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 Hurst Plaza Nursing & Rehab during CMS and state inspections, most recent first.
The facility failed to provide adequate respiratory care, as staff did not change or date nasal cannula oxygen tubing for several residents according to policy. Observations revealed undated and improperly maintained equipment, such as nasal cannulas and nebulizer masks, posing infection risks. Interviews with staff indicated a lack of consistent monitoring and adherence to protocols, affecting residents' respiratory care.
A facility failed to implement a comprehensive baseline care plan for a resident with COPD, sleep apnea, and other conditions. The plan did not include necessary instructions for oxygen and sleep apnea treatments, nor did it address the need for regular oxygen saturation assessments. Interviews with facility staff highlighted the importance of the baseline care plan in guiding care until a comprehensive plan is developed.
A resident with multiple health issues experienced several falls and required oxygen therapy, but the facility failed to update the care plan to address these needs. Despite discussions by the IDT, the care plan did not reflect recent falls, oxygen use, or hospitalization, potentially affecting the resident's care quality.
A medication aide left a medication cart unattended and unlocked while administering medications, contrary to facility policy requiring carts to be secured when not in use. This incident occurred in the presence of two residents, posing a risk of unauthorized access to medications.
A facility failed to document a resident's COPD diagnosis and oxygen orders in the care plan, risking incorrect treatment. The resident, admitted for respite care, had medical orders for oxygen administration due to COPD, but these were not entered into the care plan. Interviews revealed the admitting nurse omitted the orders, contrary to facility policy requiring comprehensive documentation for immediate care needs.
Inadequate Respiratory Care and Equipment Maintenance
Penalty
Summary
The facility failed to provide adequate respiratory care to several residents, as evidenced by multiple observations and interviews. Specifically, the staff did not change or date nasal cannula oxygen tubing for several residents according to the facility's policy and physician orders. This oversight occurred during specific shifts on multiple dates, affecting residents who required consistent respiratory care. Additionally, the facility staff did not bag and date sleep apnea masks when not in use, and failed to change a resident's nebulizer mask as per policy. Resident #3, for instance, was observed with nasal cannula tubing lying on the floor, undated, and not changed as required. Despite the resident's cognitive intactness and reliance on supplemental oxygen due to chronic obstructive pulmonary disease and asthma, the tubing was not maintained properly, posing a risk of infection. Similarly, Resident #4's oxygen tubing was not dated, and Resident #5's nebulizer mask was found unbagged and face down, indicating a lack of adherence to infection control protocols. Furthermore, Resident #6's and Resident #7's portable oxygen tubing attached to their wheelchairs was not changed or dated, and Resident #7's physician's order for continuous oxygen was not updated upon re-admission. These deficiencies highlight a systemic issue in the facility's management of respiratory care, potentially exposing residents to respiratory infections and other complications. Interviews with staff, including the RN, ADON, and DON, revealed a lack of consistent monitoring and adherence to established protocols, contributing to these lapses in care.
Failure to Implement Comprehensive Baseline Care Plan
Penalty
Summary
The facility failed to develop and implement a baseline care plan for a resident, identified as Resident #7, which included necessary instructions for effective and person-centered care. Upon review, it was found that the baseline care plan dated 09/15/24 did not address the resident's oxygen treatment, sleep apnea treatment, and the need for assessments of oxygen saturation levels every shift. This oversight was identified during an observation and interview with the resident, who was using a portable nasal cannula for oxygen due to COPD and difficulty breathing. The resident's medical history included chronic obstructive pulmonary disease, anemia, morbid obesity, sleep apnea, and atrial fibrillation. The resident's medical records indicated that he required assistance with various activities of daily living and had specific medical orders for oxygen and Bi-PAP treatments. However, these were not reflected in the baseline care plan. Interviews with the ADON and DON revealed that the baseline care plan is intended to guide staff in providing skilled care until a comprehensive care plan is developed. The failure to include all necessary care instructions in the baseline care plan could result in improper care for newly admitted residents. The facility's policy on baseline care plans was not provided for review.
Failure to Update Comprehensive Care Plan for Resident
Penalty
Summary
The facility failed to ensure that the comprehensive care plan for a resident addressed all necessary aspects of care, including recent falls, oxygen use, and hospitalization. The resident, who was admitted with diagnoses such as peripheral vascular disease, vascular dementia, and cerebral atherosclerosis, experienced multiple falls on specific dates, yet the care plan was not updated to reflect these incidents. Additionally, the care plan did not address the resident's oxygen use, which was ordered by hospice, nor did it include details of the resident's hospitalization following a fall that resulted in facial bruising. Observations and interviews revealed that the resident was often confused and required assistance for all care needs. Despite this, the care plan lacked revisions to address the resident's increased risk of falls and the need for oxygen therapy. The facility's interdisciplinary team (IDT) discussed the resident's care needs after each fall, but the care plan remained unchanged, failing to incorporate necessary interventions to prevent further incidents. Interviews with facility staff, including the MDS Coordinator, ADON, and DON, indicated a lack of adherence to facility policy regarding updating care plans for significant changes in a resident's condition. The staff acknowledged the need for a revised care plan but could not provide a reason for the oversight. The facility's policy requires the IDT to develop and update care plans based on resident assessments, yet this was not followed, potentially impacting the resident's quality of care.
Medication Cart Security Breach
Penalty
Summary
The facility failed to ensure the security of medication carts, as observed on the west hall where a medication aide (MA O) left her medication cart unattended and unlocked while administering medications to a resident. This incident occurred in front of a patient's door, with the cart left unsecured for approximately 1.5 minutes. During this time, two residents in wheelchairs were seen propelling by the cart, posing a risk of unauthorized access to the medications. Interviews with MA O, the Assistant Director of Nursing (ADON), and the Director of Nursing (DON) confirmed that it is the responsibility of all certified medication staff to lock the medication cart when unattended. The facility's policy, dated November 2020, mandates that all drugs and biologicals must be stored in locked compartments when not in use. The failure to adhere to this policy could lead to medication being missed, stolen, or accessed by residents, potentially resulting in adverse reactions.
Failure to Document Oxygen Orders for Resident with COPD
Penalty
Summary
The facility failed to provide treatment and care in accordance with professional standards of practice and the comprehensive care plan for a resident reviewed for quality of care. Specifically, the facility did not document the resident's diagnosis of Chronic Obstructive Pulmonary Disease (COPD) and the associated oxygen orders in the care program. This oversight was identified during a review of the resident's records, which showed that the September 2024 Treatment Administration Record (TAR) lacked documentation of nursing administration of oxygen tubing. The resident in question was a male admitted for respite care, with a history of COPD, Type 2 Diabetes Mellitus, anemia, sleep apnea, atrial fibrillation, and hypertension. Medical orders included the administration of oxygen at 3 liters per hour every shift due to COPD, along with other vital sign monitoring and observation for respiratory illness symptoms. However, these orders were not properly entered into the care plan, which could lead to incorrect treatment. Interviews with the facility's administration and nursing staff revealed that the admitting nurse was responsible for entering all physician orders, but the oxygen orders were omitted. The Director of Nursing (DON) acknowledged that there was no reason for this omission and emphasized the importance of consulting with medical orders to ensure resident care. The facility's policy on admissions from the community outlines the need for comprehensive documentation to meet immediate care needs, which was not adhered to in this case.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 979 citations issued within 25 miles in the last 12 months — including the 36 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Hurst
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bedford Wellness & Rehabilitation | 1.6 mi | — | 15 | 0 |
| La Dora Nursing And Rehabilitation Center | 2.1 mi | — | 0 | 0 |
| Parkwood Village | 2.3 mi | — | 0 | 0 |
| Westpark Rehabilitation And Living | 2.4 mi | — | 9 | 0 |
| Glenview Wellness & Rehabilitation | 2.8 mi | — | 7 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Hurst Plaza Nursing & Rehab.
100% money-back within 48 hours.
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.