importance of having physician orders to ensure proper care.
A resident with severe cognitive impairment and multiple health conditions did not receive necessary assistance with grooming and personal hygiene, as her fingernails and facial hair were not trimmed according to her care plan. Despite the facility's policy and staff responsibilities, these tasks were overlooked, leading to potential risks of infection and dignity concerns.
A facility failed to maintain an effective Infection Prevention and Control Program when a CNA did not perform hand hygiene between glove changes during care for a resident with multiple health conditions. The CNA handled clean items without sanitizing hands after incontinence care and before showering the resident, contrary to the facility's hand hygiene policy. Interviews confirmed the CNA was aware of the protocol but failed to follow it, and the ADON emphasized the importance of hand hygiene in preventing infections.
Failure to Properly Store, Label, and Discard Food Items in Kitchen and Refrigeration Areas
Penalty
Summary
The deficiency involves the facility’s failure to store, label, monitor, and discard food items in accordance with its own policies and professional food safety standards in the kitchen. During an initial kitchen walkthrough, surveyors observed multiple dry pasta products in storage with outdated or incomplete labeling, including dried egg noodles and dried ziti noodles with open dates in early June and expiration dates in early September, as well as dried spaghetti in a plastic bag that was not properly sealed. These observations showed that dry goods were not consistently labeled or managed according to the facility’s stated practice of marking opened dry goods with open and expiration dates and discarding items after their use-by dates. In the walk-in refrigerator, surveyors found several prepared and perishable food items that were not labeled or stored as required. A personal-size pudding fully covered in a bowl had no label indicating its contents, preparation date, or use-by date. A plastic storage container of leftover chicken noodle soup was also unlabeled for contents, preparation date, or discard date. Additionally, a box of red bell peppers with visible mold growth was present, along with a cut red bell pepper placed in an unsealable plastic bag that lacked any labeling for contents, the date it was cut, or the date it should be consumed by. An opened and recapped bottle of partially used hot sauce was present without any indication of an open date, use-by date, or whether it was a personal item or used in food preparation. In interviews, dietary staff, the Dietary Manager (DM), the DON, and the Administrator all described facility policies and expectations that conflicted with the conditions observed. Dietary staff stated that all prepared foods should be labeled with the date prepared and a use-by date within 72 hours, that dry goods should be labeled with open and expiration dates, and that no expired or visibly molded items should be used. The DM reported that deliveries were to be dated, prepared foods labeled with preparation dates and used within two days, and that she checked refrigerators and dry storage regularly. The facility’s written policy on date marking required clear marking of the date by which food must be consumed or discarded, with the person opening or preparing the food responsible for date marking, and specified that discard dates may not exceed the manufacturer’s use-by date or four days from opening or preparation. Despite these policies and stated practices, the presence of unlabeled prepared foods, moldy produce, improperly sealed and labeled dry goods, and an unlabeled opened condiment bottle demonstrated that the facility did not consistently implement its food safety and date-marking procedures.
Failure to Follow Hand Hygiene and Perineal Care Protocols
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program when staff did not perform required hand hygiene between resident contacts during meal tray distribution and while providing perineal care. During a hallway lunch tray pass, a CNA passed trays sequentially to multiple residents without performing hand hygiene between rooms, including entering a room with enhanced barrier precautions signage and then continuing to other residents without sanitizing or washing hands. In an interview, the CNA acknowledged forgetting to use hand hygiene between each resident and stated that residents could get an infection if staff did not conduct hand hygiene between residents. In a separate observation of perineal care for a resident who was incontinent of bowel and bladder, another CNA pulled adult wipes from the package with soiled gloves while cleansing the peri-area and did not change gloves when moving from the peri-area to the bottom. The CNA continued to pull wipes one at a time from the package with contaminated gloves. In a subsequent interview, this CNA stated she had been trained to change gloves and perform hand hygiene before and after peri-care and acknowledged that she should perform hand hygiene and glove changes three times during the process and that not doing so could lead to infection in residents. Record review for the resident receiving peri-care showed she was an older female with multiple diagnoses, including COPD, heart failure, osteoporosis, pain, urinary tract infection, hypertension, lack of coordination, and an old myocardial infarction. Her care plan documented bowel and bladder incontinence, a goal to prevent skin breakdown related to incontinence, and a need for extensive assistance with personal hygiene, including incontinent care. Facility policies for hand hygiene and perineal care required staff to perform hand hygiene between resident contacts, when moving from contaminated to clean body sites, and to change gloves and perform hand hygiene when gloves became soiled, which was not followed in the observed instances. The administrator and DON both described infection control expectations consistent with these policies, including hand hygiene and glove changes before and after resident care and when handling soiled materials, and stated that failure to follow these precautions could spread infection from one resident to another.
Unattended, Unlocked Medication Cart Left Accessible on Resident Hall
Penalty
Summary
Surveyors identified a deficiency in medication storage and security when the F-hall medication cart (MC A) was observed unattended and unlocked. On the morning of 09/30/2025, MC A was found partially in front of room F50 with the locking mechanism protruding outward, allowing surveyors to open drawers and view medications inside. At that time, LVN A was inside room F50 with a resident, with the privacy curtain pulled closed, and the medication cart was not within her direct observation. The facility’s Medication Storage Policy, dated 12/16/2024, requires all biologicals to be stored in locked compartments and specifies that during medication pass, medications must be under the direct observation of the person administering them or locked in the storage area/cart. During interviews, LVN A stated she had been trained on medication storage and acknowledged that the policy required narcotics and the medication cart to be locked, and that the cart should be locked every time it was out of the nurse’s sight. She admitted she forgot to lock the medication cart and the computer screen. The DON and ADM both confirmed that staff, including themselves, were trained on medication storage and that the policy required the medication cart to be locked whenever staff were not actively handing out medications or when the cart was not in the nurse’s eyesight. They each stated that the nurse or medication aide working from the cart was responsible for ensuring it was locked and that they monitored compliance through observation rounds, daily rounds, and audits. Both the DON and ADM stated they did not know why LVN A left the cart unlocked and unattended.
Expired Milk Not Discarded Timely in Facility Kitchen
Penalty
Summary
The facility failed to adhere to professional standards for food service safety by not discarding expired milk in a timely manner. During an observation, a half-filled gallon of milk with a best-by date that had passed was found in the facility's walk-in refrigerator. The Dietary Manager admitted to neglecting her routine check for expired products, which she usually conducted every Monday, due to forgetting to perform her rounds on the specified date. The facility policy required that dairy products be discarded within three days of their use-by date, which was not followed in this instance. Interviews with the Dietary Manager and a cook revealed that the responsibility for discarding expired food items was shared among the Cooks, Dietary aides, and the Dietary Manager. The cook stated that he always checked expiry dates before using food items and would have discarded the expired milk if he had noticed it. The facility's policy and the FDA food code both emphasize the importance of disposing of outdated products to prevent food-borne illnesses, which was not adhered to in this case.
Lack of Physician Orders for Oxygen Therapy
Penalty
Summary
The facility failed to ensure that a resident had physician's orders for immediate care upon admission, specifically regarding the use of oxygen therapy. The resident, a female with a history of pleural effusion, muscle weakness, dyspnea, and hypertension, was observed using oxygen via nasal cannula without any documented physician's orders. The resident confirmed using oxygen for breathing difficulties since her admission, but there were no orders for continuous or as-needed oxygen, nor instructions for changing the cannula, tubing, or humidifier, or for assessing potential issues like redness to the nares. During an interview, an LVN admitted to being unaware of the resident's oxygen use and confirmed the absence of an order in the electronic medication administration record. The Director of Nursing (DON) acknowledged the necessity of having physician orders to ensure proper care and treatment, emphasizing that the charge nurse is responsible for transcribing these orders upon admission. The DON, new to the facility, stated an intention to verify that orders are correctly transcribed in the future.
Failure to Provide Necessary ADL Services
Penalty
Summary
The facility failed to provide necessary services for a resident who was unable to carry out activities of daily living, specifically in maintaining good grooming and personal hygiene. The resident, an elderly female with severe cognitive impairment and multiple health conditions, required substantial assistance for bathing and setup assistance with other ADLs. Despite these needs, the facility did not ensure that her fingernails and facial hair were trimmed, which was part of her care plan. Observations and interviews revealed that the resident had overgrown fingernails and facial hair, which she was unable to manage due to her visual impairment and lack of assistance from the staff. The resident expressed a preference for shorter nails and indicated that she did not have the means to trim her facial hair. Staff interviews confirmed that both CNAs and LVNs were responsible for providing ADL care, including nail care and facial hair trimming, on shower days and as needed. However, it was noted that these tasks were overlooked, particularly on a day when the resident was scheduled for a bath. The facility's policy on ADLs emphasized the importance of maintaining residents' abilities in daily living activities and providing necessary services for those unable to perform these tasks independently. Despite this policy, the failure to perform nail care and facial hair trimming for the resident was identified, which could lead to risks such as infection and dignity concerns. Interviews with staff, including the ADON and DON, highlighted the expectations for ADL care and the potential risks associated with neglecting these duties.
Infection Control Deficiency Due to Improper Hand Hygiene
Penalty
Summary
The facility failed to maintain an effective Infection Prevention and Control Program, as evidenced by the actions of CNA B during the care of Resident #42. Resident #42, a female with diagnoses including diabetes mellitus, hypertension, and morbid obesity, was observed to be totally dependent on staff for toileting hygiene and bathing. During incontinence care, CNA B did not perform hand hygiene between glove changes and when transitioning from dirty to clean tasks. Specifically, after assisting the resident from a bedside commode and cleaning her, CNA B removed her gloves and handled clean items without sanitizing her hands. This lapse in protocol continued as CNA B proceeded to shower the resident and change gloves without performing hand hygiene. Interviews with CNA B and the ADON confirmed that the expected protocol was not followed. CNA B acknowledged her failure to use hand sanitizer between glove changes, despite having been trained on proper hand hygiene practices. The ADON reiterated the facility's policy that staff should perform hand hygiene before entering a resident's room, after contact with a resident, and between glove changes, especially when moving from dirty to clean tasks. The facility's hand hygiene policy, revised in October 2022, clearly states that gloves do not replace hand hygiene, and proper technique should be used consistently with accepted standards of practice.
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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 Corsicana
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Twilight Home | 0.5 mi | ★★★★★ | 0 | 0 |
| Legacy At Corsicana Rehabilitation And Healthcare | 0.6 mi | ★★★★★ | 7 | 0 |
| The Village At Heritage Oaks | 0.7 mi | ★★★★★ | 1 | 0 |
| Epic Nursing & Rehabilitation | 1 mi | ★★★★★ | 13 | 4 |
| Kerens Care Center | 16.3 mi | ★★★★★ | 1 | 1 |
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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.