Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around February 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 Hansford County Hospital District Dba Lakeridge Nu during CMS and state inspections, most recent first.
A CNA failed to change gloves and perform hand hygiene when moving from dirty to clean tasks during incontinence care for three male residents with incontinence and complex medical histories. Despite initial handwashing and glove use, the CNA did not follow infection control protocols as required by facility policy, a fact confirmed by interviews with the DON and Administrator.
A facility failed to report alleged abuse and neglect involving three residents to the appropriate authorities. The incidents included a resident being force-fed, another being transferred roughly, and a third receiving improper perineal care. Despite being reported by a student CNA, the facility's administration did not report these allegations to the Health and Human Services Commission (HHSC) as required by their abuse policy.
The facility's call light system was found to be malfunctioning, affecting 15 residents, including those with diabetes and COPD. The system failed to alert staff at the nurse's station, leading to delayed assistance. Staff interviews confirmed the issue persisted for months, with maintenance requests unaddressed, compromising resident safety.
The facility failed to provide a private space for Resident Council meetings, affecting 13 residents. Meetings were held in a communal area with frequent interruptions, compromising privacy. Despite the Activity Director raising concerns with the Administrator, no changes were made to ensure privacy, violating the facility's policy.
The facility failed to maintain a safe environment, with several rooms having protruding electrical outlets, one with exposed wires. A resident with severe cognitive impairment was at risk due to these hazards. Staff were unaware of the issues, and no maintenance orders were recorded. The absence of the Maintenance Supervisor and insufficient rounds by the Administrator contributed to the oversight, leading to an Immediate Jeopardy finding.
A facility failed to provide proper respiratory care for three residents requiring oxygen therapy, as their oxygen tubing was found on the floor or improperly stored, contrary to facility policy. The residents, who had various medical conditions, were observed without storage bags for their oxygen tubing, leading to potential contamination risks. Staff interviews confirmed the policy requirement for storing tubing in plastic bags, but the facility administration was unaware of the issue, indicating a lapse in policy adherence and staff training.
The facility failed to provide palatable and appetizing food across three food forms during a lunch meal. Residents reported the food as bland and unappealing, with issues noted in the Spanish rice and beans. The Dietary Manager acknowledged the lack of seasoning and was unaware of resident complaints, while the ADM recognized the risk of weight loss if food was not appealing.
The facility was found to have deficiencies in food storage and kitchen sanitation, including unclean refrigerator handles, improperly stored cupcake pans, and unsealed food items. The Dietary Manager and a Dietary Aide acknowledged these issues, which were not in line with the facility's policies on maintaining clean and sanitary conditions.
The facility failed to ensure safe storage of residents' food in personal refrigerators, lacking temperature logs and thermometers, with undated perishable items observed. Interviews revealed a lack of clarity on monitoring responsibilities, posing potential health risks to residents.
A resident with intact cognition requested a copy of a grievance they filed, but the facility failed to provide it, contrary to their policy. The Social Worker and Administrator were unaware of the policy requirement, leading to a violation of the resident's rights.
The facility failed to properly store medications, resulting in loose pills found in two medication carts. Observations revealed loose pills in carts at Stations 1 and 2, which were subsequently destroyed. Staff interviews indicated that carts should be checked daily, but the deficiency was due to inconsistent adherence to this policy.
A facility failed to maintain proper infection control practices during wound care for two residents. An LVN did not perform hand hygiene between glove changes or after completing wound care, contrary to facility policy. The residents involved had multiple health conditions and were at risk for pressure ulcers. Interviews with the ADM and DON revealed they were unaware of these lapses, despite the facility's policy emphasizing hand hygiene to prevent infections.
The facility failed to maintain an effective pest control program, resulting in a roach infestation in a resident room on the East Hall corridor. Observations revealed roaches in the room, with gaps in cabinetry providing harborage. Residents reported seeing roaches in various areas, and the Maintenance Supervisor acknowledged the issue, citing food and poor cleaning as contributing factors. Despite multiple treatments, the roach problem persisted, indicating a deficiency in the facility's pest control efforts.
Failure to Change Gloves and Perform Hand Hygiene During Incontinence Care
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by the actions of CNA A during incontinence care for three residents. Observations revealed that CNA A did not change gloves or perform hand hygiene when transitioning from dirty to clean tasks during incontinence care procedures. This practice was observed during care for three male residents, all of whom had a history of bladder and/or bowel incontinence and various medical conditions, including cerebral palsy, schizoaffective disorder, atherosclerotic heart disease, dysphagia, aphasia, and anemia. During the observed care episodes, CNA A and CNA B initially washed their hands and donned clean gloves before starting incontinence care. However, CNA A proceeded to remove soiled briefs, cleanse the residents' groin and buttocks, and then immediately placed clean briefs and assisted with clothing adjustments without changing gloves or performing hand hygiene between dirty and clean tasks. This sequence was repeated for all three residents, despite the facility's infection control policy requiring glove changes and hand hygiene when moving from dirty to clean procedures. Interviews with CNA A, the DON, and the Administrator confirmed that CNA A had received training on proper glove use and hand hygiene but failed to follow protocol during the observed care. Both the DON and Administrator acknowledged the expectation for staff to change gloves and perform hand hygiene as per facility policy. The facility's infection control policy, last revised in October 2018, was reviewed and found to require these practices to prevent the transmission of infections.
Failure to Report Alleged Abuse and Neglect
Penalty
Summary
The facility failed to report alleged violations involving abuse, neglect, exploitation, or mistreatment, including injuries of unknown source and misappropriation of resident property, to the appropriate authorities within the required timeframe. Specifically, the allegations involved three residents who were reportedly mistreated by staff members. The allegations included a resident being fed forcibly, another being transferred roughly, and a third receiving improper perineal care. These incidents were reported by a student CNA, but the facility's administration did not report them to the Health and Human Services Commission (HHSC) as required by their abuse policy. Resident #1, a severely cognitively impaired female with dementia and anxiety, was allegedly force-fed by a CNA, causing her to choke. Despite the resident's inability to communicate effectively due to her condition, the incident was not documented in her progress notes, and no report was made to HHSC. Similarly, Resident #2, also severely cognitively impaired, was reportedly transferred roughly by a CNA, but this was not documented or reported. Resident #3, who required substantial assistance with toileting hygiene, was allegedly changed improperly, leading to discomfort and potential harm, yet this incident was also not reported to the authorities. Interviews with facility staff revealed a lack of clarity and communication regarding the reporting of these incidents. The ADM and DON were aware of the allegations but did not perceive them as abuse, leading to a failure to report to HHSC. The ADON and other staff members were trained on the facility's abuse policy, which mandates immediate reporting of such allegations, but the incidents were instead treated as grievances. This misinterpretation and failure to follow protocol could place residents at risk for continued abuse and neglect.
Deficient Call Light System in Facility
Penalty
Summary
The facility failed to maintain a fully functioning call light system for 15 of 74 residents, which is essential for residents to call for staff assistance. Observations and interviews revealed that the call lights in several rooms were either not working, not triggering a sound at the nurse's station, or triggering lights in incorrect rooms. This malfunctioning system was reported to have been an issue for approximately 4 to 6 months, with maintenance requests submitted but not resolved. Residents with significant medical conditions, such as diabetes, COPD, and cognitive impairments, were affected by this deficiency. For instance, a resident with diabetes reported that the call light system's unreliability left them without assistance during a critical drop in blood sugar levels. Another resident expressed concerns about being left unattended and without necessary assistance, which could exacerbate their medical conditions. Staff interviews confirmed the ongoing issues with the call light system, with some staff members indicating that they had to rely on frequent rounds to ensure residents' needs were met. The facility's policy requires that call systems be functional at all times and that calls for assistance be answered promptly, but these standards were not met, leading to potential risks for resident safety and well-being.
Lack of Privacy for Resident Council Meetings
Penalty
Summary
The facility failed to provide a private space for the monthly Resident Council meetings, affecting 13 residents who attended these meetings. The meetings were held in the front lobby, a communal area with frequent interruptions from staff and visitors, which compromised the privacy of the discussions. Despite a sign indicating that a meeting was in progress, staff and visitors continued to enter and exit the area, leading to concerns among residents about the lack of privacy and potential staff retaliation. The Activity Director, responsible for organizing the meetings, acknowledged the issue and had raised concerns with the Administrator, who suggested using the physical therapy room for privacy. However, this change was not implemented. The facility's policy, revised in February 2021, states that the Resident Council should be provided with space, privacy, and support to conduct meetings, which was not adhered to in this instance.
Facility Fails to Address Electrical Hazards in Resident Rooms
Penalty
Summary
The facility failed to ensure that the environment was free from accident hazards, specifically concerning electrical outlets in resident rooms. Observations revealed that several rooms had electrical outlets protruding from the walls, with one room having exposed wires. This posed a significant risk to residents, particularly those with cognitive impairments or mobility issues. For instance, a resident with severe cognitive impairment and the ability to self-ambulate in a wheelchair was residing in a room with an electrical outlet hanging from the wall, exposing wires. Interviews with staff indicated a lack of awareness and communication regarding the maintenance issues. A Licensed Vocational Nurse (LVN) was unaware of the protruding outlets, and there were no work orders recorded for the necessary repairs in the maintenance log. Residents expressed concerns about the safety of using these outlets, but staff reassured them without addressing the underlying hazard. The Maintenance Supervisor was absent due to illness, and the Administrator admitted to not conducting sufficient rounds to identify and address these hazards. The deficiency was identified as an Immediate Jeopardy, indicating a severe risk to resident safety. The facility's failure to maintain a safe environment could lead to serious injury, including electrocution or fire. The Administrator acknowledged the oversight and the potential for harm, noting that residents often bumped into the outlets, which could have contributed to the damage. The facility's inaction and lack of proper maintenance protocols directly led to the hazardous conditions observed.
Removal Plan
- Room [ROOM NUMBER] hazard identified prompted immediate removal of residents and closure of room until electrician arrived. Electrician provided fix under the direction of corporate maintenance director.
- All outlets in the facility will be reviewed by the administrator under the direction of the corporate maintenance director. Any negative findings will be documented on the facility map with location identified with immediate correction for removal of hazard.
- RNC completed an in-service with the Administrator regarding accident and incident prevention policy and procedure with focus on hazards.
- RNC completed an in-service with all staff regarding policy and procedure for Accidents and Incidents. Any oncoming shifts will be in-serviced prior to the start of resident assignment until completion.
- An audit of the last 90 days entry log for the maintenance book was initiated by the administrator. Any identified issues will be notated for completion by the facility designee under the direction of the corporate maintenance director.
Improper Storage of Oxygen Tubing in LTC Facility
Penalty
Summary
The facility failed to provide safe and appropriate respiratory care for three residents who required oxygen therapy, as observed during a survey. The deficiency was identified through observations, interviews, and record reviews, which revealed that the facility did not adhere to its policy for the proper storage of oxygen tubing. Specifically, the oxygen tubing for the residents was found on the floor or improperly stored, which could lead to contamination and infection. The residents involved had various medical conditions, including Chronic Obstructive Pulmonary Disease, heart disease, and diabetes, and required oxygen therapy as part of their treatment. Resident #50, a cognitively intact female, was observed with her oxygen tubing on the floor, and she reported that staff usually changed the tubing but did not provide a storage bag. Similarly, Resident #68, who had moderate cognitive impairment, was found with his oxygen tubing on the floor, and he was unaware of where to store it. Resident #35, also cognitively intact, had his oxygen tubing from a portable tank on the floor and stated that staff did not always provide a storage bag. These observations were consistent across multiple days, indicating a systemic issue with the facility's adherence to its policy. Interviews with staff, including a Licensed Vocational Nurse (LVN) and a Certified Nursing Assistant (CNA), confirmed that oxygen tubing should be stored in plastic bags when not in use to prevent contamination. However, they acknowledged that bags were not consistently available in resident rooms. The facility's administration, including the Administrator (ADM) and Director of Nursing (DON), were unaware of the issue and reiterated the policy that oxygen tubing should be stored properly to prevent infection. The facility's policy, revised in 2011, clearly stated that oxygen cannulae and tubing should be kept in a plastic bag when not in use, highlighting a failure in policy implementation and staff training.
Deficiency in Food Palatability and Temperature
Penalty
Summary
The facility failed to provide food that was palatable and at a safe, appetizing temperature for three different food forms (Regular, Mechanical Soft, and Pureed) during a lunch meal observation. During confidential interviews, five out of fourteen residents expressed concerns about the palatability of the food, stating it did not taste good, was bland, and lacked flavor. One resident questioned the cooking skills of the staff, while another described the food as very bland. A test tray evaluation revealed that the Spanish rice was bland and lacked taste, and the beans were thick and dry across all food forms. The Dietary Manager (DM) acknowledged the issues with the Spanish rice and beans, noting that the rice was pre-seasoned and cooked without additional seasoning, and the beans were prepared by simply adding water. The DM stated that she was unaware of any resident complaints and mentioned that salt and pepper packets were provided for additional seasoning. The Assistant Dietary Manager (ADM) indicated that the dietary staff were responsible for food palatability and acknowledged the risk of weight loss if residents did not find the food appetizing. The facility's policy emphasized the importance of nutrition and providing a menu that meets residents' preferences, but the observed deficiencies suggest a failure to adhere to this policy.
Deficiencies in Food Storage and Kitchen Sanitation
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as observed during a kitchen tour. The deficiencies included unclean refrigerator handles with dry, sticky substances, improper storage of a cupcake pan, and improperly sealed food items in the pantry and refrigerator. Specifically, a bag of enriched farina hot cereal was not fully sealed, and a bag of shredded lettuce was also found not fully sealed in the refrigerator. These observations were confirmed through interviews with the Dietary Manager (DM) and a Dietary Aide, who acknowledged the improper storage and cleanliness issues. The DM admitted to not knowing why the refrigerator handles were unclean and confirmed that the refrigerators are cleaned weekly. The DM also acknowledged that food should be stored fully sealed and that the cupcake pan should be stored upside down. The Dietary Aide confirmed that all foods should be stored fully sealed to prevent cross-contamination. The facility's policies on food storage and kitchen sanitation, which were reviewed, emphasize maintaining clean and sanitary conditions, but the observed practices did not align with these guidelines.
Failure to Monitor Personal Refrigerator Temperatures
Penalty
Summary
The facility failed to maintain and ensure safe and sanitary storage of residents' food items in four personal refrigerators. Observations revealed that none of the refrigerators had up-to-date temperature logs or thermometers inside, and they contained undated perishable food items. Specific items noted included creamy spinach dip, cheese, iced tea, potato salad, pimiento cheese, soda, cranberry juice, Jello, pickles, and a partially eaten burrito. These deficiencies were observed across multiple rooms, indicating a systemic issue with monitoring and maintaining food safety standards. Interviews with the Administrator (ADM) and Director of Nursing (DON) revealed a lack of awareness and clarity regarding the responsibility for monitoring personal refrigerator temperatures. The ADM stated that the maintenance supervisor, who was no longer employed, was previously responsible for this task. The DON was unsure of the policy and assumed it was housekeeping's responsibility. Both acknowledged the potential health risks to residents from improper temperature monitoring, such as foodborne illnesses and bacterial infections. The facility's policy required that refrigerators have working thermometers, temperatures be monitored, and food items be properly dated and stored, which was not adhered to in this case.
Failure to Provide Grievance Copy to Resident
Penalty
Summary
The facility failed to honor a resident's right to receive a copy of a grievance they filed, as outlined in the facility's grievance policy. Resident #51, who has an intact cognitive status with a BIMS score of thirteen, requested a copy of their grievance from the Social Worker. The Social Worker, after consulting with the Administrator, informed the resident that they would not receive a copy. This decision was contrary to the facility's policy, which mandates that a written summary of the grievance report be provided to the resident. Interviews with the Social Worker and the Administrator revealed a lack of awareness and adherence to the facility's grievance policy. The Social Worker was initially unsure of the policy details, and the Administrator admitted to not realizing the requirement to provide a copy of the grievance to the resident. Both acknowledged that not providing a copy could negatively impact the resident's perception of their grievances being addressed, thus impeding on resident rights. The facility's policy clearly states that a written summary of the grievance findings should be provided to the resident, which was not done in this case.
Improper Storage of Medications in Facility
Penalty
Summary
The facility failed to ensure proper storage of drugs and biologicals in two medication carts, leading to the presence of loose pills. During an observation of the medication cart at Station 1, three loose pills were found, identified as Carbidopa/Levodopa, Carbamazepine, and Xarelto. Similarly, the medication cart at Station 2 contained five loose pills, identified as Levothyroxine, Ondansetron HCl, Gabapentin, and Eliquis. The loose medications were destroyed by the staff, and it was noted that the presence of loose pills could result in residents missing their prescribed doses. Interviews with the medication aides and nursing administration revealed that the carts were supposed to be checked daily for loose or expired medications, and monthly audits were conducted by a pharmacy consultant. However, the staff was unaware of the loose medications until the survey. The facility's policy required that all drugs and biologicals be stored in their original packaging and that the nursing staff maintain medication storage areas in a clean and safe manner. The deficiency was attributed to a lack of adherence to these policies, as the staff did not consistently check the carts for loose medications before their shifts.
Infection Control Lapse During Wound Care
Penalty
Summary
The facility failed to maintain an effective infection control program, as evidenced by the actions of LVN A during wound care procedures for two residents. LVN A did not perform hand hygiene between glove changes while providing wound care to a resident's right lower leg and another resident's left heel. Additionally, LVN A did not sanitize her hands after completing the wound care for the first resident. These actions were observed during wound care sessions and were confirmed by LVN A during an interview. The first resident, a male with multiple diagnoses including senile degeneration of the brain, dysphagia, and chronic obstructive pulmonary disease, was receiving daily wound care for a right lower leg wound. The second resident, a female with multiple sclerosis and other conditions, was receiving daily wound care for a left heel wound. Both residents were at risk for developing pressure ulcers, as indicated in their comprehensive care plans. Despite the facility's policy requiring hand hygiene before and after glove changes and after touching a resident, LVN A failed to adhere to these protocols. Interviews with the ADM and DON revealed that they were unaware of the lapses in hand hygiene by LVN A. Both acknowledged the facility's policy on hand hygiene and the importance of following it to prevent infection and cross-contamination. The facility's policy, revised in October 2023, emphasizes hand hygiene as the primary means to prevent healthcare-associated infections, specifying that hand hygiene should be performed immediately before and after resident contact, between glove changes, and after glove removal.
Ineffective Pest Control Program Leads to Roach Infestation
Penalty
Summary
The facility failed to maintain an effective pest control program, resulting in the presence of roaches in one of the resident rooms on the East Hall corridor. Observations revealed roaches crawling on the walls and floor, with gaps in the hand sink cabinetry and adjacent wall area providing harborage for pests. The room was cluttered, with extra mattresses stacked on a vacant bed, and the area was dark, which may have contributed to the pest issue. Interviews with residents indicated that roach activity had been observed in various areas of the facility, including bathrooms, closets, and bed areas. The Maintenance Supervisor acknowledged the pest problem, stating that the facility had been sprayed twice in the last month, but roaches continued to be an issue. He noted that food and poor cleaning practices could have contributed to the increase in roach activity. The Maintenance Supervisor also mentioned that he relied on staff reports and his own observations to monitor pest activity, checking for roaches about once a week. Despite these efforts, the roach problem persisted, particularly in the East corridor. The facility's pest control records showed multiple treatments for various types of roaches and other pests over several months. However, the treatments appeared to be insufficient in controlling the roach population, as evidenced by the ongoing observations of live roaches. The facility's policy on pest control, which emphasized maintaining a pest-free environment, was not effectively implemented, leading to the deficiency noted in the report.
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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 Lubbock
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Avir At Lubbock | 1.8 mi | — | 9 | 0 |
| Crown Point Health Suites | 2.3 mi | — | 7 | 0 |
| Avir At Heritage Oaks | 2.7 mi | — | 16 | 0 |
| Mesquite Post Acute Care | 3 mi | — | 1 | 0 |
| Mi Casita Nursing And Rehabilitation Center | 3.1 mi | — | 15 | 0 |
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