Kennedy Health & Rehab in Lufkin, Angelina County, Texas

Lufkin, Angelina County, Texas 75904

Status Medicare and Medicaid certifiedMedicare CCN 455855

HHSC license rosteras of November 9, 2026CMS nursing home filerelease October 28, 2026; processing date October 1, 2026CMS processing date for this home October 1, 2026

Verify on TULIP View on Medicare.gov

Location and contact

Address: 504 N. John Redditt Dr
Lufkin, TX 75904
Open map (OpenStreetMap)
Phone: (936) 632-3331
HHSC facility ID: 004771
License number: 308036

Medicare ratings

Star ratings below are copied from the CMS Provider Information file (official release October 28, 2026; processing date October 1, 2026). They are not assigned by NursingCareLookup. See how to read ratings and CMS Five-Star documentation.

Overall: 1 of 5Overall: 1 of 5 stars
Health inspection: 1 of 5Health inspection: 1 of 5 stars
Staffing: 2 of 5Staffing: 2 of 5 stars
Quality measures: 2 of 5Quality measures: 2 of 5 stars
Long-stay quality measures: 2 of 5Long-stay quality measures: 2 of 5 stars
Short-stay quality measures: Not rated in the CMS file on handShort-stay quality measures: not rated in the CMS file on hand
CMS footnote: 2

Flags in the CMS file

Special Focus status, as published: SFF Candidate. Read the Special Focus explainer.

This home has an abuse icon in the CMS file. That is a CMS designation, not a finding we added. Read the explainer and the official complaint channels in the footer.

Staffing hours

Hours are the facility’s reported nurse staffing hours per resident per day from the CMS file. The Texas average is computed on this site from Texas rows in that same file that include a numeric value. It is not copied from another website. Method: Methodology.

Staffing hours per resident per day
Measure	This facility	Texas average (this site)
Total nurse staffing	3.67 hours	3.42 hours n=1,152
Registered nurse	0.29 hours	0.44 hours
LPN	0.96 hours	0.95 hours
Nurse aide	2.42 hours	2.03 hours
Weekend nurse staffing	3.36 hours	2.99 hours

0.26 hours above this site’s computed Texas average.

Total nursing staff turnover: — (Texas average computed on this site: 50.8%, n=1,096)
RN turnover: —
Average residents per day: 59.0
Certified beds (CMS): 145

Penalties in the CMS Provider Information file: 5 finestotaling $278,723; 1 payment denial; 6 total penalties. These are the figures CMS published in this release. Confirm current figures on Medicare.gov.

Fines and payment denials

Individual fines and payment denials below come from the CMS Penalties file (official release October 28, 2026; processing date October 1, 2026). Dates and amounts are copied as published. They can lag later actions or successful appeals. Confirm current figures on Medicare.gov.

CMS fines and payment denials
Date	Type	Fine amount	Payment denial
July 1, 2026	Fine · Fine ID 143542	$29,486	—
December 3, 2025	Fine · Fine ID 136355	$40,483	—
September 16, 2025	Fine · Fine ID 135227	$140,332	—
September 16, 2025	Payment Denial	—	Start October 16, 2025; 35 days
December 12, 2024	Fine · Fine ID 113464	$57,417	—
November 2, 2024	Fine · Fine ID 113371	$11,005	—

MDS quality measures

These figures are the four-quarter averages published in the CMS MDS Quality Measures file (official release October 28, 2026; measure period 2025Q3-2026Q2; processing date October 1, 2026). They are not a grade this site assigned. A “used in Five-Star” flag is the published CMS field that says whether that measure feeds the quality-measure star rating. Quarterly scores are collapsed under each measure. Official definitions are on the CMS Five-Star page.

CMS MDS quality measures, four-quarter averages
Measure	Stay	Four-quarter average	Used in Five-Star QM rating
Percentage of long-stay residents whose need for help with daily activities has increased Quarterly scores Q1 28.0% · Q2 18.4% · Q3 11.4% · Q4 9.5% · Period 2025Q3-2026Q2 · Measure code 401	Long Stay	17.3%	Yes, as published by CMS
Percentage of long-stay residents with a catheter inserted and left in their bladder Quarterly scores Q1 1.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 406	Long Stay	0.3%	Yes, as published by CMS
Percentage of long-stay residents with a urinary tract infection Quarterly scores Q1 1.5% · Q2 0.0% · Q3 1.6% · Q4 3.4% · Period 2025Q3-2026Q2 · Measure code 407	Long Stay	1.6%	Yes, as published by CMS
Percentage of long-stay residents experiencing one or more falls with major injury Quarterly scores Q1 3.0% · Q2 2.9% · Q3 4.6% · Q4 1.7% · Period 2025Q3-2026Q2 · Measure code 410	Long Stay	3.1%	Yes, as published by CMS
Percentage of long-stay residents whose ability to walk independently worsened Quarterly scores Q1 32.0% · Q2 4.4% · Q3 13.6% · Q4 3.5% · Period 2025Q3-2026Q2 · Measure code 451	Long Stay	14.6%	Yes, as published by CMS
Percentage of long-stay residents with pressure ulcers Quarterly scores Q1 3.6% · Q2 5.1% · Q3 6.0% · Q4 3.3% · Period 2025Q3-2026Q2 · Measure code 479	Long Stay	4.5%	Yes, as published by CMS
Percentage of long-stay residents who received an antipsychotic medication Quarterly scores Q1 35.5% · Q2 34.4% · Q3 37.9% · Q4 39.3% · Period 2025Q3-2026Q2 · Measure code 481	Long Stay	36.7%	Yes, as published by CMS
Percentage of long-stay residents who lose too much weight Quarterly scores Q1 1.8% · Q2 1.9% · Q3 2.2% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 404	Long Stay	1.5%	No, as published by CMS
Percentage of long-stay residents who have depressive symptoms Quarterly scores Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 408	Long Stay	0.0%	No, as published by CMS
Percentage of long-stay residents who were physically restrained Quarterly scores Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 409	Long Stay	0.0%	No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Quarterly scores Q1 85.1% · Q2 86.8% · Q3 90.8% · Q4 90.0% · Period 2025Q3-2026Q2 · Measure code 415	Long Stay	88.1%	No, as published by CMS
Percentage of long-stay residents who received an antianxiety or hypnotic medication Quarterly scores Q1 25.4% · Q2 25.0% · Q3 25.5% · Q4 28.3% · Period 2025Q3-2026Q2 · Measure code 452	Long Stay	26.0%	No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Quarterly scores Q1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 454	Long Stay	87.1%	No, as published by CMS
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Quarterly scores Q1 26.9% · Q2 11.4% · Q3 13.2% · Q4 5.2% · Period 2025Q3-2026Q2 · Measure code 480	Long Stay	14.4%	No, as published by CMS
Percentage of short-stay residents who newly received an antipsychotic medication Quarterly scores Q1 — (CMS footnote 9) · Q2 — (CMS footnote 9) · Q3 — (CMS footnote 9) · Q4 — (CMS footnote 9) · Period 2025Q3-2026Q2 · Measure code 434	Short Stay	— (CMS footnote 9)	Yes, as published by CMS
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Quarterly scores Q1 33.3% · Q2 — (CMS footnote 9) · Q3 — (CMS footnote 9) · Q4 — (CMS footnote 9) · Period 2025Q3-2026Q2 · Measure code 430	Short Stay	47.6%	No, as published by CMS
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Quarterly scores Q1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 472	Short Stay	— (CMS footnote 9)	No, as published by CMS

Inspection citations

81 health citations in the CMS file (45 from complaint surveys). Highest scope/severity letter in the file: J — Isolated, immediate jeopardy. 31 not recorded as corrected.

The list below is drawn from the CMS Health Deficiencies file. We show the tag, a plain-language reading of the scope and severity letter, whether the survey was a standard or complaint survey, the survey date, and whether CMS recorded a correction. We do not reprint the official deficiency narrative here. Read that text on TULIP or Medicare.gov. A facility may appeal a finding; a successful appeal can alter or remove a citation.

Scope and severity letters (A–L)

CMS assigns one letter from a grid of scope (how widely a problem was found) and severity (how serious the harm was or could be). The short labels below are our wording of that grid, not a different rating system.

Scope and severity letters used in CMS health citations
Severity	Isolated	Pattern	Widespread
Potential for minimal harm	A	B	C
No actual harm, potential for more than minimal harm	D	E	F
Actual harm	G	H	I
Immediate jeopardy	J	K	L

2026 — 36 citations

Tag 0949E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: August 26, 2026

CMS records a plan of correction (no correction date in this field) (September 25, 2026)

More detail

Administration Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0946E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: August 26, 2026

CMS records a plan of correction (no correction date in this field) (September 25, 2026)

More detail

Administration Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0945E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: August 26, 2026

CMS records a plan of correction (no correction date in this field) (September 25, 2026)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0944E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: August 26, 2026

CMS records a plan of correction (no correction date in this field) (September 25, 2026)

More detail

Administration Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0943E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: August 26, 2026

CMS records a plan of correction (no correction date in this field) (September 25, 2026)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0942E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: August 26, 2026

CMS records a plan of correction (no correction date in this field) (September 25, 2026)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0941E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: August 26, 2026

CMS records a plan of correction (no correction date in this field) (September 25, 2026)

More detail

Administration Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0940E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: August 26, 2026

CMS records a plan of correction (no correction date in this field) (September 25, 2026)

More detail

Administration Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0925E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: August 26, 2026

CMS records a plan of correction (no correction date in this field) (September 25, 2026)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0921E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: August 26, 2026

CMS records a plan of correction (no correction date in this field) (September 25, 2026)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0914E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: August 26, 2026

CMS records a plan of correction (no correction date in this field) (September 25, 2026)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0880E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: August 26, 2026

CMS records a plan of correction (no correction date in this field) (September 25, 2026)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0851F

F — Widespread, potential for more than minimal harm

Standard survey

Survey date: August 26, 2026

CMS records a plan of correction (no correction date in this field) (September 25, 2026)

More detail

Administration Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0842D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: August 26, 2026

CMS records a plan of correction (no correction date in this field) (September 25, 2026)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0812E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: August 26, 2026

CMS records a plan of correction (no correction date in this field) (September 25, 2026)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0801E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: August 26, 2026

CMS records a plan of correction (no correction date in this field) (September 25, 2026)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0756D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: August 26, 2026

CMS records a plan of correction (no correction date in this field) (September 25, 2026)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0732C

C — Widespread, potential for minimal harm

Standard survey

Survey date: August 26, 2026

CMS records a plan of correction (no correction date in this field) (September 25, 2026)

More detail

Nursing and Physician Services Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0730E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: August 26, 2026

CMS records a plan of correction (no correction date in this field) (September 25, 2026)

More detail

Nursing and Physician Services Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0727F

F — Widespread, potential for more than minimal harm

Standard survey

Survey date: August 26, 2026

CMS records a plan of correction (no correction date in this field) (September 25, 2026)

More detail

Nursing and Physician Services Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

16 more 2026 citations

Tag 0693D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: August 26, 2026

CMS records a plan of correction (no correction date in this field) (September 25, 2026)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0689D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: August 26, 2026

CMS records a plan of correction (no correction date in this field) (September 25, 2026)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0679E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: August 26, 2026

CMS records a plan of correction (no correction date in this field) (September 25, 2026)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0657D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: August 26, 2026

CMS records a plan of correction (no correction date in this field) (September 25, 2026)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0656D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: August 26, 2026

CMS records no plan of correction

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0644D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: August 26, 2026

CMS records a plan of correction (no correction date in this field) (September 25, 2026)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0641B

B — Pattern, potential for minimal harm

Standard survey

Survey date: August 26, 2026

CMS records a plan of correction (no correction date in this field) (September 25, 2026)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0637E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: August 26, 2026

CMS records a plan of correction (no correction date in this field) (September 25, 2026)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0628D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: August 26, 2026

CMS records a plan of correction (no correction date in this field) (September 25, 2026)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0582D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: August 26, 2026

CMS records a plan of correction (no correction date in this field) (September 25, 2026)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0577B

B — Pattern, potential for minimal harm

Standard survey

Survey date: August 26, 2026

CMS records a plan of correction (no correction date in this field) (September 25, 2026)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0689J

J — Isolated, immediate jeopardy

Complaint survey

Survey date: July 22, 2026

CMS records a correction date (July 23, 2026)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0925E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: July 1, 2026

CMS records a correction date (July 30, 2026)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0921E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: July 1, 2026

CMS records a correction date (July 30, 2026)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0812E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: July 1, 2026

CMS records a correction date (July 30, 2026)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0644D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: July 1, 2026

CMS records a correction date (July 30, 2026)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

2025 — 26 citations

Tag 0921E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: December 3, 2025

CMS records a correction date (January 1, 2026)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0689J

J — Isolated, immediate jeopardy

Complaint survey

Survey date: December 3, 2025

CMS records a correction date (January 1, 2026)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0600H

H — Pattern, actual harm

Complaint survey

Survey date: December 3, 2025

CMS records a correction date (January 1, 2026)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0921E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: October 22, 2025

CMS records a correction date (November 20, 2025)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0655D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: October 22, 2025

CMS records a correction date (November 20, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0640D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: October 22, 2025

CMS records a correction date (November 20, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0610K

K — Pattern, immediate jeopardy

Complaint survey

Survey date: October 22, 2025

CMS records a correction date (November 20, 2025)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0607K

K — Pattern, immediate jeopardy

Complaint survey

Survey date: October 22, 2025

CMS records a correction date (November 20, 2025)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0600K

K — Pattern, immediate jeopardy

Complaint survey

Survey date: October 22, 2025

CMS records a correction date (November 20, 2025)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0610J

J — Isolated, immediate jeopardy

Complaint survey

Survey date: September 16, 2025

CMS records a correction date (September 17, 2025)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0609J

J — Isolated, immediate jeopardy

Complaint survey

Survey date: September 16, 2025

CMS records a correction date (September 17, 2025)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0600J

J — Isolated, immediate jeopardy

Complaint survey

Survey date: September 16, 2025

CMS records a correction date (September 17, 2025)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0921E

E — Pattern, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: June 25, 2025

CMS records a correction date (July 24, 2025)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0919D

D — Isolated, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: June 25, 2025

CMS records a correction date (July 24, 2025)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0908D

D — Isolated, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: June 25, 2025

CMS records a correction date (July 24, 2025)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0880E

E — Pattern, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: June 25, 2025

CMS records a correction date (July 24, 2025)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0813D

D — Isolated, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: June 25, 2025

CMS records a correction date (July 24, 2025)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0812E

E — Pattern, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: June 25, 2025

CMS records a correction date (July 24, 2025)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0689D

D — Isolated, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: June 25, 2025

CMS records a correction date (July 24, 2025)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0637D

D — Isolated, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: June 25, 2025

CMS records a correction date (July 24, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

6 more 2025 citations

Tag 0584D

D — Isolated, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: June 25, 2025

CMS records a correction date (July 24, 2025)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0837F

F — Widespread, potential for more than minimal harm

Complaint survey

Survey date: May 1, 2025

CMS records a correction date (May 30, 2025)

More detail

Administration Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0600D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: May 1, 2025

CMS records a correction date (May 30, 2025)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0880D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: March 5, 2025

CMS records a correction date (March 6, 2025)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0837F

F — Widespread, potential for more than minimal harm

Complaint survey

Survey date: March 5, 2025

CMS records a correction date (March 6, 2025)

More detail

Administration Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0677D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: March 5, 2025

CMS records a correction date (March 6, 2025)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

2024 — 19 citations

Tag 0921E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: December 12, 2024

CMS records a correction date (December 20, 2024)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0919E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: December 12, 2024

CMS records a correction date (December 15, 2024)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0842D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: December 12, 2024

CMS records a correction date (December 20, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0689K

K — Pattern, immediate jeopardy

Complaint survey

Survey date: December 12, 2024

CMS records a correction date (December 15, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0584D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: December 12, 2024

CMS records a correction date (December 20, 2024)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0925F

F — Widespread, potential for more than minimal harm

Complaint survey

Survey date: November 2, 2024

CMS records a correction date (November 3, 2024)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0880E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: November 2, 2024

CMS records a correction date (November 25, 2024)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0838C

C — Widespread, potential for minimal harm

Complaint survey

Survey date: November 2, 2024

CMS records a correction date (November 20, 2024)

More detail

Administration Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0726F

F — Widespread, potential for more than minimal harm

Complaint survey

Survey date: November 2, 2024

CMS records a correction date (November 25, 2024)

More detail

Nursing and Physician Services Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0695J

J — Isolated, immediate jeopardy

Complaint survey

Survey date: November 2, 2024

CMS records a correction date (November 3, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0690D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: November 2, 2024

CMS records a correction date (November 25, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0686D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: November 2, 2024

CMS records a correction date (November 25, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0677D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: November 2, 2024

CMS records a correction date (November 25, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0550D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: November 2, 2024

CMS records a correction date (November 4, 2024)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0812F

F — Widespread, potential for more than minimal harm

Standard survey

Survey date: April 24, 2024

CMS records a correction date (May 24, 2024)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0803F

F — Widespread, potential for more than minimal harm

Standard survey

Survey date: April 24, 2024

CMS records a correction date (May 24, 2024)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0732C

C — Widespread, potential for minimal harm

Standard survey

Survey date: April 24, 2024

CMS records a correction date (May 24, 2024)

More detail

Nursing and Physician Services Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0644D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: April 24, 2024

CMS records a correction date (May 24, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0572F

F — Widespread, potential for more than minimal harm

Standard survey

Survey date: April 24, 2024

CMS records a correction date (May 24, 2024)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

License and identity (HHSC)

License effective: December 1, 2023
License expires: December 1, 2026
Initial license date: September 1, 1971
Facility licensed: Yes
Facility certified (HHSC): Yes
Service type: MEDICARE/MEDICAID
Total licensed capacity: 145 beds
Bed mix (HHSC): Licensed only 0; Medicaid only 0; Medicare only 61; Medicare/Medicaid 84; ICF/IID 0
Alzheimer capacity: 0
Administrator: Kelly Norman
Management company: Chambers County Public Hospital District No 1

Ownership

Ownership below comes from the CMS file when a row joined on this home’s Medicare number. HHSC also records an owner and entity type; those appear after the CMS data. The HHSC entity type “HOSPITAL DISTRICT/AUTHORITY” is very common in the state roster and may not describe day-to-day control. It is not used as a headline here.

CMS ownership type: For profit - Limited Liability company · Affiliated / chain name in the file: CREATIVE SOLUTIONS IN HEALTHCARE (150 facilities in the chain, as listed)

CMS ownership records
Name	Role	Type	Share	Associated
SPARKS, EULA	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 12/01/2020
COOPER, KIMBERLY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/29/2024
NEWTON, ELIZABETH	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 02/22/2024
KENNEDY REHABILITATION & HEALTHCARE LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 12/01/2020

HHSC owner fields

Owner (HHSC): Chambers County Public Hospital District No 1
Type of entity (HHSC): HOSPITAL DISTRICT/AUTHORITY

Public data compiled by NursingCareLookup, not an endorsement or a recommendation, and not medical or legal advice. This site is not affiliated with HHSC, CMS, or Medicare. Figures can lag events at the facility, including surveys, corrections, and successful appeals (an appeal can alter or remove a citation). Verify current facts on TULIP and Medicare.gov, and visit in person before you decide. HHSC roster as of November 9, 2026 (America/Chicago). CMS file: official release October 28, 2026; processing date October 1, 2026.