Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Kinder Retirement And Rehabilitation Center during CMS and state inspections, most recent first.
The facility did not ensure that PRN psychotropic medication orders were limited to 14 days or that appropriate physician documentation was provided for continued use. Several residents received ongoing PRN psychotropic medications without required reassessment or rationale, and one resident was given a psychotropic drug for staff convenience to manage combative behavior. Staff interviews revealed a lack of awareness of the 14-day reassessment requirement.
A resident with chronic pain and a physician order for PRN Norco repeatedly reported pain to nursing staff over several weeks, but did not receive pain assessments or the prescribed medication. Nursing staff acknowledged the complaints but did not follow through with assessment or administration, and the DON confirmed that expected procedures were not followed.
The facility failed to maintain accurate controlled drug counts for two residents, with discrepancies found in the medication log books compared to the actual count. An LPN confirmed the mismatches, and it was revealed that the required shift change medication count was not conducted, nor were the medications documented properly, leading to the deficiency.
The facility failed to properly store medications, with loose pills found in all three medication carts and discontinued controlled medications not removed from one cart. An RN and LPN confirmed the presence of loose pills, and the DON acknowledged that discontinued medications should have been removed promptly.
A facility failed to ensure licensed nurses had the appropriate competencies, resulting in errors in narcotic medication orders and administration. This included missing drug strength in orders, incorrect entries into electronic records, and inconsistencies between narcotic sign-out logs and MARs. Interviews with the DON and an LPN confirmed these issues, with the LPN admitting to administering medication despite dosing inconsistencies.
A resident with multiple medical conditions was transferred to the hospital for hypoxia evaluation, but the facility failed to document notifying the responsible party. The resident, who was cognitively intact, informed the responsible party of the transfer from the hospital. The facility's policy required such notification and documentation, which was confirmed missing by the DON and the LPN involved.
The facility did not meet residents' nutritional needs by serving incorrect portion sizes, as observed when the Dietary Manager used smaller scoops than required for mustard greens and red beans with sausage. This affected 51 residents receiving regular diets, as the staff did not follow the menu's serving sizes.
The facility did not ensure pureed foods were prepared according to the approved recipe, affecting seven residents on pureed diets. A dietary aide was observed preparing meals without measuring ingredients or using a recipe, and the dietary manager confirmed the lack of training in recipe adherence.
A facility failed to accurately complete the MDS for a resident with End Stage Renal Disease, omitting dialysis treatment from the record. Despite physician orders for regular dialysis, the MDS did not reflect this treatment. The error was confirmed by the MDS Coordinator during a review.
Failure to Limit and Justify PRN Psychotropic Medication Orders
Penalty
Summary
The facility failed to ensure that residents with orders for psychotropic medications were not subjected to chemical restraints and that PRN (as needed) psychotropic medication orders were limited to 14 days, as required. Multiple residents had PRN psychotropic medication orders that either lacked an end date or extended beyond the 14-day limit without documented physician rationale or evaluation. For example, several residents had ongoing PRN orders for medications such as morphine, hydrocodone-acetaminophen, oxycodone, alprazolam, tramadol, and lorazepam, with no evidence of physician documentation justifying the continuation of these orders past 14 days. Additionally, one resident was prescribed Buspirone three times daily specifically for being combative with staff and excessive pacing, with staff confirming the medication was used for combativeness. This indicates the medication may have been used for staff convenience or discipline, rather than for a medically necessary indication, which constitutes a chemical restraint. Interviews with facility staff, including the DON and LPN, revealed a lack of awareness regarding the regulatory requirement to reassess PRN psychotropic medications after 14 days and to document the rationale for continued use. The facility's own policy stated that PRN orders for psychotropic drugs are limited to 14 days unless the physician documents the rationale for extension, but this was not followed in practice for the residents reviewed.
Failure to Provide Timely Pain Management and Assessment
Penalty
Summary
The facility failed to provide safe and appropriate pain management for a resident with a history of chronic pain conditions, including chronic obstructive pulmonary disease, below-knee amputation, muscle spasm, and neuropathy. Despite having a physician order for PRN Norco for pain and a care plan outlining pain management interventions, the resident repeatedly reported pain to nursing staff over a period of several weeks. Documentation showed multiple pain complaints, but there was no evidence of pain assessments or administration of the ordered pain medication during this time. The last recorded administration of Norco and pain assessment occurred several weeks prior to the resident's ongoing complaints. Interviews revealed that nursing staff were aware of the resident's pain complaints but did not perform pain assessments or administer the prescribed PRN pain medication. The resident expressed frustration, stating he had stopped reporting pain because staff did not respond to his requests, despite knowing he had an active order for pain medication. The DON confirmed that staff failed to follow expected procedures for pain assessment, documentation, and medication administration in response to the resident's reports of pain.
Discrepancies in Controlled Drug Count for Two Residents
Penalty
Summary
The facility failed to maintain an accurate account of controlled drugs for two residents, leading to discrepancies in the medication count. During an observation of the locked controlled medication drawer and log book on Medication Cart B, it was found that Resident #5's Clonazepam 1mg tablet blister package had 55 tablets remaining, while the log book documented 56 tablets. Similarly, Resident #6's Lorazepam 0.5 mg tablet blister package had 15 tablets remaining, but the log book recorded 16 tablets. These discrepancies were confirmed by S3 LPN, who acknowledged that the recorded numbers did not match the actual count. The deficiency was further compounded by the failure to conduct a controlled medication count at shift change, as required by the facility's policy. An interview with S1 DON revealed that S3 LPN did not perform the necessary count with the off-going and oncoming nurses at the beginning and end of their shifts. Additionally, the controlled substances were not documented electronically and on paper in the log book when administered to the residents, as per the facility's policy. This lack of adherence to established procedures contributed to the inaccuracies in the controlled drug count for the residents involved.
Improper Medication Storage and Handling
Penalty
Summary
The facility failed to ensure proper storage of medications in all three medication carts, as observed during a survey. Loose pills were found in each cart, with Medication Cart C containing two unidentified loose pills, Medication Cart B containing four loose pills with varying shapes and markings, and Medication Cart A containing two loose pills, one of which was identified by its markings. These observations were confirmed by the respective nursing staff accompanying the surveyor, who acknowledged that loose pills should not be present in the medication carts. Additionally, the facility did not remove discontinued controlled medications from Medication Cart B. Specifically, Resident #4's Tramadol and Resident #7's Lyrica, both of which had been discontinued, were still present in the cart. The Tramadol bottle contained 83 pills and was wrapped in the resident's medication log, while the Lyrica blister package had 3 pills remaining. The LPN confirmed that these medications were no longer in use and should have been removed and disposed of properly. The Director of Nursing also confirmed that medication carts should be clean and free of loose pills, and that discontinued medications should be removed within the same shift they were discontinued.
Medication Order Errors and Inconsistencies in Narcotic Administration
Penalty
Summary
The facility failed to ensure that licensed nurses had the appropriate competencies and skill sets to provide nursing services that assured resident safety and well-being. This was evidenced by multiple errors in the transcription and administration of narcotic medication orders. Specifically, there were failures to include the strength of the drug in transcribed verbal narcotic medication orders, incorrect entries of written narcotic orders into the electronic medical record, and inconsistencies between the dosing information on the narcotic sign-out log and the Medication Administration Record (MAR). Additionally, not all narcotic medication doses signed out on the Narcotic Medication Record were documented as given on the MAR for one of the sampled residents. The deficiencies were highlighted through a review of physician orders and interviews with the Director of Nursing (DON) and a Licensed Practical Nurse (LPN). The DON confirmed the inability to locate an order changing the dose of Morphine Sulfate and acknowledged that the information was entered incorrectly when the facility transitioned to a new electronic health record system. The LPN admitted to signing out and administering Morphine despite inconsistencies in the dosing information and confirmed that the orders she wrote did not include the necessary dose/concentration details. The facility's policy on medication orders was not followed, leading to these discrepancies and errors in medication administration.
Failure to Document Responsible Party Notification for Hospital Transfer
Penalty
Summary
The facility failed to document the notification of a responsible party regarding the transfer of a resident to the hospital. The resident, who was cognitively intact with a BIMS score of 13, had multiple medical conditions including Peripheral Vascular Disease, End Stage Renal Disease, and Chronic Obstructive Pulmonary Disease, among others. The resident required extensive assistance with daily activities and had been experiencing shortness of breath. The care plan included interventions for hypoxia, and the resident was on continuous oxygen therapy. Despite these measures, the resident was transferred to the hospital for evaluation and treatment of hypoxia. The deficiency was identified when the resident's responsible party reported not being notified of the hospital transfer, learning of it only through a call from the resident. The facility's policy required notification of the resident's family or representative in such situations, and documentation of this notification in the medical record. However, the nurse responsible for the resident on the day of the transfer admitted to not documenting the notification, and the Director of Nursing confirmed the absence of such documentation in the medical record.
Failure to Adhere to Menu Portion Sizes
Penalty
Summary
The facility failed to meet the nutritional needs of its residents by not adhering to the established portion sizes as outlined in their approved menu. The facility's policy on menu planning requires that all menu items have standardized recipes with ingredient listings to ensure the appropriate number of portions. However, during an observation, it was noted that the Dietary Manager served mustard greens and red beans with sausage in incorrect portion sizes, using a 3 oz. scoop for mustard greens instead of the required 4 oz., and a 4 oz. scoop for red beans and sausage instead of the required 6 oz. The Dietary Manager confirmed that the residents were served incorrect portion sizes and acknowledged that the staff did not follow the serving sizes posted on the menu. The manager admitted that the scoops and ladles should have been checked prior to meal service to ensure compliance with the menu requirements, but this was not done. This oversight affected 51 residents who received regular diets prepared by the facility kitchen, leading to a failure in meeting their nutritional needs as per national guidelines.
Failure to Follow Recipe for Pureed Diets
Penalty
Summary
The facility failed to ensure that pureed foods were prepared according to the approved recipe, which is necessary to conserve nutritional value for seven residents on pureed diets. During an observation, a dietary aide was seen preparing a pureed meal without measuring the ingredients or referring to a recipe. The aide blended mustard greens, red beans/sausage, and rice without using the specified amounts and added an unmeasured amount of thickener to adjust the consistency. The dietary manager confirmed that the aide did not use the recipe and admitted that staff had not been trained to follow recipes when preparing meals.
Inaccurate MDS Coding for Dialysis Treatment
Penalty
Summary
The facility failed to ensure the accurate completion of the Minimum Data Set (MDS) for a resident, leading to a deficiency. The resident, who was admitted with diagnoses including End Stage Renal Disease and dependence on renal dialysis, was not correctly coded for dialysis treatment in the MDS. The Quarterly MDS, with an Assessment Reference Date of 06/03/2024, did not reflect the resident's ongoing dialysis treatment, despite physician orders indicating dialysis was scheduled every Monday and Friday. This discrepancy was confirmed during an interview and record review with the Minimum Data Set Coordinator, who acknowledged the inaccuracy in the MDS coding.
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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 Kinder
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| St Frances Nsg & Rehab Center | 9.9 mi | — | 0 | 0 |
| Maison D'acadiens Care Center | 14.7 mi | — | 0 | 0 |
| Golden Age Of Welsh, Llc | 18.5 mi | — | 0 | 0 |
| Camelot Brookside | 19.5 mi | — | 3 | 0 |
| Jeff Davis Living Center, Llc | 21.3 mi | — | 0 | 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 August 2026) and official state health department websites.