Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Mineral Wells Nursing & Rehabilitation during CMS and state inspections, most recent first.
Staff failed to take the temperature of banana pudding before serving and did not perform required hand hygiene when preparing food, as observed by surveyors. The cook and other staff did not follow established protocols for food safety and hand washing, despite having received prior training and reminders.
A resident with severe cognitive impairment and significant physical limitations was found without access to a working call light, as it was on the floor behind the bed and out of reach. Staff interviews confirmed the call light should have been accessible and attached to the resident, but it was not, and there was no policy in place regarding call lights.
A resident with a right patella fracture was admitted without a physician order for a knee immobilizer, despite hospital instructions and physician notes indicating its necessity. Staff applied the immobilizer based on verbal direction, and the omission was not identified during order reconciliation, resulting in the resident's care plan lacking documentation for the device.
The facility did not post daily nurse staffing information in a prominent and accessible location, with the most recent posting outdated by over a month. The DON was responsible for posting but failed to do so, keeping records in a binder not accessible to residents or visitors. Staff were unclear about who was responsible for ensuring the posting, and the facility's policy requiring daily posting was not followed.
A resident with moderate cognitive impairment was approached by a facility associate (AP) who borrowed money under false pretenses, claiming a personal emergency. The resident and their POA agreed to loan the money, but the AP failed to repay the full amount and avoided further contact. The facility confirmed the misappropriation through an investigation and terminated the AP's employment, notifying the police of the incident.
Failure to Follow Food Safety and Hand Hygiene Protocols in Kitchen
Penalty
Summary
Surveyors observed that the facility failed to follow professional standards for food service safety in the kitchen. Specifically, the cook did not take the temperature of banana pudding before plating and distributing it for lunch service. The cook acknowledged forgetting to take the temperature, and the Dietary Manager (DM) confirmed that it was the cook's responsibility to do so before food left the kitchen. The DM also admitted she was responsible for monitoring this process but had assumed the task had been completed. Facility policy required that the temperature of all hot and cold foods be checked prior to meal service. Additionally, staff failed to perform proper hand hygiene while preparing food. The Assistant Director (AD) entered the kitchen, handled a can of tomato juice and an empty container, and poured the juice without washing her hands. The DM and the MIT (Management in Training) both stated that all staff should perform hand hygiene upon entering the kitchen, and the AD had previously received training and reminders regarding this requirement. Facility policy also required frequent hand washing by employees.
Failure to Ensure Accessible Call Light for Resident with Cognitive and Physical Impairments
Penalty
Summary
The facility failed to provide a working communication system that was easily accessible for a resident with severe cognitive impairment and significant physical limitations. On the date of observation, the resident's call light was found on the floor behind the bed, out of the resident's reach, and the resident was unaware of its location. The resident required maximal or total assistance for transfers, toileting, dressing, and transferring, and had a care plan intervention specifying that the call light should be within reach and the resident encouraged to use it for assistance as needed. Interviews with staff confirmed that the call light should have been attached to the resident or within reach, and that all staff were responsible for ensuring this. Staff acknowledged that the call light not being accessible could have resulted from new equipment being brought in by hospice, and there was no policy in place regarding call lights. The lack of a working, accessible call light system directly impacted the resident's ability to call for assistance.
Failure to Obtain Physician Order for Knee Immobilizer at Admission
Penalty
Summary
The facility failed to ensure that a physician's order was obtained for a knee immobilizer at the time of admission for a female resident with a recent right patella fracture. Despite hospital records indicating non-operative treatment with a knee immobilizer and weight bearing as tolerated, and a physician progress note stating the brace should be worn at all times, there was no evidence in the facility's records of an order for the knee immobilizer upon admission. The care plan also did not address the use of the knee immobilizer. Multiple observations confirmed the resident was wearing the knee immobilizer during her stay, and interviews with staff revealed that the immobilizer was applied based on verbal instructions rather than a documented physician order. The admitting nurse was responsible for entering orders from the hospital, but this was not completed, and subsequent order reconciliation did not identify the omission. Facility policy required physician orders to be reviewed and approved, but this process failed to ensure the necessary order was in place for the resident's immediate care needs.
Failure to Post Daily Nurse Staffing Information in Accessible Location
Penalty
Summary
The facility failed to ensure that daily nurse staffing information was posted in a prominent and accessible location for residents and visitors. On one of the reviewed days, the posted staffing information was outdated by 40 days, with the most recent posting dated over a month prior. Interviews revealed that the Director of Nursing (DON) was responsible for posting the daily staffing information but had neglected to do so, instead keeping the records in a binder in her office. Other staff members, including the Assistant Director of Nursing (ADON) and the staffing coordinator, were identified as having roles in posting or monitoring the information, but there was confusion and lack of clarity regarding who was ultimately responsible for ensuring the posting was completed daily. Staff interviews indicated that while employees could access staffing information from a binder, this method was not accessible to residents or visitors, who would not know to look there. The interim administrator confirmed that there was an expectation for daily posting but was unsure of the monitoring process. The facility's documented policy required daily posting of staffing by shift, but this was not followed, resulting in the deficiency.
Misappropriation of Resident's Funds by Facility Associate
Penalty
Summary
The facility failed to protect a resident from misappropriation of property when an associate, referred to as AP, borrowed money from the resident for personal benefit. The resident, who had a moderate cognitive impairment with a BIMS score of 11 out of 15, was approached by the AP who claimed to have no heat at home. Feeling sympathetic, the resident and their Power of Attorney (POA) agreed to loan the AP money with the understanding that it would be repaid on payday. The transactions were conducted via CashApp, with a total of $310 sent to the AP. However, the AP only repaid $80 and subsequently avoided further contact with the resident. The incident was not initially reported to the facility, as it was considered a private matter between the resident, their POA, and the AP. It was only after the AP failed to repay the full amount that the POA informed the facility's Assistant Administrator and Administrator. Upon investigation, the facility confirmed the misappropriation of funds through phone records and terminated the AP's employment. The police were notified, and a report was filed, but the AP's whereabouts remained unknown.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 48 citations issued within 25 miles in the last 12 months — including the 7 immediate-jeopardy cases — 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
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Mineral Wells
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Palo Pinto Nursing Center | 0.2 mi | ★★★★★ | 4 | 0 |
| Avir At Keeneland | 19.5 mi | ★★★★★ | 0 | 0 |
| Avir At Weatherford | 19.9 mi | ★★★★★ | 12 | 2 |
| Peach Tree Place | 20.4 mi | ★★★★★ | 8 | 5 |
| College Park Rehabilitation And Care Center | 21.2 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Mineral Wells Nursing & Rehabilitation.
100% money-back within 48 hours.
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.