Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
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 Cornerstone Retirement Community during CMS and state inspections, most recent first.
A resident with a central venous line developed a localized infection due to the facility's failure to change the dressing according to protocol. The resident's medical records lacked documentation of dressing changes, and staff interviews revealed that the admitting nurse did not input an order for dressing changes. The site was observed to be red and warm, leading to the resident being sent to the hospital for catheter replacement.
The facility's kitchen failed to meet food safety standards by not discarding expired food items, leaving a scoop in a flour container, and having an unlabeled bag of whipped cream. The Dietary Manager and Administrator acknowledged these oversights, which could lead to foodborne illness and cross-contamination.
The facility failed to implement comprehensive care plans for three residents, leading to unmet needs and potential risks. A resident with severe cognitive impairment was not weighed as required, and interventions for fall prevention and skin protection were not followed. Another resident's care plan for daily weights was not adhered to, and a third resident's interventions for fall prevention and dining were not implemented. Staff interviews confirmed the expectation to follow care plans, but these were not effectively executed.
The facility failed to ensure proper behavior monitoring and appropriate diagnoses for psychotropic drug use in four residents, leading to unnecessary medication regimens. Residents were prescribed antidepressants, antipsychotics, and antianxiety medications without adequate monitoring or specific diagnoses, contrary to facility policy. Interviews with staff confirmed these expectations were not met.
The facility failed to obtain necessary lab tests for two residents, leading to deficiencies in care. One resident did not receive a prealbumin and HgbA1c test as ordered, while another missed monthly CBC, BMP, HgbA1c, and TSH tests for three months. These oversights were due to staff failing to process lab orders and audit results, potentially delaying treatment.
The facility failed to maintain an effective infection control program, as evidenced by the lack of proper signage and PPE use for a resident on contact isolation due to CRE. Staff confusion and miscommunication led to inappropriate PPE usage, increasing the risk of infection spread. Additionally, the facility's laundry practices were inadequate, with linen carts in disrepair and improper storage of clean linens, further compromising infection control efforts.
The facility failed to respect residents' rights to privacy and dignity by not ensuring staff knocked on doors before entering. Two residents with dementia experienced this breach, with one resident's family member expressing concern over the lack of privacy. The CNA involved admitted to not consistently knocking, despite recent training. The administration emphasized the importance of knocking as a sign of respect.
A resident with COPD and severe cognitive impairment had their nasal cannula improperly stored multiple times, touching the floor or bed instead of being placed in a designated bag. Staff interviews confirmed the storage policy was not followed, posing an infection risk.
A resident with moderate cognitive impairment was found with Blue-emu cream and Thera Tears eye drops at her bedside without a physician's order or self-medication assessment. Facility staff acknowledged the lack of necessary assessments and orders, posing a potential risk of improper medication use or access by other residents.
Failure to Maintain Central Venous Line Leads to Infection
Penalty
Summary
The facility failed to maintain a central venous line site according to professional standards for a resident, leading to a missed dressing change. The resident, a male with a history of urinary tract infection, pneumonia, and a carrier of carbapenem-resistant Enterobacterales, was observed with a midline catheter dressing that had not been changed since the date of insertion. This oversight resulted in the resident developing a localized infection at the site, which was confirmed by a Nurse Practitioner. The resident's medical records did not show documentation of a central venous line dressing change or site assessment for several days. During observations, the dressing was noted to be dated from the time of hospital discharge, and the site was red and warm to the touch. The resident was subsequently sent to the hospital for the replacement of the midline catheter due to the infection. Interviews with facility staff revealed that the admitting nurse failed to input an order for dressing changes, which contributed to the oversight. The Director of Nursing and other staff acknowledged that the dressing should have been changed every seven days and documented accordingly. The lack of a physician's order for central venous line care and the failure to follow the facility's protocol for dressing changes were identified as key factors leading to the deficiency.
Food Safety Lapses in Facility 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 dispose of expired food items stored in the walk-in refrigerator, including a pan of pasta, a bowl of cornbread mix, a pan of cake, and two types of cheese. Additionally, a zippered bag containing a white creamy substance, identified as whipped cream, was found unlabeled and undated. Furthermore, a scoop was improperly left in a flour container, which is against the facility's food safety policy. Interviews with the Dietary Manager and the Administrator revealed that the facility's procedures were not followed, as the walk-in refrigerator was not checked for expired foods over the weekend. The Dietary Manager acknowledged the oversight and confirmed that expired foods should have been discarded, and all items should have been labeled with expiration dates. The Administrator also confirmed these expectations and recognized the risk of foodborne illness and cross-contamination due to these lapses in food safety practices.
Failure to Implement Comprehensive Care Plans
Penalty
Summary
The facility failed to develop and implement comprehensive person-centered care plans for three residents, which resulted in unmet individualized needs and potential risks to their well-being. Resident #7, a female with severe cognitive impairment and multiple health conditions, had care plan interventions for daily weights, fall mats, and a heel protector that were not implemented. Observations revealed that the resident was not weighed on numerous occasions, and the fall mats and heel protector were not properly utilized. Resident #15, also with severe cognitive impairment, had a care plan intervention for daily weights that was not followed. The weight log indicated multiple days when the resident was not weighed as ordered. Similarly, Resident #28, with severe cognitive impairment and a history of weight loss, had care plan interventions for fall mats and dining room meals that were not implemented. Observations confirmed the lack of adherence to these interventions. Interviews with facility staff, including an RN, the DON, and the ADM, highlighted the expectation that care plans should be followed by CNAs and nurses. The staff acknowledged that not implementing care plans could lead to resident harm, including falls, disease exacerbation, and weight fluctuation. The facility's policy emphasized the importance of developing and implementing comprehensive care plans to meet residents' needs, but these were not effectively executed for the residents in question.
Failure to Monitor Psychotropic Drug Use
Penalty
Summary
The facility failed to ensure that the drug regimens of several residents were free from unnecessary psychotropic drugs due to inadequate behavior monitoring and lack of appropriate diagnoses. Specifically, four residents were identified as not having orders for behavior monitoring for their psychotropic medications, which included antidepressants, antipsychotics, and antianxiety drugs. This lack of monitoring was noted despite the facility's policy requiring such documentation to support the continued use of these medications. Resident #7, a female with severe cognitive impairment, was taking two antidepressants daily without any recorded behavior monitoring. Similarly, Resident #15, who also had severe cognitive impairment, was on an antidepressant and two antipsychotic medications without behavior monitoring. Additionally, the antipsychotic medications prescribed to Resident #15 lacked a specific, appropriate diagnosis, as dementia was not considered a proper diagnosis for these medications. Resident #14, a male with Parkinson's disease, dementia, and depression, was taking both antipsychotic and antidepressant medications without an order for behavior monitoring. His Seroquel medication was prescribed for a mood disorder without a specific documented condition. Resident #27, a female with Parkinson's disease and dementia, was also taking antianxiety and antidepressant medications without behavior monitoring. Interviews with facility staff, including the ADON, DON, and Administrator, confirmed the expectation for behavior monitoring and specific diagnoses for psychotropic medication use, which were not met in these cases.
Failure to Obtain Necessary Lab Tests for Residents
Penalty
Summary
The facility failed to provide necessary laboratory services for two residents, leading to deficiencies in their care. Resident #7, a female with severe cognitive impairment, diabetes, and heart failure, did not receive a prealbumin and HgbA1c test as ordered by the wound care physician. The oversight was attributed to the wound care nurse, who failed to process the lab orders, although the resident's wound eventually healed without the tests. This lapse in obtaining the required lab tests could have delayed treatment and affected the resident's condition. Similarly, Resident #28, also with severe cognitive impairment, diabetes, and anemia, did not receive monthly lab tests, including CBC, BMP, HgbA1c, and TSH, for three consecutive months. The admitting nurse acknowledged the failure to create lab requisitions due to distractions and did not audit the labs as required. The absence of these tests could have resulted in untreated medical conditions. The facility's policy required staff to process test requisitions and ensure tests were conducted, but this was not followed, leading to the deficiency.
Inadequate Infection Control and Laundry Practices
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by several deficiencies observed during the survey. One significant issue involved Resident #18, who was supposed to be on contact isolation due to a diagnosis of carpenium-resistant enterobacterales (CRE). However, there was no signage on the door of Resident #18's room indicating the need for contact isolation. This lack of signage led to confusion among the staff, resulting in inappropriate use of personal protective equipment (PPE) by CNAs providing care to the resident. CNA H and CNA G both failed to wear the required gowns while assisting Resident #18, despite the resident's isolation status. Interviews with the staff revealed a lack of awareness and communication regarding the resident's isolation status. CNA H mentioned that she thought the isolation was over because there were no signs on the door, while CNA G admitted to not realizing the seriousness of the situation despite seeing the sign. The Director of Nursing (DON) and Assistant Director of Nursing (ADON) acknowledged the oversight in signage and PPE usage, with the ADON admitting to accidentally removing the contact isolation sign. This miscommunication and failure to adhere to infection control protocols could potentially lead to the spread of infection within the facility. Additionally, the facility's laundry practices were found to be inadequate. The linen carts used for transporting clean and dirty linens were in disrepair, with debris and dirt present, and some carts were not properly covered. The laundry aide and housekeeping supervisor were unaware of the carts' condition, and clean linens were improperly stored on the dirty side of the laundry room. These lapses in maintaining clean and sanitary conditions for linens further compromised the facility's infection control efforts, posing a risk of cross-contamination and infection to the residents.
Failure to Knock on Residents' Doors Violates Privacy and Dignity
Penalty
Summary
The facility failed to uphold the residents' rights to dignity and privacy by not ensuring that staff knocked on residents' doors before entering their rooms. This deficiency was observed in the cases of two residents, both of whom had significant medical conditions including dementia. Resident #7, a female with severe cognitive impairment, was observed to have her room entered twice by a CNA without knocking. Her family member confirmed witnessing this behavior multiple times and expressed concern that the resident, who was known to value privacy before her dementia diagnosis, would be upset by such actions. Similarly, Resident #182, a male with dementia and other health issues, experienced the same lack of privacy when a CNA entered his room without knocking. During an interaction, both the resident and his family member requested that the CNA knock before entering, highlighting the resident's awareness of his rights and his preference for being notified of someone's presence. The CNA acknowledged the importance of knocking and admitted to not consistently doing so, despite recent in-service training on the matter. The facility's administration and DON emphasized the importance of knocking as a sign of respect and a means to maintain a home-like environment for residents.
Improper Storage of Respiratory Equipment
Penalty
Summary
The facility failed to ensure proper storage of respiratory equipment for a resident with chronic obstructive pulmonary disease (COPD), high blood pressure, and anxiety. The resident, who had severe cognitive impairment, was observed multiple times with a nasal cannula improperly stored. On several occasions, the nasal cannula was found draped over the oxygen concentrator or the bed, touching the floor or the bed frame, instead of being stored in a designated bag when not in use. Interviews with staff, including a registered nurse (RN), the Assistant Director of Nursing (ADON), the Director of Nursing (DON), and the Administrator, confirmed that the nasal cannula should have been stored in a bag to prevent infection. The facility's policy on infection prevention for respiratory therapy equipment, dated November 2011, also indicated that oxygen cannulae and tubing should be kept in a plastic bag when not in use. The failure to adhere to these standards posed a risk of infection due to potential contamination from bacteria on the floor.
Failure to Secure Medications at Bedside
Penalty
Summary
The facility failed to ensure that all drugs and biologicals were stored in locked compartments as required by state and federal laws. Specifically, a resident was found to have Blue-emu cream and Thera Tears eye drops at her bedside without a physician's order or a self-medication administration assessment. The resident, who had moderate cognitive impairment, used these medications herself without assistance from the nursing staff. Observations over several days confirmed that the medications remained at the bedside, even when the resident was not present in the room. Interviews with facility staff, including a registered nurse, the Assistant Director of Nursing (ADON), the Director of Nursing (DON), and the Administrator, revealed that the facility's policy required a self-administration evaluation and a physician's order for residents to keep medications at their bedside. The staff acknowledged that the resident did not have the necessary assessments or orders, and there was a potential risk of improper medication use or access by other residents. The facility's policy on medication storage emphasized the need for safe and secure storage of all medications and biologicals.
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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 Texarkana
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Avir At Cowhorn Creek | 0.9 mi | — | 22 | 0 |
| Reunion Plaza Senior Care And Rehabilitation Cente | 1.8 mi | — | 24 | 2 |
| Avir At Texarkana | 2.5 mi | — | 7 | 3 |
| The Villa At Texarkana | 2.5 mi | — | 9 | 0 |
| Heritage Plaza Nursing Center | 2.7 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 August 2026) and official state health department websites.