Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 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 Hallettsville Nursing And Rehabilitation during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and no designated POA or guardianship was denied the ability to discharge with a family member of his choice, despite expressing this wish. Facility staff instead followed the preferences of another family member without legal authority, citing unsubstantiated allegations and concerns, and barred the chosen family member from contact. The facility did not follow its own discharge policies or respect the resident's right to self-determination.
A LTC facility failed to maintain an effective infection prevention and control program, with staff not following proper hand hygiene and barrier precautions. A CNA did not sanitize her hands after coughing and wiping her nose while feeding a resident. Another CNA did not change gloves during incontinent care, risking cross-contamination. An LVN failed to wear a gown for a resident with a G-tube, and another LVN did not sanitize hands between medication administrations.
The facility failed to maintain a safe and functional kitchen environment, with multiple fluorescent lights lacking covers and several bulbs not operating in the main kitchen and dish machine room. Additionally, a panel light and a refrigerator light strip were not functioning, and the employee bathroom light was out. Interviews revealed that no work order was submitted for repairs, contrary to the facility's safety guidelines.
The facility failed to maintain a safe environment in the 100 hall, where an unlocked shower room contained an accessible disinfectant labeled 'Danger, Keep Out of Reach of Children.' This was confirmed by an LVN and the Administrator, violating the facility's housekeeping policies.
A resident with paraplegia and high fall risk was injured during a transfer when a CNA failed to use a gait belt, contrary to facility protocol. The resident was being transferred using a sliding board when they pushed against the wheelchair, causing it to move. The CNA attempted to prevent a forward fall by turning the resident, resulting in the resident's legs becoming tangled and leading to fractures. Interviews confirmed the CNA was trained to use a gait belt, which was not utilized during the incident.
Failure to Honor Resident's Discharge Rights and Follow Policy
Penalty
Summary
The facility failed to honor a resident's right to self-determination and to follow its own policies regarding discharge and decision-making when no power of attorney (POA) or guardianship was in place. The resident, an elderly male with severe cognitive impairment and multiple diagnoses including dementia and major depressive disorder, was his own responsible party with no legal documentation granting decision-making authority to any family member. Despite this, the facility did not allow the resident to discharge with a family member (FM A) as he wished, and instead followed the wishes of another family member (FM B) who had no legal authority. On the day of the incident, FM A arrived at the facility to facilitate the resident's discharge, which the resident verbally supported. Facility staff, including the interim administrator and DON, denied the discharge, citing concerns about FM A's behavior and vehicle condition, as well as unsubstantiated allegations of past mistreatment presented by FM B. The facility then barred FM A from the property and from having contact with the resident, despite the lack of any substantiated evidence or legal documentation restricting her involvement. The resident expressed a desire to leave with FM A and reported no safety concerns about living with her. Interviews with facility staff, the ombudsman, and both family members confirmed that there was no active POA or guardianship, and that the facility's actions were based on unsubstantiated allegations and the preferences of FM B rather than the resident's expressed wishes or established policy. The facility's own discharge policy required informing the resident and family of risks, notifying the physician, and documenting the process, none of which were followed in this case. The failure to adhere to policy and to respect the resident's rights resulted in the resident being denied the ability to discharge as he wished.
Infection Control Deficiencies in LTC Facility
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by several observed deficiencies involving staff members and residents. One incident involved a Certified Nursing Assistant (CNA) who did not sanitize her hands after blowing her nose, wiping her nose with her finger, and coughing into her hand while feeding a resident. This resident, who had severe cognitive impairment and required assistance with eating, was at risk of infection due to the CNA's failure to follow proper hand hygiene protocols. Another deficiency was observed during the provision of incontinent care to a resident with moderate cognitive impairment and total dependence in bed mobility and toileting. The CNA providing care did not change gloves or sanitize his hands when transitioning from cleaning the resident's peri area to repositioning him and changing his brief. This oversight could lead to cross-contamination and the spread of infection among residents. Additionally, a Licensed Vocational Nurse (LVN) failed to adhere to Enhanced Barrier Precautions (EBP) by not wearing a gown while administering medications via a gastrostomy tube to a resident. The LVN did not notice the EBP sign and was unaware that a gown was required for residents with feeding tubes. Furthermore, another LVN did not sanitize his hands between administering medications to different residents and after picking up dropped pills from the floor, which could result in the spread of germs.
Deficient Lighting and Safety in Kitchen Area
Penalty
Summary
The facility failed to maintain a safe, functional, sanitary, and comfortable environment in the kitchen area, as observed during a survey. Specifically, the main kitchen and dish machine room had multiple double fluorescent lights without lid covers, and several light bulbs were not operating. Additionally, a panel light in the main kitchen area and the light strip inside the refrigerator in the kitchen storage room were not functioning properly. The overhead ceiling light in the employee bathroom was also not operating. These deficiencies were identified during a kitchen tour with the Dietary Manager. Interviews with the Dietary Manager and the Administrator revealed that the lack of functioning light bulbs and covers in the kitchen could compromise the safety of kitchen operations. The Dietary Manager admitted to not having completed a work order request for the necessary repairs. A review of the facility's General Kitchen Safety Guidelines policy indicated that the facility is required to keep all equipment in working order and report any malfunctions to the Maintenance Department. However, this procedure was not followed, leading to the identified deficiencies.
Unlocked Shower Room with Hazardous Disinfectant
Penalty
Summary
The facility failed to ensure the resident environment was free from accident hazards and provided adequate supervision to prevent accidents in the 100 hall. During an observation, it was found that the shower room on this hall was unlocked, and a supply cabinet within the room was also unlocked with both doors open. Inside the cabinet, a 16-ounce spray bottle of disinfectant labeled 'Danger, Keep Out of Reach of Children' was accessible. This situation was confirmed by LVN A, who acknowledged that the disinfectant should not have been accessible to residents. The Administrator also confirmed that the disinfectant cleaner should not be accessible to residents, as per the facility's General Housekeeping Policies, which require maintaining a safe environment.
Failure to Use Gait Belt During Transfer Results in Resident Injury
Penalty
Summary
The facility failed to ensure adequate supervision and use of assistance devices during a transfer for a resident, leading to an accident. The resident, who had a history of paraplegia and was categorized as a high fall risk, required substantial assistance with transfers. During a sliding board transfer, a CNA did not use a gait belt, which was against the facility's protocol. The resident was improperly lowered to the ground, resulting in fractures to the proximal tibia and fibula. The incident occurred when the CNA was assisting the resident with a sliding board transfer from the bed to a wheelchair. The CNA reported that the resident became anxious and pushed against the wheelchair, causing it to move. In an attempt to prevent the resident from falling forward, the CNA turned the resident's upper torso, which led to the resident's legs becoming tangled under the wheelchair. This action potentially contributed to the fractures sustained by the resident. Interviews with facility staff, including the PT and DON, confirmed that the CNA was trained to use a gait belt during transfers and that the facility required its use. The PT indicated that the resident was capable of performing a sliding board transfer with one-person assistance. The DON emphasized that the proper procedure for lowering a resident to the ground involves using a gait belt and following the direction of the fall, which was not adhered to in this case.
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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 Hallettsville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Stevens Nursing And Rehabilitation Center Of Halle | 0.7 mi | — | 0 | 0 |
| Shiner Nursing And Rehabilitation Center Inc | 13 mi | — | 13 | 0 |
| Yoakum Nursing And Rehabilitation Center | 13.8 mi | — | 2 | 0 |
| Shady Oak Nursing And Rehabilitation | 14.9 mi | — | 0 | 0 |
| Paradigm At Stevens | 15.7 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.