Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
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 Homestead Nursing And Rehabilitation Of Baird during CMS and state inspections, most recent first.
The facility failed to maintain required RN coverage for at least 8 consecutive hours daily on multiple days, as confirmed by PBJ staffing data and timecard reports showing no RN or insufficient RN hours on several dates. The DON acknowledged understanding that policy required an RN on staff 8 hours a day but reported ongoing difficulty recruiting RNs and confirmed the uncovered days. Facility policy specified that an RN must provide services at least eight consecutive hours every 24 hours, seven days a week, which was not met on the identified days.
The facility allowed two nurse aides to provide direct resident care for longer than four months without obtaining CNA certification or documentation of listing on the Nurse Aide Registry. Both aides had completed a state-approved nurse aide training program and skills checkoffs and were working regular hours providing resident care, but their personnel files lacked proof of CNA status. The DON reported being unaware of the 120-day certification requirement, while the facility’s own policy limited non-certified aides to four months of employment while pursuing certification and required that they be on the path to registry listing.
A resident with hemiplegia, prior sepsis, kidney failure, and severe cognitive impairment who required max assistance for ADLs received perineal care during which the NA did not perform hand hygiene or change gloves between cleaning soiled areas and handling a clean brief or redressing the resident. In a later interview, the NA acknowledged that gloves should have been changed and hand hygiene performed at multiple points during the incontinent care. The DON stated staff were expected to follow infection control policies, and the facility’s perineal care policy required handwashing and appropriate glove use as part of the procedure.
The facility failed to ensure RN coverage for at least 8 consecutive hours a day, seven days a week for 75 of 183 days reviewed. This deficiency was confirmed through a review of staffing data and interviews with staff, revealing multiple dates with no RN coverage and highlighting the potential negative impact on resident care.
The facility failed to develop and implement person-centered, comprehensive care plans with measurable objectives for five residents, affecting areas such as pain management, weight control, infection control, and dementia care. Interviews revealed that care plans were created by the ADON and monitored by the DON, but lacked specificity and measurability.
The facility failed to properly store, prepare, distribute, and serve food according to professional standards. Observations revealed improper thawing of meats and unsealed, unlabeled food items in storage. Interviews indicated a lack of knowledge and adherence to facility policies, potentially risking foodborne illnesses among residents.
The facility failed to complete and submit a discharge MDS assessment for a resident within the required 14-day period. The ADON and corporate regional MDS consultant were unsure why the assessment was not performed, despite facility policy outlining the necessary timelines and responsibilities.
The facility failed to ensure comprehensive care plans were accurately reviewed and revised for two residents. One resident's care plan incorrectly included intravenous antibiotic therapy without a physician's order, while another resident's care plan did not address her smoking status despite an assessment indicating she was a smoker. These deficiencies were identified through interviews and record reviews.
The facility failed to complete discharge summaries for residents, specifically for one resident with severe cognitive impairment and multiple medical conditions. The discharge occurred on a weekend and was unplanned, leading to the omission of essential documentation. This failure could potentially place other residents at risk by not providing necessary follow-up information and medication details.
Failure to Maintain Required RN Coverage Seven Days a Week
Penalty
Summary
The facility failed to provide RN coverage for at least 8 consecutive hours a day, 7 days a week for multiple days within a 12‑month review period. Review of CMS PBJ staffing data for fiscal quarters 1 and 2 showed no RN coverage on five specific dates. Timecard reports for the same months, provided by the DON, confirmed there was either no RN coverage or not a full 8 hours of RN coverage on those dates. The DON verbally confirmed the lack of RN coverage or full 8 hours of RN coverage on each of the identified days. During an interview, the DON stated her understanding that facility policy required an RN to be on staff 8 hours a day and acknowledged that the facility had difficulty finding RNs, stating they tried their best but were not always successful. She reported that she started working at the facility in November 2025 and indicated she would respond by phone and come in if called when an RN‑level assessment was needed. The facility’s written policy stated that a registered nurse provides services at least eight consecutive hours every 24 hours, seven days a week, which was not met on the identified dates.
Use of Non-Certified Nurse Aides Beyond 4-Month Limit
Penalty
Summary
The facility failed to ensure that nurse aides who had worked more than four months were certified and competent, and that nurse aides who had worked less than four months were appropriately enrolled in training. One nurse aide (NA A) was hired as a nurse aide trainee on 03/01/25, completed the Texas Performance Nurse Aide Program training and skills checkoffs on 03/30/25, and began working regular hours on her hire date. As of 02/08/26, she remained employed and was observed providing resident care, but there was no documentation that she was a Certified Nurse Assistant or listed on the Nurse Aide Registry, despite having worked well beyond four months. Another nurse aide (NA B) was hired as a nurse aide trainee on 08/06/25, completed the Texas Performance Nurse Aide Program training and skills checkoffs on 01/30/26, and her timesheets showed she started working regular hours on 07/13/24. She was also observed providing resident care on 02/08/26, with no proof of CNA certification in her employee record. During an interview, the DON stated that NA A and NA B had completed their classes and competencies but were not yet certified and acknowledged not knowing that nurse aides needed to be certified within 120 days of hire. The facility’s undated policy stated that trained but non-certified nurse aides may work for up to four months while pursuing certification and must be on the path to being listed on the Nurse Aide Registry, but the records did not show that these requirements were met for NA A and NA B.
Failure to Perform Hand Hygiene and Glove Changes During Perineal Care
Penalty
Summary
The deficiency involves the facility’s failure to ensure proper infection prevention and control practices during incontinent care for one resident. The resident was an elderly female with hemiplegia/hemiparesis, a history of sepsis, and kidney failure, who was severely cognitively impaired per a BIMS score of 00 and required maximal assistance with transfers, toileting, and bathing. Her comprehensive care plan included interventions for risk of pressure ulcers and other skin issues, including checking for incontinence during rounds and providing care as needed. During an observation of perineal care, the nursing assistant providing care did not perform hand washing, hand hygiene, or change gloves between cleaning soiled areas and handling a clean brief or redressing the resident. In a subsequent interview, the nursing assistant acknowledged that she should have changed gloves after cleaning the perineal area and before opening the new brief, and again after cleaning the resident’s bottom and before touching the new brief, and admitted she did not perform any hand hygiene throughout the incontinent care. The DON stated that staff were expected to follow the facility’s infection control policies and procedures and noted that cross contamination could contribute to infection. The facility’s Perineal Care Policy specified that staff were to wash hands and wear gloves, following Standard Precautions if contact with blood or body fluids was likely, as part of the beginning steps of the procedure. The observed care did not comply with these established policy requirements for hand hygiene and glove use.
Failure to Ensure RN Coverage for 8 Hours Daily
Penalty
Summary
The facility failed to utilize the services of a Registered Nurse (RN) for at least 8 consecutive hours a day, seven days a week for 75 of 183 days reviewed. Specifically, there was no RN coverage for 65 days out of 92 days in Fiscal Year Quarter 1 2024 and 10 out of 91 days from January 1, 2024, to March 31, 2024. This deficiency was identified through a review of the facility's Payroll Based Journal Staffing Data Report and RN Time Sheets, which revealed multiple dates with no RN coverage. The facility was unable to provide documentation of RN coverage on the specified dates when requested by the surveyors. Interviews with staff, including an LVN and the Regional Nurse Consultant, confirmed the lack of RN coverage and highlighted the potential negative impact on resident care due to the absence of an RN for required assessments and decision-making. The facility's policy titled 'Hours of Work' did not address the requirement for an RN to be in the building for eight consecutive hours a day, seven days a week, and no specific policy was provided to meet this requirement.
Failure to Develop Measurable Care Plans
Penalty
Summary
The facility failed to develop and implement person-centered, comprehensive care plans for five residents, which included measurable objectives and timeframes to meet their medical, nursing, mental, and psychosocial needs. The care plans for these residents lacked specific, measurable goals, making it difficult to determine if interventions were successful or needed to be revised. This deficiency was identified through interviews and record reviews conducted by surveyors. For Resident #8, the care plan did not include measurable objectives for pain management, weight fluctuations, urinary control, psychotropic medications, insomnia, pacemaker management, hypertension, anticoagulant therapy, and seasonal allergies. Similarly, Resident #9's care plan lacked measurable objectives for infection control, behavior management, compliance with physician's orders, pain management, risk for malnutrition, mobility, and functional abilities. Resident #19's care plan was deficient in areas such as meal choices, activities of daily living, laboratory testing, dementia care, post-traumatic stress disorder, chronic pain, and vision impairment. Resident #26's care plan did not have measurable objectives for infection control, weight management, dementia care, pain management, and participation in activities. Lastly, Resident #31's care plan was missing measurable objectives for weight management, pain management, therapy services, mobility, allergies, and participation in activities. Interviews with facility staff revealed that the care plans were created by the ADON and monitored by the DON, but the objectives were not specific or measurable, leading to inadequate care planning for the residents.
Improper Food Storage and Thawing Procedures
Penalty
Summary
The facility failed to properly store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Observations revealed that frozen meats were not thawed properly, with chicken thighs and pork loin being defrosted in a sink with running water rather than being submerged in cold water or thawed in the refrigerator. Additionally, various food items in the freezer and dry storage were found unsealed and unlabeled, including meat patties, pastry, curly pasta, and alfredo sauce mix. These practices were not in line with the facility's policies on food preparation and storage, which require proper sealing, labeling, and specific thawing procedures to prevent bacterial growth and foodborne illnesses. Interviews with the Dietary Manager (DM) and the Administrator (ADMN) revealed a lack of knowledge and adherence to the facility's policies. The DM admitted to being unsure about the proper defrosting procedures and acknowledged that improper defrosting could lead to bacterial growth and illness. The ADMN also confirmed that meats should be defrosted in the refrigerator or with cold circulating water and that all foods should be stored in sealed containers. Both the DM and ADMN attributed the deficiencies to a lack of education and monitoring, acknowledging that these failures could result in foodborne illnesses among residents.
Failure to Complete and Submit Discharge MDS Assessment
Penalty
Summary
The facility failed to ensure a Minimum Data Set (MDS) assessment was electronically completed and transmitted to the CMS System within 14 days after completion for one resident. Specifically, the facility did not encode, complete, and submit a discharge MDS for a resident who was admitted on 10/03/2023 and discharged on an unspecified date. The resident's care plan indicated the need for access to necessary services to promote adjustment to the new living environment or post-discharge from the facility. However, a review of the MDS assessment completion list revealed that a discharge MDS had not been completed for this resident. During interviews, the Assistant Director of Nursing (ADON) stated that she was responsible for performing MDS assessments and acknowledged that a discharge MDS should have been performed when the resident was discharged. She was unsure why the discharge MDS assessment was not performed. The corporate regional MDS consultant, who monitored assessments, also confirmed that discharge MDS assessments should be performed within 14 days of a census change but did not know why it had not been done in this case. The facility's policy on resident assessment, revised in September 2010, outlines the responsibilities and timelines for conducting and submitting MDS assessments, which were not adhered to in this instance.
Care Plan Inaccuracies for Two Residents
Penalty
Summary
The facility failed to ensure that each resident's person-centered comprehensive care plan was reviewed and revised by the interdisciplinary team after each assessment. Specifically, Resident #9's care plan inaccurately included intravenous antibiotic therapy without a corresponding physician's order, and Resident #185's care plan did not address her smoking status despite an assessment indicating she was a smoker. These deficiencies were identified through interviews and record reviews conducted by surveyors. Resident #9, a [AGE] year-old male with multiple medical diagnoses including Type 2 diabetes, dementia, and heart failure, had a care plan that incorrectly included intravenous antibiotic therapy. This error was attributed to a clerical data entry mistake. Resident #185, a [AGE] year-old female with moderate cognitive impairment and other medical conditions, had a smoking assessment indicating she was a safe smoker, but her care plan failed to address her smoking status. Interviews with facility staff, including the ADON, LVN, and DON, revealed a lack of clarity and oversight in updating and reviewing care plans, leading to these inaccuracies.
Failure to Complete Discharge Summaries
Penalty
Summary
The facility failed to complete discharge summaries for residents, specifically for one resident who was discharged without a summary. This resident, a male with a history of transient ischemic attack, cerebral infarction without residual deficits, hypertension, and chronic obstructive pulmonary disease, was discharged without the necessary documentation. The resident had severe cognitive impairment, as indicated by a BIMS score of 5, and was on multiple medications for his conditions. The deficiency was identified during a closed record review, which revealed that no discharge summary was completed for the resident. Interviews with the Regional Nurse Consultant and the Assistant Director of Nursing (ADON) confirmed that the discharge summary was not completed, possibly due to the discharge occurring on a weekend and being unplanned. The ADON mentioned that the charge nurse should have contacted her to complete the discharge summary, but this did not happen. The facility's policy requires a discharge summary to include a recapitulation of the resident's stay, medical history, current status, and a post-discharge plan. However, this was not followed in the case of the resident, leading to a lack of essential information being communicated to the resident and the receiving healthcare provider. The Regional Nurse Consultant acknowledged that this failure could potentially place other residents at risk by not providing necessary follow-up information and medication details, affecting the coordination of care after discharge.
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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 Baird
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Clyde Nursing Center | 5.7 mi | — | 0 | 0 |
| Brightpointe At Lytle Lake | 18.6 mi | — | 8 | 0 |
| Silver Spring | 18.8 mi | — | 2 | 0 |
| The Oaks At Radford Hills Healthcare Center | 19.1 mi | — | 12 | 0 |
| Hendrick Skilled Nursing Facility | 20.4 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.