Above average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Whispering Springs Rehabilitation And Healthcare C during CMS and state inspections, most recent first.
MDS Failed to Capture Recent Fall With Injury: A resident with CHF, CKD, DM, dementia, and cognitive communication deficit had a care plan for fall risk and assistance with ADLs, but her MDS did not code a recent unwitnessed fall with injury. Records showed she was found on the floor with a forehead hematoma and transferred to the hospital, while the MDS Coordinator confirmed the fall history item was coded no when it should have been coded yes.
Failure to update a resident’s care plan after a fall with injury. A resident with CHF, CKD, DM, dementia, malnutrition, and cognitive communication deficit had an unwitnessed fall with a forehead hematoma and was transferred to the hospital, but the care plan still did not reflect the fall, the IDT review, or fall interventions. Staff stated falls and related interventions should be documented on care plans to guide care and communication.
Shower water temperatures were not consistently controlled within the required range. Surveyors found four shower rooms with temperatures either above 110°F or below 100°F, and the Maintenance Director confirmed the readings but had no explanation. A resident with severe cognitive impairment had previously complained that shower water was too hot, and staff interviews showed CNAs were checking water by hand and relying on the resident to judge comfort.
The facility did not post nurse staffing information with the current date, as the displayed posting was for the previous day. The DON confirmed the error, which was attributed to the night shift staff, and no other current postings were available at the time of observation.
The facility failed to follow food safety standards by not dating or sealing opened food items in the kitchen, and staff with facial hair did not wear proper restraints, risking contamination. Observations showed undated bread, pasta, and cornmeal, and staff with exposed facial hair during food preparation, contrary to facility policies.
MDS Failed to Capture Recent Fall With Injury
Penalty
Summary
The facility failed to ensure Resident #1’s assessment accurately reflected her status when the MDS did not code a recent fall with injury. Resident #1 was admitted and later re-admitted to the facility, had diagnoses including CHF, CKD, diabetes mellitus, protein-calorie malnutrition, unspecified dementia, and cognitive communication deficit, and was care planned as being at risk for falls with supervision to minimal assistance for ADLs. Her significant change MDS reflected severely impaired cognition and documented no falls since admission or prior assessment, with no falls entered in the fall history section. Record review showed that on 04/16/2026 Resident #1 had an unwitnessed fall and was found on the floor lying on her left side with a hematoma to the left side of her forehead, and the resident was transferred to the hospital per MD order. During interview, the MDS Coordinator reviewed the Medicare 5-day admission MDS and the significant change MDS and stated that section J1700, Fall History on Admission/Entry or Reentry, was coded as no, but should have been coded as yes to reflect the fall with injury. The Administrator stated she was not sure of the policy and procedures regarding MDS assessments and acknowledged that inaccurate MDS documentation could impact resident care.
Failure to Update Care Plan After Fall With Injury
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for a resident with multiple diagnoses, including CHF, CKD, DM, protein-calorie malnutrition, unspecified dementia, and cognitive communication deficit. The resident was admitted and later re-admitted to the facility, and the record showed she was not listed as her own responsible party, with a family member listed as emergency contact. The care plan in the record identified the resident as at risk for falls and needing supervision/minimal assistance with ADLs, with interventions such as call light within reach and visual checks every 1-2 hours and as needed, but it had been created in 2020 and revised in 2024. Record review showed the resident had an unwitnessed fall with injury on 04/16/2026, with the resident found on the floor lying on her left side and a hematoma noted to the left side of her forehead. The SABR and unwitnessed fall report documented transfer to the hospital. The resident was later hospitalized and discharged on 07/28/2026. The care plan reviewed on 07/28/2026 did not include the fall with injury, interdisciplinary team review, or fall interventions related to that event. During interviews, the DON stated care plans are used by nursing staff to know what care is needed and that not updating them affects residents and causes inconsistency of care. The MDS Coordinator stated delays in updating care plans could delay communication with nurses and continued care, and that significant items such as falls and interventions should be included; she also stated every fall should be listed on the care plan and acknowledged the unwitnessed fall with injury was not documented on the resident’s care plan. Other staff interviewed stated falls and interventions should be documented on care plans and that not updating them could affect resident care.
Shower Water Temperatures Out of Range
Penalty
Summary
The facility failed to ensure resident shower water temperatures were reliably controlled by thermostatic or mixing valves and remained within the required range of 100°F to 110°F at each fixture. Survey observations on 6/4/26 found four shower rooms out of range: Hall 1 measured 116.2°F, Hall 2 measured 112.2°F, Hall 3 measured 89.4°F, and Hall 4 measured 114.4°F. The Maintenance Director was present during the measurements and confirmed the readings, and he stated he had no explanation for the results. Resident #1 was a male resident with diagnoses including hemiplegia/hemiparesis following cerebral infarction, abnormalities of gait and mobility, and COPD. His quarterly MDS reflected a BIMS score of zero, indicating severe cognitive impairment, and his ADLs for toileting required one staff assist. A nurse note documented that the resident voiced concern that shower water was too hot when assisted by a CNA. The resident later stated he was showered every 2 days and could not recall details of any hot water incident, but he reported no skin burns. Skin assessments showed intact skin. Staff interviews showed CNAs checked shower water by hand and then asked the resident to touch the water to judge comfort. CNA staff and RNs recalled that an in-service had been given after the resident complained about hot shower water. The DON stated the resident complained on 2/12/26 that his shower the prior day had been too hot, and the Administrator stated the allegation was investigated and found unfounded because the CNA said the water was lukewarm and the resident denied being burned. The facility’s water temperature log also showed Hall 4 Main Shower at 112°F on 5/26/26, and the Maintenance Director and Regional Maintenance Director both stated they had no explanation for the out-of-range readings.
Failure to Post Current Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that the daily nurse staffing information posted included the current date, as required. During an observation, the posted 24-hour nurse staffing information was found to be dated for the previous day, and no other current postings were observed. The DON confirmed during an interview that the posting displayed the incorrect date and attributed the error to the night shift staff. A review of the facility's policy indicated that the date for which the staffing information is posted must be included on the form.
Food Safety and Hair Restraint Deficiencies in Kitchen
Penalty
Summary
The facility failed to adhere to professional standards for food service safety in their kitchen, as observed during a survey. Specifically, the facility did not date a partially used loaf of bread, an opened bag of elbow pasta, and a twenty-five-pound bag of cornmeal. These items were found in the pantry without proper dating or sealing, which could lead to contamination and foodborne illness. Staff interviews confirmed that these items should have been dated and sealed to prevent contamination and ensure food safety. Additionally, the facility did not ensure that staff with facial hair wore proper hair restraints while handling food. Observations revealed that two staff members had exposed facial hair while preparing meals and drinks, which could lead to contamination of the food. Interviews with the staff confirmed that they were unaware of the requirement to cover their mustaches with facial hair restraints, highlighting a lack of compliance with the facility's policy and the Food Code. The facility's policies on food receiving and storage, as well as the dietary employee dress code, were reviewed and found to be in line with safe food handling practices. However, the failure to implement these policies properly resulted in deficiencies that could potentially compromise the safety and quality of food served to residents.
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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 Carrizo Springs
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Avir At Cotulla | 38.3 mi | ★★★★★ | 14 | 0 |
| Maverick Nursing And Rehabilitation Center | 38.6 mi | ★★★★★ | 22 | 0 |
| La Hacienda De Paz Rehabilitation And Care Center | 38.6 mi | ★★★★★ | 14 | 0 |
| Eagle Pass Nursing And Rehabilitation | 39.8 mi | ★★★★★ | 1 | 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 October 2026) and official state health department websites.