Above average — CMS composite of the measures below.
The next survey window likely opens around January 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 Teague Nursing And Rehabilitation during CMS and state inspections, most recent first.
A resident with dementia, dysphagia, cerebrovascular disease, muscle wasting and atrophy, and a history of falling had a call light placed out of reach. The resident required assistance with ADLs and transfers, had severe cognitive impairment, and stated she could not safely reach the call light where it was observed hanging near the bed and nightstand. A CNA confirmed it was not within reach, and the DON and ADM stated call lights were expected to be within residents’ reach at all times.
A resident with GAD, schizoaffective disorder, and PTSD had a Quarterly MDS that did not reflect use of diazepam, even though the care plan and physician orders showed daily anti-anxiety medication therapy. The MDS nurse stated the medication should have been coded if the resident was receiving it, and the DON and ADM confirmed that MDS assessments were expected to be accurate and resident-specific.
A resident with a thoracic spinal cord injury, PTSD, and total dependence on staff for ADLs was subjected to verbal sexual harassment by a CNA, who made sexually suggestive comments about the resident’s body, stated she would take the resident home, and provided her address while delivering care. Another CNA was present and witnessed the remarks but did not report them at the time, later stating she did not view them as inappropriate and felt influenced by the perpetrating CNA’s warning not to say anything. The resident reported feeling uncomfortable, awkward, humiliated, and embarrassed by the comments and by the CNA continuing to provide care, and he delayed reporting due to fear of being removed from the facility, resulting in a substantiated abuse finding under the facility’s abuse-prevention and resident-rights policies.
A resident with intact cognition and total dependence for mobility and ADLs reported that a CNA made sexually inappropriate comments about his body and invited him to her home while another CNA was present in the room. The resident did not report the incident at the time due to fear of retaliation and concern about being removed from the facility, and the witness CNA, who acknowledged hearing the comments and knowing the CNA’s history of inappropriate behavior, also did not report the incident when it occurred. The allegation was only disclosed months later during an emotional distress assessment by the SW, by which time the CNA who made the comments had continued to provide care to the resident. Interviews with the DON, ADM, SW, and the witness CNA confirmed that the facility did not receive or act on the allegation within required federal timeframes, resulting in a failure to ensure immediate reporting of alleged abuse as required by the facility’s abuse policy and federal regulations.
The facility failed to maintain effective infection control, with staff not adhering to hygiene protocols. CNAs did not wash hands or change gloves during peri care for a resident, and an LVN placed soiled items on the floor during wound care. A medication aide also neglected to sanitize a blood pressure monitor between uses on two residents. These actions contradict the facility's infection control policies.
A resident's medical record failed to accurately document the presence of an indwelling catheter in the Weekly Nursing Summary, despite it being noted in the care plan and MDS assessment. Observations and staff interviews confirmed the catheter's presence since admission, highlighting a discrepancy that could lead to inadequate care. The facility's policy stressed the need for accurate documentation to ensure proper communication and care.
A facility failed to perform timely and accurate weekly skin assessments for a resident, leading to missed treatments and follow-up care. The resident, who had multiple health conditions, developed pressure injuries that were not properly documented. Staff interviews revealed systemic issues in the documentation process, with delays and inaccuracies compromising resident care.
Call Light Not Within Resident Reach
Penalty
Summary
The facility failed to ensure Resident #5’s call light was within reach. Resident #5 was a female admitted with diagnoses including dementia, dysphagia, cerebrovascular disease, muscle wasting and atrophy, and a history of falling. Her quarterly MDS showed she required partial/moderate assistance with showering, toileting, and personal hygiene, supervision or touching assistance for eating, and had a BIMS score of 07, indicating severe cognitive impairment. Her care plan reflected an ADL self-care performance deficit and that she required staff participation for toileting and transfers. During observation and interview, Resident #5 stated she used her call light to ask for help and knew how to pull the cord, but she could not reach it where it was placed. The call light was observed hanging from the wall on the top right side of the bed, along the side and in front of the resident’s nightstand, with a teddy bear tied to the end. Resident #5 stated she did not get out of bed by herself and it would not have been safe for her to try to get the call light. A CNA stated the call light was not in a place where the resident could reach it, and the DON and ADM stated it was their expectation that all residents’ call lights be within reach at all times.
Inaccurate MDS Did Not Reflect Anti-Anxiety Medication
Penalty
Summary
The facility failed to complete an accurate comprehensive assessment for one resident because the Quarterly MDS did not reflect that the resident was receiving an anti-anxiety medication. Resident #2 was a male admitted to the facility with diagnoses including generalized anxiety disorder, schizoaffective disorder, PTSD, and a transient cerebral ischemic attack. His Quarterly MDS reflected that he was independent for eating, required substantial to maximal assistance with toileting, showering, and personal hygiene, and had a BIMS score of 15, indicating cognitive intactness. Record review showed the resident had a care plan dated 07/02/25 that identified use of anti-anxiety medication, specifically diazepam, related to anxiety disorder. Physician orders dated 02/04/26 with a start date of 02/05/26 reflected an order for Diazepam Oral Tablet 5 mg, to be given once daily for generalized anxiety disorder. However, the Quarterly MDS assessment stated the resident was not receiving an anti-anxiety medication. During interview, the MDS nurse stated she was responsible for completing MDS assessments and that if a resident was receiving an anti-anxiety medication, it should have been reflected on the MDS. The DON and ADM both stated their expectation that MDS assessments be completed accurately and reflect the resident individually, and both acknowledged that if a resident received an anti-anxiety medication, the MDS should have reflected that. The facility policy cited that anxiolytic medications taken during the look-back period must be coded on the MDS.
Failure to Protect Resident From Verbal Sexual Harassment and Ensure Timely Reporting
Penalty
Summary
The deficiency involves the facility’s failure to protect a resident from verbal sexual harassment by a CNA, in violation of the resident’s right to be free from abuse, neglect, misappropriation of property, and exploitation. The resident was an adult male with a thoracic spinal cord injury, osteomyelitis, PTSD, need for assistance with personal care, and muscle weakness. His quarterly MDS showed a BIMS score of 15, indicating intact cognition, and Section GG documented that he was completely dependent on staff for rolling, transfers, bathing/hygiene, and dressing. His care plan included interventions for hemiplegia/hemiparesis related to trauma/spinal injury and an ADL self-care performance deficit, as well as a focus on minimal emotional distress with interventions including education about a safety plan and reassurance that he felt safe to report abuse to the administrator or staff. According to the resident’s statement and interviews, in approximately November, a CNA made sexually harassing comments to him while providing care. The resident reported that the CNA told him he had a “nice ass” or “nice ass for a white boy,” stated that he would not be going anywhere but to her house if he ever left the facility, gave him her home address, and said “don’t worry boo, I’ll take care of you.” Another CNA was present in the room during at least one of these incidents while they were assisting with repositioning. The resident later stated that these comments made him feel uncomfortable, awkward, humiliated, and embarrassed, and that he felt uncomfortable with the CNA continuing to provide his ADL care afterward. He did not report the incident at the time because he feared retaliation, specifically that he would be kicked out of the facility. The deficiency was further compounded by the failure of the witnessing CNA to report the sexual remarks when they occurred. The witness CNA acknowledged being present when the comments were made and confirmed that the sexually harassing statements occurred, but she did not report them at the time. She stated that she believed the comments were not inappropriate because the resident did not seem bothered, and also indicated that she took the perpetrating CNA’s statement that she was the only witness and would deny it as a direction not to say anything. The resident continued to receive care from the CNA after the comments were made. The facility’s own policies on abuse, neglect, exploitation prevention and resident rights required that residents be free from verbal, mental, or sexual abuse and that employees treat residents with kindness, respect, and dignity, but the conduct of the CNA and the lack of timely reporting by the witness CNA led to the substantiated finding of sexual harassment toward the resident.
Failure to Ensure Timely Reporting of Verbal Sexual Abuse Allegation
Penalty
Summary
The deficiency involves the facility’s failure to ensure that an allegation of verbal sexual abuse was reported immediately to the administrator and appropriate authorities, as required by federal regulations and the facility’s abuse policy. A male resident with intact cognition, complete dependence on staff for mobility and ADLs, and a history of spinal cord injury, osteomyelitis, PTSD, and muscle weakness reported that a CNA made sexually inappropriate comments to him in his room. The resident stated that in approximately November 2025, while being assisted with repositioning, the CNA commented on his buttocks, told him he had a “nice ass for a white boy,” indicated he would go to her house if he ever left the facility, and provided her home address. Another CNA was present in the room and heard the comments. The resident did not report the incident at the time it occurred, stating he feared being removed from the facility or experiencing retaliation from the CNA. He later disclosed the comments during an emotional distress/psychosocial assessment conducted by the social worker in early January 2026, at which time he reported feeling uncomfortable, awkward, humiliated, and embarrassed by the comments and by the CNA continuing to provide his care afterward. The resident identified the second CNA as a witness to the incident and stated that the perpetrating CNA had told both him and the witness that the witness was the only one who could corroborate the incident and that she would deny it, which he interpreted as a directive not to report. The witness CNA confirmed to the DON that she had been present when the sexually inappropriate comments were made and that she did not report the incident at the time. She stated she believed the resident did not appear bothered when the comments were made, did not recognize the comments as inappropriate at the time, and acknowledged that she and the perpetrating CNA were longtime friends and that the perpetrating CNA had a history of inappropriate comments and behavior. The DON and ADM both stated it was their expectation that any staff member who witnessed or became aware of alleged abuse, including verbal sexual harassment, would report it immediately. Despite this expectation and the facility’s written Abuse, Neglect, Exploitation and Misappropriation Prevention Program policy requiring investigation and reporting of allegations within federal timeframes, the witness CNA did not report the incident when it occurred, and the facility did not become aware of the allegation until months later, after the resident’s disclosure to the social worker. Interviews with the DON, ADM, SW, and the witness CNA confirmed that the event occurred in approximately November 2025 and that the facility did not receive any report of the incident until January 2026. During this period, the CNA who made the comments continued to work with the resident and provide ADL care. The DON acknowledged that the witness CNA failed to report the incident in a timely manner and that no disciplinary action was taken against the witness for this failure. The facility’s policy, last revised April 2021, stated that allegations of abuse, neglect, exploitation, and misappropriation must be investigated and reported within timeframes required by federal requirements, but the delay between the incident and the facility’s awareness and reporting of the allegation demonstrates that the facility did not ensure that all alleged violations involving abuse or mistreatment were reported immediately as required.
Infection Control Lapses in Resident Care
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by multiple instances of staff not adhering to proper hygiene and sanitation protocols. During a peri care observation for Resident #11, CNAs failed to wash their hands and change gloves when transitioning from handling a soiled brief to applying a clean one. This lapse in protocol was acknowledged by the CNAs, who admitted to being trained in infection control but forgot to follow the procedures during the care activity. In another incident involving Resident #86, both an LVN and a CNA did not follow proper infection control measures during wound and peri care. Soiled linens and dressings were placed directly on the floor, and the CNA did not wash hands or change gloves between handling soiled and clean items. The LVN also failed to wash hands or use hand sanitizer between glove changes. Both staff members admitted to these practices, which contradict the facility's infection control policies. Additionally, a medication aide failed to sanitize a blood pressure monitor before and after using it on two residents, potentially risking cross-contamination. The aide acknowledged the oversight, citing a focus on medication administration as the reason for neglecting to sanitize the equipment. The facility's policies clearly outline the need for hand hygiene and equipment disinfection, yet these were not followed, as confirmed by interviews with the Director of Nursing and the Administrator.
Inaccurate Documentation of Resident's Indwelling Catheter
Penalty
Summary
The facility failed to ensure that the medical record of a resident accurately reflected the presence of an indwelling catheter. The Weekly Nursing Summary for the resident, dated on three separate occasions, did not indicate the presence of the catheter, despite the resident having had it since admission. This discrepancy was confirmed through observations, interviews with the resident, and staff members, including a Licensed Vocational Nurse (LVN) and the Director of Nursing (DON). The resident's care plan and Quarterly MDS assessment both documented the presence of the catheter, highlighting the inconsistency in the Weekly Nursing Summary. Interviews with the LVN, DON, and the Administrator (ADM) revealed that the inaccurate documentation could lead to inadequate care for the resident. The facility's Charting and Documentation policy emphasized the importance of accurate and complete documentation to facilitate communication among the interdisciplinary team. The failure to document the catheter in the Weekly Nursing Summary was acknowledged by the staff, who recognized the potential for improper care due to this oversight.
Failure to Perform Timely and Accurate Skin Assessments
Penalty
Summary
The facility failed to ensure that assessments accurately reflected the status of a resident, leading to deficiencies in the care provided. Specifically, the facility did not perform weekly skin assessments for a resident in a timely, accurate, and appropriate manner. This failure was evident in multiple instances where assessments were either delayed or inaccurately documented, placing the resident at risk of missing necessary treatments and follow-up care. The resident in question was admitted with multiple health conditions, including a urinary tract infection, chronic kidney disease, and diabetes mellitus type 2. Upon returning from a hospital stay, the resident was found to have a stage II pressure injury and other skin issues. Despite the care plan outlining the need for weekly skin assessments and specific interventions, the facility failed to adhere to these requirements. Several assessments were either not completed on time or inaccurately recorded, with some assessments being signed days or even weeks after the supposed assessment date. Interviews with staff, including Licensed Vocational Nurses (LVNs) and the Director of Nursing (DON), revealed systemic issues in the documentation process. Staff admitted to delays in completing assessments and acknowledged that inaccurate documentation could lead to missed treatments and worsening health conditions. The DON also admitted to entering documentation on behalf of other staff members, further compromising the accuracy of the records. The facility's policies were not followed, and there were no effective safeguards in place to catch these documentation errors, leading to the identified deficiencies.
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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 Teague
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Fairfield Nursing & Rehabilitation Center | 9.8 mi | ★★★★★ | 3 | 0 |
| Fairview Healthcare Residence | 10.3 mi | ★★★★★ | 0 | 0 |
| Skilled Care Of Mexia | 10.7 mi | ★★★★★ | 3 | 1 |
| The Manor Healthcare Residence | 11.4 mi | ★★★★★ | 6 | 0 |
| Mexia Ltc Nursing And Rehab | 11.5 mi | ★★★★★ | 5 | 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.