Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens 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 Homeplace Manor Healthcare Center during CMS and state inspections, most recent first.
A resident with documented generalized anxiety disorder, panic disorder, PTSD, and depression was admitted with intact cognition and active mental health diagnoses noted in the physician progress notes and MDS. However, the PASRR Level I screening completed by the referring entity indicated no mental illness, resulting in a negative screen despite state guidance listing PTSD and severe anxiety disorder as qualifying MI diagnoses. The resident reported having these conditions and not receiving mental health services, while the MDS Coordinator and Administrator later acknowledged that the PASRR should have been positive and that the MDS Coordinator was responsible for ensuring PASRR accuracy in accordance with Texas PASRR policy.
A resident with intact cognition and diagnoses of PTSD, depression, anxiety, and panic disorder had a care plan and physician orders indicating the need for psychiatric evaluation and treatment, along with behavior and psychoactive medication monitoring. Despite this, the resident did not receive psychiatrist services; a counselor who had been visiting stopped coming and could not adjust medications, and the resident reported repeatedly requesting psychiatric care from the Social Worker and Administrator without action. The resident ultimately scheduled her own psychiatric appointment, and an LVN documented that the Administrator instructed staff to tell the resident she could not make her own appointments and must coordinate with nursing. The physician stated he had been recommending mental health services, while the Social Worker and Administrator acknowledged gaps in counseling and psychiatric services and could not provide documentation of any refusal of on-site psychiatric NP services, contrary to the facility’s behavioral health services policy.
The facility failed to follow the posted menu for a lunch meal, serving different items without notifying residents or obtaining dietician approval. A resident with dietary restrictions expressed dissatisfaction with the food quality and lack of menu communication. The dietary manager admitted the menu change was due to a delay in grocery delivery, and the administrator confirmed the dietician was not consulted.
The facility failed to maintain food safety and hygiene standards in its kitchen. Observations revealed improper storage and labeling of food items, and temperature logs for the freezer and refrigerators were not up-to-date. Additionally, a dietary staff member was not wearing a hair net due to a shortage, posing a risk of food contamination.
The facility failed to ensure that 7 out of 19 employees received mandatory effective communication training, risking resident miscommunication and social isolation. Staff interviews revealed confusion over training documentation responsibilities, exacerbated by a transition to electronic records and leadership changes.
The facility failed to provide timely training on resident rights to five staff members, including a DM, an LVN, and housekeeping staff. Record reviews showed no documentation of such training in their files, despite their employment dates ranging from August 2022 to September 2023. Interviews revealed issues with tracking and documentation due to a transition to electronic records and leadership changes.
The facility failed to provide adequate training on abuse, neglect, exploitation, and dementia care to two employees, DM and HSKP F, as revealed by missing documentation. Interviews indicated confusion over training responsibilities and a transition to electronic records, potentially placing residents at risk.
The facility failed to document infection control training for three staff members, potentially risking resident safety. Interviews revealed confusion over training responsibilities and record-keeping, with transitions to electronic records and leadership changes cited as contributing factors.
A facility failed to develop a baseline care plan within 48 hours for a newly admitted resident with moderate cognitive impairment. The resident did not receive a summary of the care plan, and staff interviews confirmed the absence of required documentation and discussions. This oversight could disrupt continuity of care, contrary to the facility's policy.
The facility failed to conduct annual competency evaluations for CNAs, specifically for one CNA, which could affect residents' care. The DON was responsible for these evaluations but was unavailable, and the transition to electronic records and leadership changes were cited as reasons for missing documentation.
The facility failed to properly post survey results and plans of correction in an accessible location, and included resident identifiers in the binder, potentially violating privacy rights. The administrator, responsible for maintaining the binder, did not review the contents after a resident destroyed the original documents, leading to these deficiencies.
The facility failed to maintain RN coverage for 8 consecutive hours a day, 7 days a week, for three months, missing 22 weekend days. Despite attempts to hire a weekend RN, the facility relied on a PRN RN and an Employment Service Agency for coverage. No negative outcomes were reported, but the absence of an RN could risk resident care.
A CNA failed to follow proper infection control practices during incontinence care for a resident, leading to a deficiency in the facility's infection prevention program. The CNA did not perform hand hygiene before donning gloves, failed to change soiled gloves, and did not wash hands after removing gloves, despite recent training. The facility's policy emphasizes hand hygiene to prevent infection spread.
Inaccurate PASRR Level I Screening for Resident With PTSD and Anxiety Disorders
Penalty
Summary
The facility failed to ensure the accuracy of the PASRR Level I screening for one resident with documented mental illness. The resident, an adult female admitted in November 2025, had physician-documented diagnoses of generalized anxiety disorder, panic disorder, and post-traumatic stress disorder (PTSD), with the physician progress note indicating "PTSD on multiple meds." A quarterly MDS assessment showed an intact BIMS score of 15 and listed active diagnoses of anxiety, depression, and PTSD. Despite this documentation, the PASRR Level I Screening completed by the referring entity on 11/13/2025 indicated no primary diagnosis of dementia and no indicator of mental illness, resulting in a negative PASRR screen. During interviews, the resident reported having anxiety with panic disorder, PTSD, and depression, and stated she had not received any mental health services. The MDS Coordinator acknowledged that the resident had a mental illness diagnosis and that the PASRR screening should have been positive rather than negative, and stated that a corrected screening should have been completed and sent to the local authority for evaluation. The Administrator stated she expected PASRRs to be accurate and timely, and confirmed that the MDS Coordinator was responsible for PASRR accuracy. Facility policy required following Texas PASRR policy for all mandatory meetings and care coordination, including changes that may require a change in PASRR status, and state guidance identified PTSD and severe anxiety disorder as examples of mental illness that should trigger a PASRR Evaluation when suspected.
Failure to Provide Ordered Psychiatric Services for Resident With PTSD
Penalty
Summary
The deficiency involves the facility’s failure to provide appropriate behavioral health treatment and services to a resident with PTSD, depression, and anxiety, in accordance with the resident’s assessed needs and the facility’s own policy. The resident was a cognitively intact female, independent with ADLs, with active diagnoses of generalized anxiety disorder, panic disorder, depression, and PTSD. Her care plan identified behavior problems including verbal aggression, crying, and isolation related to PTSD, depression, and panic disorder, with interventions such as administering medications as ordered, anticipating needs, providing opportunities for positive interaction, and discussing and reinforcing why behaviors were inappropriate. Physician orders included behavior monitoring, psychoactive medication monitoring, and an order for psychiatric services to evaluate and treat, along with multiple psychotropic medications for depression, anxiety, and insomnia. Despite these orders and identified needs, the resident did not receive psychiatric services as ordered. The physician progress note documented that the resident had PTSD, was on multiple medications, and “probably needs psych follow up,” and the physician later stated he had been recommending mental health services for her. The resident reported that since admission she had not received psychiatrist services, had repeatedly requested a psychiatrist for her PTSD and depression from the Social Worker and Administrator, and that a counselor who had been visiting her stopped coming; she noted that the counselor could not adjust medications and only talked with her. A progress note documented that the resident made her own appointment with a psychiatrist and that the Administrator directed staff to inform the resident she could not schedule her own appointments and must coordinate with nursing, even though the appointment had already been set. Interviews with facility staff further demonstrated the lack of appropriate behavioral health services. The Social Worker stated that the resident had been receiving counseling services but that the counselor relocated and they had not had one “in a while,” and that he only comes once a week to visit the resident. The Administrator stated that the resident had refused to see the psychiatric NP who comes to the facility since admission but was unable to produce documentation of any such refusals and acknowledged not knowing why the facility had not attempted to obtain services from a different mental health entity. The Administrator also confirmed that the resident had made her own psychiatric appointment and would be going to it. The facility’s behavioral health services policy stated that residents will receive behavioral health services as needed to attain or maintain the highest practicable physical, mental, and psychosocial well-being, and that residents exhibiting emotional or psychosocial distress receive services and support addressing their individual needs, but the facility did not follow this policy for this resident.
Failure to Follow Menu and Communicate Dietary Changes
Penalty
Summary
The facility failed to provide residents with a nourishing, palatable, well-balanced diet that met their daily nutritional and special dietary needs, as observed during a lunch meal review. On the specified date, the facility did not follow the posted menu, which included baked pork chop, cheesy grits, broccoli and cauliflower, cornbread, and frosted cake. Instead, residents were served baked pork chops, mashed potatoes, a biscuit, and frosted cake. There was no substitution list available for residents to review, and the dietary manager (DM) admitted that the menu was not followed due to a delay in grocery delivery. Resident #5, who has a history of dietary calcium deficiency and other health issues, expressed a desire to know the menu in advance to make informed choices. Resident #13, who has dietary restrictions due to diabetes and other conditions, reported dissatisfaction with the food quality and lack of menu communication. The resident also mentioned that the food served did not match the dietary ticket, and substitutions were not satisfactory. The dietary manager confirmed that the menu changes were not communicated to the residents or approved by the dietician. The facility's policy requires that any menu changes be approved by the dietician and recorded on a Menu Substitution Approval Form. However, the administrator (ADMN) acknowledged that the dietician was not consulted about the menu change, and the meal served was based on resident preferences rather than nutritional guidelines. The dietician confirmed that menus should be followed and any changes should be approved, but there was no follow-up communication from the dietician before the survey exit.
Food Safety and Hygiene Deficiencies in Kitchen
Penalty
Summary
The facility failed to adhere to professional standards for food service safety in its kitchen, as observed during a survey. The deficiencies included improper storage and labeling of food items in the freezer and refrigerator, as well as a lack of up-to-date temperature logs for these storage units. Specifically, items such as tamales, breaded meat patties, oatmeal raisin cookie dough, egg rolls, yellow cheese slices, and lettuce were found either unsealed, unlabeled, or undated. Additionally, temperature logs for the freezer and refrigerators were not maintained for the current month, which could lead to undetected spoilage if the equipment malfunctions. Furthermore, the facility did not ensure that dietary staff adhered to hygiene protocols, as one of the dietary staff members was observed not wearing a hair net while preparing and serving meals. This lapse was attributed to a shortage of hair nets in the facility. The dietary aide acknowledged the potential risk of hair contaminating food, which could deter residents from eating and potentially lead to weight loss. Interviews with the dietary manager and administrator confirmed these issues, with the administrator noting the importance of maintaining temperature logs to prevent food spoilage and the necessity of hair coverings for staff in the kitchen.
Deficiency in Staff Communication Training
Penalty
Summary
The facility failed to ensure that employees received the required training in effective communication, which is mandatory for staff members. This deficiency was identified for 7 out of 19 employees reviewed, including the Director of Nursing (DON), Maintenance (MAINT), Transport (TRNS), Certified Occupational Therapy Assistant (COTA), Dietary Manager (DM), Certified Nursing Assistant (CNA C), and Housekeeping (HSKP F). The facility did not provide evidence that the DON, MAINT, TRNS, and COTA completed the effective communication training during their orientation. Additionally, the DM, CNA C, and HSKP F did not complete the training annually as required. These lapses in training could potentially place residents at risk of miscommunication and social isolation. Interviews with staff revealed a lack of clarity and accountability regarding the tracking and documentation of training completion. The TRNS and MAINT stated they completed the training but could not provide documentation. The DM and HSKP F were unsure of who was responsible for maintaining training records. The COTA mentioned that her records had not been transferred from a sister facility. The facility's recent transition from paper to electronic records and changes in leadership were cited as contributing factors to the lack of documentation. The HR director, who was also the Business Office Manager, acknowledged the requirement for training but was unaware of how to locate the missing records.
Deficiency in Staff Training on Resident Rights
Penalty
Summary
The facility failed to ensure that five staff members, including a Dietary Manager (DM), a Licensed Vocational Nurse (LVN G), and three housekeeping and transport staff (HSKP E, TRNS, and HSKP F), received the required training on resident rights in a timely manner. This deficiency was identified through interviews and record reviews, which revealed that the employee files of these staff members did not contain any record of training on resident rights. The hire dates for these staff members ranged from August 2022 to September 2023, yet there was no documentation of the required training in their files. Interviews conducted with staff members and facility leadership highlighted issues with the tracking and documentation of training. The DM mentioned that training was conducted online, but he was unaware of how incomplete training could affect residents. The Certified Registered Nurse (CRN) and the Assistant Director (AD) indicated that a recent transition from paper to electronic records and changes in leadership contributed to the lack of documentation. The CRN also noted that the Human Resources Director was responsible for tracking completed training, but the AD, who also served as the HR Director, was unable to locate the missing records.
Deficiency in Staff Training on Abuse and Dementia Care
Penalty
Summary
The facility failed to provide adequate training to their staff on critical topics such as abuse, neglect, exploitation, and misappropriation of resident property, as well as dementia management. This deficiency was identified through interviews and record reviews, which revealed that two employees, DM and HSKP F, did not have documentation of having received this essential training. The absence of training records for these employees, who were hired in August 2022 and April 2023 respectively, indicates a lapse in the facility's staff development program. Interviews with staff members highlighted a lack of clarity and responsibility regarding training records. The DM mentioned that training was conducted online, but could not explain the impact of incomplete training on residents. HSKP F, despite claiming to have completed all required training, was unaware of who managed the training records. The CRN attributed the lack of documentation to a transition from paper to electronic records and a change in leadership. The AD, who also served as the HR Director, acknowledged the requirement for training but was unable to locate the missing records. This situation suggests systemic issues in the facility's training and documentation processes, potentially placing residents at risk of harm from untrained staff.
Inadequate Infection Control Training Documentation
Penalty
Summary
The facility failed to ensure that its infection prevention and control program was adequately implemented, as evidenced by the lack of training records for three staff members: DM, HSKP E, and HSKP F. These staff members were reviewed for training compliance, and it was found that they did not receive the required infection control training in a timely manner. The DM's employee file, with a hire date of August 3, 2022, lacked any record of infection control training. Similarly, HSKP E, hired on August 5, 2024, and HSKP F, hired on April 1, 2023, also had no records of such training in their files. Interviews conducted with the staff revealed a lack of clarity and responsibility regarding the tracking and documentation of training. The DM mentioned that training was conducted online, with notifications sent via email and group text, but could not explain the impact of incomplete training on residents. HSKP F claimed to have completed all required training but was unaware of who maintained the records. The CRN indicated that the HR director was responsible for tracking training but cited a transition from paper to electronic records and a change in leadership as reasons for the missing documentation. The AD, who also served as the HR director, admitted to not knowing where to find the missing records, acknowledging the requirement for reviews.
Failure to Develop Baseline Care Plan Within 48 Hours
Penalty
Summary
The facility failed to develop a baseline care plan within 48 hours of admission for a resident, which is a requirement to ensure effective and person-centered care. The resident, a male with moderate cognitive impairment, was admitted without a baseline care plan being completed or a summary provided to him or his representative. This oversight was identified during a record review and interviews with facility staff, who confirmed the absence of the required documentation and discussions. The facility's policy mandates that a baseline care plan be completed within 48 hours of admission to promote continuity of care and communication among staff, as well as to inform the resident and their representative of the initial care plan. Despite this policy, the responsible staff, including the Director of Nursing and registered nurses, did not complete the baseline care plan for the resident, which could disrupt the continuity of care. The facility's interdisciplinary team, which includes the DON, ADON, and ADMN, is expected to monitor the completion of these plans, but the reason for the oversight was not determined.
Failure to Conduct Annual CNA Competency Evaluations
Penalty
Summary
The facility failed to conduct a performance review of each Certified Nursing Assistant (CNA) at least once every 12 months, specifically for one of the three CNAs reviewed for annual competency evaluations. This deficiency was identified during a personnel file review, which revealed that CNA C did not have a competency evaluation on file. The absence of these evaluations could potentially affect residents by placing them at risk of not receiving consistent and appropriate interventions necessary to meet their needs. Interviews conducted during the investigation revealed that the Director of Nursing (DON) was responsible for conducting and documenting nursing training and staff performance reviews. However, the DON was unavailable for an interview as they were out of state. The facility had recently transitioned from paper to electronic records and experienced a change in nursing leadership, which were cited as reasons for the missing documentation. Additionally, the Business Office Manager, who also served as the Human Resources Director, was unaware of the location of the missing records but acknowledged the requirement for these reviews.
Failure to Properly Post Survey Results and Protect Resident Privacy
Penalty
Summary
The facility failed to post the results of the most recent survey, including any plans of correction, in a place readily accessible to residents, family members, and legal representatives. During an observation, it was noted that the last survey results were placed in a binder outside the administrator's office, but the plan of corrections was missing. Additionally, the binder contained a form that identified residents by their resident identifier numbers, which could potentially violate residents' privacy rights. The administrator admitted responsibility for placing the survey results in the binder and explained that a resident had destroyed most of the pages over the weekend. In a hurried attempt to replace the information, the administrator did not review the contents provided by corporate before placing them back in the binder. This oversight resulted in the absence of the plan of corrections and the inclusion of resident identifiers, which were not supposed to be part of the publicly accessible documents.
Deficiency in RN Coverage on Weekends
Penalty
Summary
The facility failed to ensure that a registered nurse (RN) was on duty for at least 8 consecutive hours a day, 7 days a week, for three months (October, November, and December 2023). This deficiency was identified through a review of the CMS' PBJ Staffing Data Report, which showed no RN coverage on Saturdays and Sundays for a total of 22 days during these months. Interviews with the HR Coordinator, Administrator, and Director of Nursing (DON) confirmed the absence of RN coverage on weekends, despite attempts to hire a weekend RN. The facility relied on a PRN RN and an Employment Service Agency to provide RN assistance if needed. The facility's policy, revised on September 28, 2023, states that it should provide sufficient nursing staff to ensure resident safety and well-being. However, the lack of RN coverage on weekends could potentially place residents at risk, as decisions requiring an RN's expertise might not be made. Despite this, the HR Coordinator, Administrator, and DON reported no negative outcomes for residents due to the absence of an RN on weekends, citing the availability of alternative resources.
Infection Control Deficiency Due to Improper Hand Hygiene
Penalty
Summary
The facility failed to establish and maintain an effective infection prevention and control program, as evidenced by the actions of a Certified Nurse Aide (CNA) during incontinence care for a resident. The resident, a 91-year-old female with diagnoses including diarrhea and rash, required moderate assistance with activities of daily living and was occasionally incontinent of bladder. During an observation, the CNA did not perform hand hygiene before donning gloves, failed to change gloves after they became visibly soiled with urine and fecal matter, and did not wash hands or perform hand hygiene after removing the gloves. This lapse in infection control practices occurred despite the CNA having received infection control training two weeks prior. The facility's policy on hand hygiene, revised in January 2023, emphasizes the importance of hand hygiene in preventing the spread of infections. The policy requires handwashing with soap and water when hands are visibly soiled and after contact with residents with infectious diagnoses. It also mandates the use of an alcohol-based hand rub and performing hand hygiene before donning and after doffing gloves. The interim Director of Nursing (DON) acknowledged awareness of infection control concerns and stated that staff are expected to follow the facility's policy, which includes annual and periodic training as needed.
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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 Hamlin
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Stonewall Living Center | 19.7 mi | — | 2 | 0 |
| Harmony Care At Stamford | 20.4 mi | — | 0 | 0 |
| Merkel Nursing Center | 28.9 mi | — | 26 | 4 |
| Avir At Haskell | 29.4 mi | — | 0 | 0 |
| Sweetwater Healthcare Center | 31.5 mi | — | 7 | 0 |
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