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 Hereford Nursing & Rehabilitation during CMS and state inspections, most recent first.
The facility failed to properly store, label, and date food items in the kitchen, as observed in the pantry and freezer. Open and unlabeled graham cracker pie crusts and imitation vanilla were found in the pantry, while hamburger patties in the freezer were open to air with freezer burn. Interviews with staff revealed that all employees were responsible for labeling and disposing of expired foods, but these practices were not followed, posing potential health risks to residents.
The facility failed to maintain an effective infection prevention and control program, as staff members did not wear PPE gowns during high-contact care activities for two residents. This included administering medications and performing catheter, incontinent, and wound care. Staff interviews revealed a lack of awareness and training on Enhanced Barrier Precautions (EBP), contributing to the deficiency.
A resident with severe cognitive impairment and multiple health issues was found with her call light out of reach, contrary to her care plan and facility protocol. Staff interviews confirmed the oversight, acknowledging the importance of call light accessibility to prevent negative outcomes such as falls.
A facility failed to conduct a safety assessment and obtain informed consent before installing a bed rail for a resident with severe cognitive impairment and limited mobility. The resident was observed with a one-third bed rail without proper documentation, and staff interviews revealed a lack of awareness regarding the bed rail's size and necessary procedures. This oversight could risk resident safety and hinder daily activities.
The facility failed to store and label medications properly, with expired medication found in the medication room and loose pills in a medication cart. An LVN was unsure why expired medication was present, and the DON acknowledged the risk of missed doses. Facility policies on medication storage and labeling were not followed.
Deficiencies in Food Storage and Labeling
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, specifically in the storage, labeling, and dating of food items in the kitchen. During an observation of the walk-in pantry, it was noted that there were four graham cracker pie crusts in a package that were not sealed and open to air, with no date or label. Additionally, an open gallon of Big Chief Imitation Vanilla Flavor was found with an expiration date but no open date. In the freezer, a box of hamburger patties was observed to be open to air with no open date, and a small amount of freezer burn was noted on the top patties. Interviews with the Dietary Coordinator (DC) and Dietary Supervisor (DS) revealed that all employees were responsible for disposing of expired foods and ensuring that foods were labeled and sealed. The DC acknowledged that failing to dispose of expired items could result in residents getting sick. The DS confirmed that not sealing or labeling foods properly could lead to freezer burn and potential health risks for residents. The facility's policies on labeling, dating, and storing food were reviewed, indicating that opened food items must be dated and stored in closed containers, but these policies were not followed, leading to the observed deficiencies.
Inadequate Infection Control Practices Observed
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by the actions of four staff members and the care of two residents. LVN E did not wear a PPE gown while administering medications via PEG-tube to a resident and during Foley catheter care, incontinent care, and wound care for another resident with a Stage 3 pressure ulcer. Similarly, CNA G and CNA H assisted in these procedures without donning PPE gowns. LVN D also failed to wear a PPE gown while administering liquid feeding via PEG-tube to a resident. These practices were observed without the presence of PPE gowns in the residents' rooms or nearby hallways. The residents involved included a 48-year-old female with cerebral palsy, requiring total assistance with ADLs, and a 61-year-old male with a Stage 3 pressure ulcer and obstructive uropathy, requiring an indwelling Foley catheter. The care plans for these residents indicated the need for enhanced barrier precautions, which were not followed by the staff. Interviews with the staff, including LVNs and CNAs, revealed a lack of awareness and training regarding Enhanced Barrier Precautions (EBP) and the importance of PPE gown usage during high-contact care activities. The facility's policies and procedures, including those for infection control, catheter care, and medication administration, were not adhered to by the staff. The Director of Nursing (DON) and other staff members were unaware of the EBP policy, and there was no evidence of recent in-service training on this topic. The administrator acknowledged the existence of the EBP policy but noted that the current DON, who started in April 2024, might not have been informed about it. This lack of training and awareness among staff members contributed to the deficiency in infection control practices.
Failure to Ensure Call Light Accessibility for Resident
Penalty
Summary
The facility failed to ensure that Resident #4 had reasonable accommodation for her needs and preferences, specifically regarding the accessibility of her call light. Resident #4, a female with severe cognitive impairment and multiple diagnoses including parkinsonism, dementia, and a history of falling, was observed sitting in her recliner with her call light out of reach. The call light, which was supposed to be within easy reach as per her care plan, was found on the floor and on her bed, both inaccessible to her. This oversight was noted during an observation and interview, where Resident #4 expressed a need to use the bathroom but was unable to reach the call light to request assistance. Interviews with facility staff, including a CNA, LVN, ADON, and DON, confirmed that it was protocol for call lights to be within reach of residents to prevent potential negative outcomes such as falls. The staff acknowledged the failure to adhere to this protocol, which was also outlined in the facility's policy on call light use. The policy emphasized the importance of ensuring call lights are accessible to residents and that staff should be aware of their placement at all times. Despite this policy, the call light was not positioned conveniently for Resident #4, leading to the deficiency noted by the surveyors.
Failure to Follow Bed Rail Assessment and Consent Procedures
Penalty
Summary
The facility failed to follow proper procedures before installing a bed rail for Resident #13, who was observed with a one-third bed rail on the right side of her bed without documentation of consent or a safety assessment. Resident #13, a female with severe cognitive impairment and limited physical mobility, required a two-person assist for transfers. Despite the physician's standing orders indicating that side rails should be used when necessary, there was no documentation of a bed rail safety assessment for the one-third size bed rails, nor was there a signed consent for their use. Interviews with facility staff revealed a lack of awareness regarding the size of the bed rails on Resident #13's bed and the necessary procedures for their use. LVN A acknowledged the requirement for assessments and consents but was unaware of the bed rail's removal, which was directed by the ADON following a family request. The facility's policy mandates an assessment and consent prior to bed rail installation, which was not adhered to in this case, potentially placing residents at risk of injury or hindering their ability to engage in daily activities.
Medication Storage and Labeling Deficiencies
Penalty
Summary
The facility failed to ensure that drugs and biologicals were stored and labeled according to currently accepted professional principles. During an observation and interview, it was found that a medication for a resident had expired in June 2023 but was still present in the medication room. The Licensed Vocational Nurse (LVN) was unsure why the expired medication was still there and could not specify any negative outcomes from having expired medication in the room. Additionally, loose pills were discovered in the bottom of the medication cart drawers on Hall 200, and the Medication Aide (MA) was unable to identify these medications. The Director of Nursing (DON) was asked about the potential negative outcomes of having loose medications in the cart and mentioned the possibility of a missed dose. The facility's policies, which were reviewed, stated that drugs should be stored in their original packaging and that discontinued or outdated drugs should not be used. These policies also outlined that medications should be properly labeled and that expired or discontinued medications should be submitted to the DON for destruction. Despite these policies, the facility did not adhere to them, leading to the deficiencies observed.
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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 Hereford
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Castro County Nursing & Rehabilitation | 20.3 mi | — | 2 | 0 |
| Country View Living | 20.6 mi | — | 4 | 0 |
| Prairie Acres | 21.2 mi | — | 0 | 0 |
| Hillside Heights Rehabilitation Suites | 35 mi | — | 3 | 0 |
| Five Points Nursing And Rehabilitation | 37.6 mi | — | 2 | 1 |
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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.