Above average — CMS composite of the measures below.
A standard survey is most likely before around August 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 Mirador during CMS and state inspections, most recent first.
Two residents requiring Enhanced Barrier Precautions and Contact Precautions did not have their care plans updated to reflect these needs, despite physician orders and posted signage. Staff interviews revealed that care plans were not routinely used or accessed, and the MDS nurse acknowledged the oversight due to competing priorities. Facility policy required comprehensive, person-centered care plans, but these were not updated as needed.
A resident with hemiplegia, dependent on staff for ADLs, fell from bed during peri care when a CNA failed to maintain proper alignment and supervision. After the fall, the CNA moved the resident back to bed before a nurse could assess for injuries, contrary to facility protocol. The resident sustained a femur fracture and a dislodged feeding tube, requiring hospital evaluation and nonsurgical management.
A CNA failed to provide adequate supervision and safe positioning for a resident with significant cognitive and physical impairments during incontinent care, leading to the resident falling from the bed, sustaining a femur fracture, and dislodging a feeding tube. The CNA did not use proper PPE despite the resident being on contact isolation for C. difficile, and had a history of not following infection control protocols. The incident was captured on in-room surveillance and resulted in the resident being transferred to the hospital.
A CNA failed to follow infection prevention and control protocols while providing incontinent care to a resident on contact isolation for C. diff. The CNA did not wear a gown, wore a face mask improperly, and neglected hand hygiene before and during care, including not changing gloves between dirty and clean tasks. The resident was highly dependent and had multiple medical conditions, including a current C. diff infection. Despite available PPE and documented training, the CNA's actions violated facility policies and placed the resident at risk.
A resident with multiple health issues experienced significant changes in condition, including lethargy and decreased oxygen saturation, but the facility failed to notify the physician promptly. Despite family concerns and worsening symptoms, communication was limited to text messages, which were not seen in time, leading to delayed medical intervention and the resident's eventual death.
A facility failed to maintain the confidentiality of residents' medical records when an RN left an electronic health record screen unlocked, displaying sensitive information about four residents. The screen was visible to non-staff members, potentially exposing private details such as names, pictures, and health information. Staff acknowledged the importance of locking screens to protect privacy, but the administrator could not confirm if the information was confidential, referring to the facility's Resident Rights policy.
Failure to Update Care Plans for Infection Control Precautions
Penalty
Summary
The facility failed to develop and implement person-centered, comprehensive care plans with measurable objectives and timeframes for two residents who required specific infection control precautions. For one resident with an indwelling Foley catheter, the care plan did not include the need and physician order for Enhanced Barrier Precautions (EBP), despite the presence of an EBP sign outside the resident's room and a physician order for EBP. For another resident with a diagnosis of C. Diff, the care plan did not reflect the need and physician order for Contact Precautions, even though a Contact Isolation sign was posted and an order for Contact Precautions was present in the medical record. Interviews with staff revealed that certified nursing assistants (CNAs) and nurses did not routinely use or access care plans to guide resident care, relying instead on other tools such as the Kardex. The registered nurse (RN) and director of nursing (DON) both acknowledged that care plans should have included the required precautions and that staff should have known how to access and use them. The minimum data set (MDS) nurse, responsible for updating care plans, admitted that the care plans for these two residents were overlooked due to a recent gastrointestinal outbreak and other competing priorities, despite being aware of the need for updates. Facility policy required that care plans incorporate goals and objectives to achieve the resident's highest level of independence and that the interdisciplinary team (IDT) develop comprehensive, person-centered care plans based on resident assessments. However, the care plans for these two residents were not updated to reflect current infection control needs, as required by policy and physician orders.
Failure to Follow Fall Management Protocols Resulting in Resident Injury
Penalty
Summary
A deficiency occurred when a certified nursing assistant (CNA) failed to ensure a resident received treatment and care in accordance with professional standards and the resident’s care plan. The resident, an elderly female with a history of cerebrovascular disease and right-sided hemiplegia, was dependent on staff for activities of daily living, including bed mobility and transfers. During the provision of perineal care, the CNA assisted the resident in turning and repositioning in bed. The resident’s legs became misaligned, and after the CNA removed the fitted bed sheet, the resident’s legs dangled off the bed, leading to her falling to the floor. The incident was captured on in-room surveillance video, which showed the resident hitting her head and sustaining a fall after the CNA stepped away from the bedside. Following the fall, the CNA immediately picked up the resident from the floor and placed her back on the bed without waiting for a nurse to perform a head-to-toe assessment, as required by facility protocol. The charge nurse was notified after the resident had already been moved, and upon arrival, found the resident on the bed rather than on the floor. The nurse questioned the CNA about moving the resident, emphasizing that residents who have fallen should not be moved prior to a nursing assessment to prevent exacerbation of potential injuries. The nurse conducted an assessment and, due to the unwitnessed nature of the fall, sent the resident to the emergency room for further evaluation. Medical records from the hospital revealed the resident sustained a nondisplaced right femur fracture and a dislodged feeding tube as a result of the fall. The resident required nonsurgical management of the fracture and the use of a Hoyer lift for transfers. The facility’s policy on post-fall procedures required staff to evaluate for injuries and obtain vital signs before moving a resident, which was not followed in this case. The CNA involved had received relevant in-service training and competency assessments prior to the incident, but failed to adhere to established protocols during the event.
Failure to Provide Adequate Supervision and Safe Positioning During Incontinent Care Resulting in Resident Fall and Injury
Penalty
Summary
A deficiency occurred when a certified nursing assistant (CNA) failed to provide adequate supervision and safe positioning for a resident during incontinent care, resulting in the resident falling from her bed. The resident, an elderly female with multiple diagnoses including cerebrovascular disease, metabolic encephalopathy, right-sided weakness, dysphagia, malnutrition, abnormal posture, rheumatoid arthritis, seizures, and a history of traumatic brain injury, required substantial to total assistance with activities of daily living (ADLs) and was always incontinent of bladder and bowel. Her care plan and assessments indicated significant cognitive and physical impairments, including dependence on staff for transfers and repositioning, and a need for close supervision during care. On the day of the incident, the CNA was observed on in-room surveillance video providing perineal care while the resident was on her side. The CNA instructed the resident to roll, and although the resident attempted to comply, her body was not properly aligned or secured on the bed. The CNA removed bed linens and, while doing so, the resident's legs slipped off the bed. The CNA then turned away from the resident, at which point the resident's body followed her legs off the bed, resulting in a fall. The resident struck her head and sustained a right distal femur fracture and dislodgement of her feeding tube. The CNA immediately picked the resident up from the floor and placed her on the bed, contrary to standard protocol for post-fall management. Interviews and record reviews revealed that the CNA had a history of not following proper infection control and peri care procedures, including not using appropriate personal protective equipment (PPE) and not maintaining hand hygiene. The CNA had received annual competency training and signed off on relevant in-services, but had been previously counseled for similar issues. At the time of the incident, the resident was on contact isolation for C. difficile, and the CNA was not wearing full PPE. The incident was witnessed by staff and documented in facility records, with the resident subsequently transferred to the hospital for evaluation and treatment.
Failure to Follow Infection Control Protocols During Incontinent Care for Resident on Contact Isolation
Penalty
Summary
A deficiency occurred when a certified nursing assistant (CNA) failed to follow infection prevention and control protocols while providing incontinent care to a resident on contact isolation for Clostridium difficile (C. diff). The CNA entered the resident's room without donning a gown, wore his face mask improperly under his chin, and did not perform hand hygiene before putting on gloves. During the care, the CNA did not change gloves or sanitize hands when moving between dirty and clean tasks, such as wiping, assisting with turning, removing clothing, and changing linens. The CNA also used the same gloves to remove clean wipes from their container, further breaching infection control practices. The resident involved was an elderly female with multiple complex medical conditions, including cerebrovascular disease, gastrostomy status, dysphagia, right-sided paralysis, esophageal stricture, malnutrition, rheumatoid arthritis, seizures, and a history of traumatic brain injury. She was totally dependent on staff for all activities of daily living, including toileting, dressing, and hygiene, and was always incontinent of bladder and bowel. At the time of the incident, she was on antibiotic therapy and under contact isolation for a confirmed C. diff infection, with appropriate signage and PPE supplies available outside her room. Despite documented policies, procedures, and regular in-service training on infection control, hand hygiene, and PPE use, the CNA had a history of non-compliance with these protocols, including previous counseling for similar issues. Staff interviews confirmed that infection control training was provided and that PPE and hand hygiene expectations were well known. The incident was observed via in-room surveillance video and corroborated by staff interviews and record reviews, establishing that the CNA's actions directly violated established infection control policies and placed the resident at risk for cross-contamination and infection.
Failure to Notify Physician of Significant Change in Resident's Condition
Penalty
Summary
The facility failed to notify the physician when a resident experienced a significant change in their physical status. The resident, an elderly male with a history of multiple fractures, atrial fibrillation, heart failure, and other conditions, showed signs of lethargy, vomiting, decreased oxygen saturation, and irregular lung sounds. Despite these significant changes, the facility did not adequately communicate with the physician, leading to a delay in medical intervention. The resident's condition deteriorated over several hours, with family members expressing concern about his lethargy and other symptoms. The nursing staff, including RN A and LVN B, were involved in monitoring the resident but failed to effectively communicate the severity of the situation to the physician. The resident eventually required resuscitation efforts, and despite these efforts, he expired. The facility's communication with the physician was limited to text messages, which were not promptly seen or responded to, contributing to the delay in appropriate medical response. Interviews with staff and the physician revealed that there was a lack of clear communication and timely notification regarding the resident's condition. The physician indicated that he would have expected to be contacted directly when the resident's condition worsened, especially given the full code status and the family's wishes regarding resuscitation. The facility's policy on notifying physicians of significant changes in a resident's condition was not followed, leading to a critical lapse in care.
Failure to Maintain Resident Confidentiality
Penalty
Summary
The facility failed to maintain the confidentiality of residents' personal and medical records, affecting four residents. On a specific date, RN A did not lock her electronic health record computer screen, which displayed sensitive information about the residents. This screen was visible to community residents and visitors, potentially exposing the residents' private information. The information displayed included names, pictures, and the ability to access further confidential details such as date of birth, primary physician, and health-related documentation. The residents involved had various medical conditions. One resident was a female with cerebral infarction, hemiplegia, hemiparesis, and vascular dementia, with a severe cognitive impairment. Another resident was a female with acute respiratory failure, heart failure, and dyspnea, who was cognitively aware but reliant on staff for activities of daily living (ADLs). A male resident had Alzheimer's disease and dementia, unable to complete an interview and dependent on staff for ADLs. The fourth resident was a female with Alzheimer's disease and chronic obstructive pulmonary disease, also with severe cognitive impairment and reliant on staff for ADLs. During interviews, staff members acknowledged the importance of locking the electronic health record screen to protect residents' privacy. RN A admitted to forgetting to lock the screen when attending to a resident's request for pain medication. The facility's administrator was unable to definitively confirm whether the displayed information was considered confidential, referring instead to the facility's Resident Rights policy. The policy guarantees residents' rights to privacy and confidentiality, which were not upheld in this instance.
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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 Corpus Christi
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Cimarron Place Health & Rehabilitation Center | 0.8 mi | ★★★★★ | 3 | 0 |
| Corpus Christi Nursing And Rehabilitation Center | 1.2 mi | ★★★★★ | 2 | 0 |
| Wooldridge Place Nursing Center | 2 mi | ★★★★★ | 11 | 0 |
| The Palms Nursing & Rehabilitation | 2.1 mi | ★★★★★ | 37 | 0 |
| San Rafael Nursing And Rehabiliation | 4.4 mi | ★★★★★ | 12 | 2 |
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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.