Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
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 Stevens Nursing And Rehabilitation Center Of Halle during CMS and state inspections, most recent first.
Improper Hand Hygiene During Tray Preparation: A dietary aide was observed preparing meal trays, moving a tray cart into the dining room, and then returning to the kitchen without washing his hands after wiping and scratching his nose. He continued handling food items and tray components, and both the aide and the Dietary Mgr acknowledged the hand hygiene lapse created cross contamination concerns.
Expired meds were found in the main med room and a nursing cart, including simethicone and a compounded cream left after a resident discharge. In addition, a resident’s lisinopril blister pack did not match the MD order: the label said to hold for BP less than 110 or HR less than 60, while the order said to hold only for BP less than 110. A MA-C followed the blister pack label instead of the order, and the DON confirmed the label was inaccurate.
A resident with hypercholesterolemia, severe cognitive impairment, and bipolar disorder was receiving Simvastatin as ordered, but the facility did not act on the consultant pharmacist’s recommendation for a lipid panel after the physician agreed. The ADON said the test was missed because she forgot, and the DON confirmed the facility should have completed the lab after the pharmacist and MD recommendation.
A syringe of normal saline was found unattended on a resident’s nightstand instead of being stored in the nursing cart. The resident had COPD, muscle wasting and atrophy, and Alzheimer’s disease with severe cognitive impairment, and staff stated the syringe should have been kept in the cart; the DON said this was the nurses’ responsibility.
Unlabeled and Undated Food in Resident Refrigerator: A resident with COPD, muscle wasting, and Alzheimer’s disease had food in a personal refrigerator that was wrapped in plastic but not labeled or dated. An LVN said the food was bread, possibly brought by family, but she did not know how long it had been stored. The DON stated nurses were responsible for daily oversight of the refrigerator and for dating and labeling food brought in by family members.
A resident’s medical record was not kept complete and accurately documented when her diagnosis of major depressive disorder was not added to the chart. The resident had severe cognitive impairment, was receiving Citalopram and Rexulti, and had a psych eval and MD order documenting treatment for major depression, but the diagnosis was absent from the medical record. The DON stated nurses should have updated the diagnosis when it was changed and added.
The facility failed to maintain a safe and sanitary environment in a resident hallway and the kitchen. Observations revealed wall scrapes, dust-covered vents, and unsecured fixtures in resident rooms, while the kitchen had missing moldings, cracked tiles, and unprotected lights. The Maintenance Director was unaware of room issues, and the TELS system lacked specific inspection tasks.
Improper Hand Hygiene During Tray Preparation
Penalty
Summary
The facility failed to prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen observed for food and nutrition services. During an observation on 04/30/2026 at 11:54 a.m., Dietary Aide A was seen assisting with tray preparation for the secure unit. After the trays were ready to leave the kitchen, the aide opened the kitchen door, picked up the wall phone to page staff, pushed the tray cart into the dining room, and used a chair from the dining room to hold the door open while moving the trays out. After returning to the kitchen, Dietary Aide A wiped his nose with his hand and did not wash his hands before going back to the tray line and continuing to prepare trays for the remaining halls. While preparing trays, he was observed placing butter packets and drinks on trays, grabbing prepared plates, and placing insulated lids on the plates. At 12:02 p.m., he was again observed scratching the side of his nose and did not wash his hands. During interview, Dietary Aide A stated he should have washed his hands when he came back into the kitchen because it could cause cross contamination and someone could possibly get sick. The Dietary Manager stated he should have gone to the sink and washed his hands because moving from the dining room back to the kitchen was cross contamination and could possibly make residents sick.
Expired Medications Stored and Lisinopril Label Mismatch
Penalty
Summary
The facility failed to provide pharmaceutical services to meet resident needs by allowing expired medications to remain stored in medication areas. During observation, one packet of simethicone 125 mg, totaling 15 tablets, was found on a shelf in the main medication room and was labeled expired 02/2025. The ADON stated the medication had been removed from residents and placed on the shelf by a facility nurse, and that it should have been discarded in the discontinued medication box instead of being left in the medication room. A second expired medication was observed in the 100-hall nursing cart: one bottle of compounded cream containing ketamine 10%, diclofenac 5%, and gabapentin 6%, labeled not to use beyond 02/11/2026. The ADON stated the medication belonged to a resident who had already been discharged from the facility and should have been discarded to the discontinued medication box to prevent possible use and adverse effects. The facility also failed to ensure that the blood pressure instructions on Resident #20’s blister packet of lisinopril matched the physician order. Resident #20 had diagnoses including spinal stenosis, hypertension, and dementia, and her BIMS score was 13 out of 15. The physician order directed lisinopril 20 mg daily and to hold for blood pressure less than 110, but the blister packet label instructed staff to hold for blood pressure less than 110 or heart rate less than 60. A MA-C followed the blister packet label instead of the physician order and held the medication when the resident’s heart rate was 54, then notified the charge nurse. The LVN later contacted the physician, who confirmed the medication should be held only if blood pressure was less than 110, and the DON stated the inaccurate label should have been addressed to prevent confusion.
Failure to Act on Pharmacist Recommendation for Lipid Panel
Penalty
Summary
The facility failed to ensure that irregularities identified by the consultant pharmacist were acted upon for one resident reviewed for medications. Resident #35 was a 64-year-old female with diagnoses including pure hypercholesterolemia, moderate intellectual disorder, bipolar disorder, and hyperlipidemia, and her annual MDS showed a BIMS score of 3 out of 15, indicating severe cognitive impairment. Her physician orders included Simvastatin 40 mg by mouth daily for pure hypercholesterolemia, and the MAR showed she was receiving the medication as ordered. The consultant pharmacist documented on 04/03/2026 that the resident had an order for Simvastatin and recommended a lipid panel. The resident’s primary care physician agreed with the recommendation on 04/06/2026, but the medical record from 04/06/2026 through 05/01/2026 contained no documentation that the lipid panel was completed. During interview, the ADON stated the lipid panel was not done because she forgot, and the DON stated the facility should have conducted the lipid panel because the pharmacist recommended it and the physician agreed.
Unattended Normal Saline Syringe Left in Resident Room
Penalty
Summary
Drugs and biologicals were not stored and labeled in accordance with accepted professional principles for Resident #57. During observation on 04/28/2026 at 11:51 a.m., a 10 cc syringe of normal saline was found unattended on the nightstand inside the resident’s room instead of being stored in the nursing cart. Resident #57 was a 92-year-old male with diagnoses including COPD, muscle wasting and atrophy, and Alzheimer’s disease. His quarterly MDS dated 01/21/2026 showed a BIMS score of 5 out of 15, indicating severe cognitive impairment, and his care plan dated 01/26/2026 identified a need for a structured environment in a secure unit related to cognitive deficit from Alzheimer’s disease. During interview on 04/28/2026 at 12:39 p.m., LVN-B stated the syringe should have been stored inside the nursing cart and said it was unacceptable for it to be left unattended on the nightstand. LVN-B also stated she did not know why the syringe was there and noted that confused residents with Alzheimer’s disease or dementia might eat it. On 04/30/2026 at 5:15 p.m., the DON stated the facility nurse should have stored the 10 cc normal saline syringe inside the nursing cart and that this was the nurses’ responsibility. The facility’s policy titled Medication Ordering, Receiving, and Storage, dated 05/01/2020, was also reviewed.
Unlabeled and Undated Food in Resident Refrigerator
Penalty
Summary
The facility failed to have a policy regarding the use and storage of foods brought to residents by family and other visitors to ensure safe and sanitary storage, handling, and consumption. During observation, Resident #57’s personal refrigerator contained food wrapped in plastic wrap with no label and no date. The resident was a 92-year-old male with diagnoses including COPD, muscle wasting and atrophy, and Alzheimer’s disease, and his quarterly MDS showed a BIMS score of 5 out of 15, indicating severe cognitive impairment and need for partial/moderate assistance with transfers. Record review showed Resident #57 had a care plan noting nutritional risk related to impaired cognition and poor appetite, with a regular diet ordered. During interview, an LVN stated the food in the refrigerator was bread, possibly brought by the resident’s family, but it had no label or date and she did not know how long it had been there. The DON stated nurses were responsible for overseeing the resident’s personal refrigerator daily and for dating and labeling food brought in by family members. The facility policy titled Use and Storage of Food Brought in by Family or Visitors stated that prepared food brought in by family or visitors must be labeled with content and dated.
Incomplete Medical Record for Resident With Major Depression Diagnosis
Penalty
Summary
The facility failed to ensure that Resident #8’s medical record was complete and accurately documented in accordance with accepted professional standards and practices. Resident #8 was a 90-year-old female admitted to the facility with diagnoses including dementia, muscle wasting and atrophy, and type 2 diabetes mellitus. Her significant change in status MDS assessment showed a BIMS score of 3 out of 15, indicating severe cognitive impairment, and also noted that she was receiving an antidepressant in Section N. Record review showed that Resident #8 had a physician order for Citalopram Hydrobromide 20 mg by mouth for depression related to Major Depressive Disorder, Recurrent, Moderate, and a psychiatric periodic evaluation documented a diagnosis of Major depressive disorder with initiation of Citalopram Hydrobromide for that condition. However, review of the resident’s medical record from 04/23/2025 through 05/01/2026 showed no diagnosis of Major depression disorder documented in the record. The DON stated that the resident received Citalopram Hydrobromide for major depression disorder, that nurses should have updated the diagnosis when it was changed and added, and that inaccurate medical records might affect incorrect care to the resident.
Environmental Deficiencies in Resident Hallway and Kitchen
Penalty
Summary
The facility failed to maintain a safe, functional, sanitary, and comfortable environment for residents, staff, and the public in one of the resident hallways and the kitchen. Specifically, in one resident room on hallway 100, there were significant wall scrapes near a bed, and the bathroom ceiling vent was covered with dust and lint. Additionally, another room on the same hallway had a bathroom door with a 3x3 inch penetration and an unsecured bathroom wall vent. These issues were identified during observation rounds with the Maintenance Director and Administrator. In the kitchen, several environmental concerns were noted, including missing and unattached floor baseboard moldings, cracked floor tiles, and fluorescent ceiling lights without protective sleeve covers. The Maintenance Director acknowledged awareness of the kitchen issues but was unaware of the needed repairs in the resident rooms. The TELS maintenance task form lacked specific inspection tasks for resident rooms and the kitchen, indicating a gap in the facility's maintenance oversight. The Administrator recognized that addressing these issues would improve the homelike environment for residents and ensure employee safety and proper food preparation.
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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 Hallettsville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hallettsville Nursing And Rehabilitation | 0.7 mi | ★★★★★ | 10 | 0 |
| Shiner Nursing And Rehabilitation Center Inc | 13.5 mi | ★★★★★ | 13 | 0 |
| Yoakum Nursing And Rehabilitation Center | 14.5 mi | ★★★★★ | 5 | 0 |
| Shady Oak Nursing And Rehabilitation | 15 mi | ★★★★★ | 10 | 0 |
| Paradigm At Stevens | 16.4 mi | ★★★★★ | 3 | 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.