Below average — CMS composite of the measures below.
The next survey window likely opens around December 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 Robstown Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
Improper Food Storage in Resident Refrigerator: Surveyors observed a spoiled bag of cabbage with black mold and no use-by date, along with a cheese container that was not sealed properly in a resident refrigerator. Kitchen staff and the DM stated food items should be labeled, dated, covered, and checked for expiration, but they could not explain why these items were left improperly stored.
Unlocked Medication Cart Left Accessible: A medication cart by the nurse station was observed unlocked while not in use, with multiple medications in bulk bottles and blister packs easily accessible. The LPN responsible for the cart said she forgot to lock it after going to the computer, and the ADON and DON stated medication carts should be locked when not in use. The facility policy stated the cart is kept closed and locked when out of sight of the medication nurse aide.
Hand Hygiene Not Performed During Wound Care: An LVN performed wound care on a resident with a sacral pressure ulcer and UTI, removed gloves after pat drying the wound, and put on new gloves without performing hand hygiene. The resident had a BIMS of 13 and was receiving ordered daily wound treatment. The LVN, ADON, and DON all stated hand hygiene between glove changes is important to prevent cross-contamination and spread of infection.
Insufficient resident room square footage. Survey observations, interview, and record review showed the facility failed to provide the required 80 sq ft per resident in 48 of 48 resident rooms. A surveyor measured a sample of rooms and found them to be approximately 152 to 155 sq ft, while the administrator stated there had been no changes to the rooms and that an existing room-size waiver was in place. Records showed 48 rooms designed for 2 residents each, with 33 rooms in use and a census of 56 residents.
The facility failed to maintain food safety and sanitation standards, with issues such as wet floors, unclean utensils, and improper food storage. Observations revealed residue on dishes, improperly maintained juice guns, and expired or uncovered food items. Staff interviews highlighted a lack of awareness and adherence to protocols, with the FSM and Administrator unaware of the ongoing issues.
A resident with a high fall risk was not provided with a comprehensive care plan that included necessary interventions such as keeping the bed in a low position and using fall mats. Despite a high fall risk score, these precautions were not consistently implemented, and staff were not fully informed about the required interventions. Observations showed the resident's bed was not in the lowest position, and fall mats were absent, highlighting a communication gap in the facility.
The facility failed to provide the required 80 square feet per resident in 47 shared rooms, with all rooms measuring under 160 square feet. The Administrator acknowledged the issue and planned to apply for a room waiver, as no changes had been made since the last survey. The Bed Classification form confirmed all rooms were certified for two residents, despite not meeting space requirements.
A facility failed to report an alleged abuse incident involving two residents to law enforcement within the required timeframe. A resident with Alzheimer's was injured in an altercation with another resident with a history of aggression, resulting in a skin tear. Despite the incident meeting criteria for immediate reporting, the facility delayed notifying the police. Staff interviews revealed differing opinions on whether the incident constituted abuse, but the facility's policy was not followed.
Improper Food Storage in Resident Refrigerator
Penalty
Summary
The facility failed to store food in accordance with professional standards for food service safety in 1 of 3 unit refrigerators reviewed. During the initial kitchen tour on 01/07/26 at 9:30 a.m., surveyors observed one bag containing a half head of cabbage that was spoiled, had black mold, and did not have a use-by date. Surveyors also observed a cheese container in the resident refrigerator that was not sealed properly. The report states these items were found during observation of the refrigerator used for resident food storage. During interviews, DA B stated all kitchen staff were responsible for cleaning the refrigerator and ensuring food was labeled, not expired, and had a use-by date, and said the refrigerator was cleaned and expired food was thrown out daily. DA B could not explain why the cabbage did not have a date and stated she did not know the cheese container was not sealed properly. [NAME] C stated he could not recall when the cabbage was placed in the refrigerator, knew items placed there were to have a use-by date, and said staff threw away expired food daily and cleaned the refrigerator weekly. [NAME] C also stated he was not aware the cheese container was not sealed completely. The DM stated she and staff clean out the refrigerator daily and said the cabbage should have been placed in a container with the date it was put in the refrigerator, but she did not know why it lacked a date or why the cheese container was not sealed completely. Record review of the facility policy stated all foods stored in the refrigerator or freezer will be covered, labeled, and dated.
Unlocked Medication Cart Left Accessible
Penalty
Summary
The facility failed to store all drugs and biologicals in locked compartments on 1 of 3 medication carts reviewed. During an observation on 01/05/26 at 6:06 PM, a medication cart by the nurse station appeared to be unlocked, and the surveyor opened the top drawer while the cart was unattended. Multiple medications in bulk bottles and blister packs were easily accessible for removal. LVN D, who was sitting behind the nurse's station, identified herself as responsible for the unlocked medication cart. In an interview on 01/05/26 at 6:08 PM, LVN D stated she had gone to the computer at the nurse's station and forgot to lock the medication cart, and said the cart should be locked at all times to prevent access to the medications inside. The ADON and DON later stated the cart should have been locked when not in use, and the DON said all carts should be locked when not in use. Record review of the facility's Medication Administration policy dated 10/01/19 stated that during medication administration, the cart is kept closed and locked when out of sight of the medication nurse aide.
Hand Hygiene Not Performed During Wound Care
Penalty
Summary
The facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one of five residents reviewed for infection control and transmission-based precautions practices. During wound care for Resident #6, who had diagnoses including urinary tract infection and an unstageable pressure ulcer to the sacrum, LVN A pat dried the wound, removed gloves, and then put on new gloves without performing hand hygiene. Resident #6’s physician orders directed cleansing the stage 3 sacral pressure ulcer with NS, pat drying, applying sure prep to the peri-wound, applying hydrogel to the wound bed, and covering with dry gauze and foam dressing daily and as needed. The resident’s admission MDS reflected a BIMS of 13 and an unstageable deep tissue skin injury. In interviews, LVN A stated hand hygiene after glove removal was important to prevent cross-contamination and the spread of infection, the ADON stated staff should wash hands between glove changes to prevent cross-contamination, and the DON stated it was important to wash hands between glove changes to prevent spread of infection.
Insufficient resident room square footage
Penalty
Summary
The facility failed to provide the required 80 square feet per resident in 48 of 48 resident rooms, including rooms 101, 102, 103, 104, 105, 106, 107, 108, 109, 202, 203, 204, 205, 206, 207, 208, 209, 210, 301, 302, 304, 305, 306, 307, 401, 402, 403, 404, 405, 406, 407, 501, 502, 503, 504, 505, 506, 507, 508, 509, 510, 600, 601, 602, 604, 606, 608, and 609. Survey observations, interview, and record review showed that all 48 rooms did not account for the required space per resident. On 01/06/26 at 10:00 am, the surveyor used an agency laser measuring device and measured a sample of 6 rooms (101, 206, 302, 406, 506, and 609), finding each room to be approximately 152 to 155 square feet. During an interview on 01/06/26 at 10:30 am, the administrator stated there had been no changes to any resident rooms and that there was an existing room size waiver from a prior survey. The administrator also provided a letter requesting a room size waiver for the listed rooms. Record review of the Health and Human Services Form 3740 Bed Classifications dated 01/06/26 showed 48 rooms that accommodated 2 residents per room, and the resident roster reflected a census of 56 residents with 33 of the 48 resident rooms in use.
Food Safety and Sanitation Deficiencies
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as observed during a survey of the kitchen. The floors were found to be wet and slippery, posing a safety hazard. Utensils and dishes were not properly cleaned and sanitized, with plastic drinking glasses, coffee cups, and bowls showing heavy residue, stains, and scratches. The juice guns were improperly maintained, soaking in a cloudy brown liquid with a removable black substance around the heads. Additionally, the ice machine had a brownish substance on the ice chute, and the can opener was crusted with filth. Food storage practices were also inadequate. Ingredients were left open to air, such as a Styrofoam bowl with a white powdered substance that was uncovered and had discolored clumps. Food items in the refrigerator and freezer were not properly labeled or stored, with expired pudding and improperly packaged cookie dough and ice cream. The dry storage area contained bowls of cereal that were not properly covered. These lapses in food storage and preparation could potentially lead to foodborne illnesses among residents. Interviews with staff revealed a lack of awareness and adherence to proper food safety protocols. The dishwasher admitted to not checking the cleanliness of dishes before use and was unaware of the residue in the plastic items. The cook acknowledged the improper storage of thickener and was unsure of the cause of clumping. The Food Service Manager (FSM) was informed of the issues but had not implemented effective corrective measures. The Maintenance Supervisor noted that the ice machine's vent cover frequently fell off, which could lead to contamination. The Administrator was unaware of the ongoing issues in the kitchen, indicating a breakdown in communication and oversight within the facility.
Failure to Implement Comprehensive Care Plan for High-Risk Resident
Penalty
Summary
The facility failed to develop a comprehensive person-centered care plan for a resident, identified as Resident #48, which included measurable objectives and timeframes to meet her medical, nursing, mental, and psychosocial needs. The care plan did not adequately address the resident's risk for falls, as it lacked specific interventions to ensure her safety, such as keeping the bed in a low position and using fall mats. Despite the resident's high fall risk score of 10, indicating a high risk, these precautions were not consistently implemented. Observations revealed that the resident's bed was not in the lowest position, and fall mats were absent on multiple occasions. Interviews with staff, including an LVN and the ADON, indicated a lack of awareness and inconsistency in implementing the necessary fall precautions. The LVN, who was new to the facility, was unaware of the resident's fall history and the required interventions. The ADON and DON acknowledged the resident's high fall risk but stated that the IDT team had decided to remove the fall mats, believing them unnecessary. The facility's policy on comprehensive care plans requires that qualified staff be notified of their roles and responsibilities in carrying out interventions. However, the report highlights a communication gap, as the nursing staff was not fully informed about the interventions needed for Resident #48. This lack of communication and failure to implement the care plan interventions placed the resident at risk of not receiving the necessary care to maintain her highest practicable well-being.
Deficiency in Resident Room Space Requirements
Penalty
Summary
The facility failed to provide the required 80 square feet per resident in 47 shared resident rooms, as observed during a survey. The deficiency was identified in multiple rooms, with measurements showing that all rooms were under 160 square feet, which is below the required space for two residents. During an interview, the Administrator acknowledged the issue and mentioned plans to apply for a room waiver, indicating that no changes had been made to room sizes since the last survey. The facility's Bed Classification form confirmed that all rooms were certified for two residents, despite not meeting the space requirements.
Failure to Timely Report Alleged Abuse Incident
Penalty
Summary
The facility failed to report an alleged abuse incident involving two residents to local law enforcement within the required timeframe. Resident #1, who has severe cognitive impairment due to Alzheimer's Disease, was involved in a physical altercation with Resident #2, who has severe impairment and a history of aggressive behaviors. The altercation resulted in a skin tear on Resident #1's right forearm. Despite the incident meeting the criteria for immediate reporting to law enforcement, the facility did not notify the police until over a month later. Resident #1, who has no history of aggressive behavior, was injured during the altercation initiated by Resident #2. Resident #2, who has a history of physical and verbal aggression, reportedly grabbed Resident #1's arms, causing the injury. The facility's investigation concluded that Resident #2's actions led to the skin tear, but the incident was not reported to law enforcement as required by the facility's policy. Interviews with facility staff revealed a lack of consensus on whether the incident constituted abuse or assault. The Director of Nursing and other staff members believed the incident met the definition of assault, yet the Administrator decided not to report it to the police initially. The facility's policy mandates reporting such incidents within two hours if they involve abuse or result in serious bodily injury, but this protocol was not followed.
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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 Robstown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Avir At River Ridge | 4.1 mi | ★★★★★ | 15 | 1 |
| Windsor Calallen | 4.4 mi | ★★★★★ | 3 | 0 |
| Avir At Corpus Christi | 12.5 mi | ★★★★★ | 6 | 0 |
| Windsor Nursing And Rehabilitation Center Of Morga | 15 mi | ★★★★★ | 4 | 0 |
| Windsor Nursing And Rehabilitation Center Of Corpu | 15.2 mi | ★★★★★ | 10 | 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.