Above average — CMS composite of the measures below.
The next survey window likely opens around November 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 San Saba Nursing & Rehabilitation during CMS and state inspections, most recent first.
The facility failed to document education and refusals for influenza and pneumococcal vaccines for three residents. Despite being offered the vaccines, their records lacked documentation of education on benefits and side effects, as well as their refusals. Interviews with staff revealed that the facility's policy on informed consent and documentation was not followed.
A facility failed to complete a comprehensive admission MDS assessment for a resident within the required 14-day period due to the absence of an MDS coordinator. The resident, with multiple health conditions, did not have their functional capacity assessed in a timely manner, as acknowledged by the Regional Reimbursement Nurse.
Failure to Document Immunization Education and Refusals
Penalty
Summary
The facility failed to ensure that the medical records of three residents included documentation of education on the benefits and potential side effects of influenza and pneumococcal immunizations. Additionally, the records did not reflect whether the residents received the immunizations or declined them due to medical contraindications or personal refusal. This deficiency was identified during a review of the medical records and interviews with facility staff. Resident #300, a female with intact cognition, had no documentation in her comprehensive care plan regarding her immunization status. Although she was offered both the influenza and pneumococcal vaccines and declined, her immunization record lacked a date and did not document her refusal. Similarly, Resident #29, a male with moderate cognitive impairment, also had no entries in his care plan regarding immunization status. His records showed a verbal refusal for the pneumococcal vaccine, but there was no documentation of this refusal or any education provided. Resident #37, a female with severe cognitive impairment, also had no documentation of her immunization status in her care plan. She verbally refused the pneumococcal vaccine, but there was no record of education being provided. Interviews with the ADON and DON revealed that the facility's policy required documentation of informed consent and education, which was not adhered to in these cases. The facility's infection control policy mandates that residents be offered immunizations and provided with education, but this was not consistently documented in the residents' records.
Failure to Complete Timely MDS Assessment
Penalty
Summary
The facility failed to conduct a comprehensive, accurate, and standardized assessment of a resident's functional capacity within the required timeframe. Specifically, the comprehensive admission Minimum Data Set (MDS) for a resident was not completed within 14 days of admission, as required by facility policy and federal regulations. The resident, a female with multiple diagnoses including Type 2 Diabetes Mellitus, Hypothyroidism, and Atrial Fibrillation, was admitted to the facility, but her MDS assessment was not completed by the due date. The Regional Reimbursement Nurse (RRN) acknowledged that the MDS should have been completed by the specified date but was not due to the absence of an MDS coordinator since mid-September. The RRN was responsible for ensuring the completion of the MDS assessments during the hiring process for a new coordinator. Despite the delay, the RRN stated there would be no consequence to the resident's care if the assessment was not completed on time. The facility's policy mandates that a comprehensive assessment be completed within 14 days of admission and annually thereafter.
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 9 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
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 San Saba
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Goldthwaite Health & Rehab Center | 20.1 mi | ★★★★★ | 9 | 0 |
| Hillview Nursing & Rehabilitation | 20.5 mi | ★★★★★ | 0 | 0 |
| Llano Nursing And Rehabilitation Center | 31.1 mi | ★★★★★ | 8 | 0 |
| Lampasas Nursing And Rehabilitation Center | 33.9 mi | ★★★★★ | 10 | 1 |
| Caraday Of Lampasas | 34.4 mi | ★★★★★ | 6 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.