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 Kenedy Health & Rehabilitation during CMS and state inspections, most recent first.
The facility failed to maintain a safe and homelike environment, with issues such as missing floor molding, a non-functioning overhead light in a shower room, and a scratched clothes closet in resident rooms. The Maintenance Director was unaware of these issues, and both he and the Administrator acknowledged the need for repairs to improve the residents' living conditions.
The facility failed to secure hazardous items in a shower room, leaving the door and a cabinet containing a razor, shaving cream, and toxic wipes unlocked. Staff confirmed the oversight, acknowledging the risk posed to ambulatory residents with mental illness or dementia. The facility's policy requires secure storage of hazardous materials, which was not followed.
A resident's privacy was compromised during catheter and incontinent care when two CNAs did not fully close the privacy curtain, leaving the resident exposed. The resident, who required extensive assistance due to multiple health conditions, was visible from the room's door, and the roommate was present. The CNAs acknowledged the oversight, and the facility's policy requires privacy to be maintained during such care.
A resident with a history of urinary tract infections did not receive proper incontinent care, as a CNA failed to clean the buttocks and rectal area thoroughly. Despite having received training, the CNA admitted to the oversight, which was confirmed by the DON. The resident had multiple medical conditions, including cognitive impairment, requiring assistance with ADLs. The facility's policy emphasized proper cleaning to prevent contamination, but this was not followed, leading to a deficiency.
A resident with severe cognitive impairment and multiple diagnoses, including hypoxia, was found to have an unclean oxygen concentrator with dust and a sticky substance on the intake air grill. The DON admitted that staff should have cleaned the concentrator's exterior, as per the facility's policy, which was not followed.
A facility failed to maintain accurate medical records for a resident's oxygen concentrator maintenance. The resident's physician orders incorrectly stated that the filter should be changed or cleaned weekly, but the concentrator did not require an outside filter. Staff signed off on the task as completed, despite the absence of a filter. The resident had multiple diagnoses, including dementia and hypoxia, and was severely cognitively impaired.
A CNA in a LTC facility failed to change gloves or wash hands after providing incontinent care to a resident with multiple health conditions, including dementia and hypertension. This breach in infection control was confirmed by the CNA and the DON, despite the CNA having received infection control training. The facility's policy requires hand hygiene before and after resident contact and after exposure to body fluids.
A resident with dementia and schizophrenia eloped from a facility due to inadequate supervision and faulty magnetic locks on a patio gate. The resident, who required moderate assistance for mobility, was last seen in the TV room before being found in a vehicle on a neighboring property. The facility's failure to maintain secure locks and provide adequate supervision led to this incident.
Facility Fails to Maintain Safe and Homelike Environment
Penalty
Summary
The facility failed to ensure a safe, clean, comfortable, and homelike environment for its residents, as observed in one of the two shower rooms and two of the 26 resident rooms reviewed. Specifically, in one resident's room, there was a missing section of floor molding measuring 3.5 feet by 4 inches, and another section of molding that was detached from the wall. In the shower room, one of the two overhead lights, approximately 3 feet in length, was not functioning. Additionally, a standing clothes closet in another resident's room had multiple ingrained scratch marks over a 2 by 2-foot surface area. During interviews, the Maintenance Director acknowledged that he was not informed by the staff about these issues and agreed that addressing these repairs would enhance the residents' living environment. The Administrator also concurred that fixing these deficiencies would contribute to a more positive home environment. The facility's policy on Preventative Maintenance/Work-Order Request, dated 2003, states that the facility will repair or replace damaged or broken equipment or building amenities as needed, indicating a lapse in adherence to this policy.
Failure to Secure Hazardous Items in Shower Room
Penalty
Summary
The facility failed to ensure the resident environment was free from accident hazards in one of the two shower rooms reviewed. During an observation, it was noted that the door to the shower room was left open, and a wall cabinet inside the room was unlocked. The cabinet contained hazardous items, including a razor, three bottles of shaving cream, and a bottle of Micro kill one wipes. The safety data sheet for the wipes indicated they have acute toxicity, are flammable, and can cause serious eye damage, posing a risk to residents. Interviews with staff confirmed the oversight. A CNA acknowledged that the door and cabinet were left unlocked and that the hazardous items were accessible to residents. The Director of Nursing (DON) also confirmed that the items could be hazardous, especially considering the presence of ambulatory residents with mental illness or dementia who might misuse these products. The facility's policy on hazardous communication, dated 2003, requires that hazardous materials be stored securely, which was not adhered to in this instance.
Failure to Ensure Resident Privacy During Care
Penalty
Summary
The facility failed to ensure personal privacy for a resident during catheter and incontinent care. Two CNAs, while attending to a resident with a urinary catheter and bowel incontinence, did not completely close the privacy curtain, leaving the resident exposed. This exposure was visible from the room's door, and the resident's ambulatory roommate was present in the room. Additionally, one of the CNAs opened the door to dispose of soiled supplies while the resident was still exposed, further compromising the resident's privacy. The resident involved had a BIMS score indicating no cognitive impairment and required extensive assistance with activities of daily living due to conditions such as dementia, diabetes, major depressive disorder, hypertension, and peripheral vascular disease. The facility's policy on perineal care mandates providing privacy by closing the door and/or curtain, which was not adhered to in this instance. Both CNAs acknowledged the lapse in privacy and confirmed they had received training on resident rights within the year. The Director of Nursing also confirmed that privacy should have been maintained and that staff had been trained on resident rights.
Inadequate Incontinent Care Leads to Deficiency
Penalty
Summary
The facility failed to provide appropriate incontinent care for a resident, leading to a deficiency in preventing urinary tract infections. During an observation, it was noted that a CNA did not thoroughly clean between the buttocks or the rectal area of a resident who was incontinent of bladder. This oversight occurred despite the CNA having received training in infection control and incontinent care within the past year. The resident in question had a history of urinary tract infections and required assistance with activities of daily living due to mild to moderate cognitive impairment. The resident's medical history included conditions such as hypothyroidism, anxiety disorder, hyperlipidemia, dementia, schizoaffective disorder, major depressive disorder, and hypertension. The facility's policy on perineal care clearly outlined the need to clean the buttocks and anal area from front to back to prevent contamination. However, the CNA admitted to not cleaning the rectal area, which was confirmed by the Director of Nursing, who also stated that staff skills are checked annually and as needed. This failure in care practice was identified as a risk for infection and skin breakdown.
Inadequate Respiratory Care Due to Unclean Oxygen Concentrator
Penalty
Summary
The facility failed to provide adequate respiratory care for a resident who required continuous oxygen therapy. The resident, who was severely cognitively impaired and had multiple diagnoses including dementia, aphasia, and hypoxia, was observed to have an oxygen concentrator with an intake air grill partially covered with gray dust and a sticky substance. This observation was made during a survey, and it was noted that the concentrator should have been cleaned according to the manufacturer's recommendations. During an interview, the Director of Nursing (DON) acknowledged that the concentrator did not require an outside filter as it had an internal filter changed every two years during manufacturer maintenance. However, the DON admitted that the staff should have cleaned the outside of the concentrator. The facility's policy on oxygen administration, dated March 2023, indicated that the concentrator should be cleaned according to manufacturer recommendations, which was not adhered to in this instance.
Inaccurate Medical Records for Oxygen Concentrator Maintenance
Penalty
Summary
The facility failed to maintain clinical records in accordance with accepted professional standards and practices for a resident who was observed for accuracy of medical records. The deficiency involved the lack of an appropriate order regarding the maintenance of the resident's oxygen concentrator. Specifically, the resident's physician orders indicated that the filter of the oxygen concentrator should be changed or cleaned every Sunday night shift. However, upon observation, it was found that there was no apparent filter on the back air intake grill of the oxygen concentrator in the resident's bedroom. During an interview, the Director of Nursing (DON) revealed that the concentrator did not require an outside filter, as it had an internal filter that was changed every two years by the manufacturer. The order to change or clean the filter was incorrect, and staff had erroneously signed off on the task as completed. This discrepancy in the medical records could place residents at risk for errors in care and treatment. The resident involved had multiple diagnoses, including dementia, aphasia, hypoxia, schizoaffective disorder, hyperlipidemia, and hypothyroidism, and was severely cognitively impaired, as indicated by a BIMS score of 6.
Infection Control Breach During Incontinent Care
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by the actions of a Certified Nursing Assistant (CNA) who did not adhere to proper hygiene protocols during incontinent care for a resident. The CNA did not change gloves or wash hands after providing care and before handling a clean brief, which is a breach of infection control practices. This incident was observed during a survey, and the CNA confirmed the lapse in protocol during an interview, despite having received infection control training within the year. The resident involved had multiple diagnoses, including hypothyroidism, anxiety disorder, hyperlipidemia, dementia, schizoaffective disorder, major depressive disorder, and hypertension. The resident's care plan indicated a need for incontinence care due to occasional bladder and frequent bowel incontinence. The Director of Nursing (DON) confirmed the requirement for glove changes and hand hygiene to prevent cross-contamination, as outlined in the facility's infection control policy. The facility's policy, dated 2019, specifies the necessity of hand hygiene before and after direct resident contact and after contact with body fluids or excretions.
Resident Elopement Due to Inadequate Supervision and Faulty Security Measures
Penalty
Summary
The facility failed to ensure the resident environment was free from accident hazards and did not provide adequate supervision to prevent accidents, resulting in a resident eloping from the facility without staff knowledge. The incident involved a male resident with diagnoses including unspecified dementia, paranoid schizophrenia, and type 2 diabetes mellitus. The resident had a BIMS score indicating moderate cognitive impairment and required partial/moderate assistance for mobility. Despite being assessed as a low wander elopement risk earlier in the year, the resident was able to leave the facility unsupervised. On the evening of the incident, the resident was last seen in the TV room by CNAs before being discovered missing during a medication round. Staff conducted a search of the facility and its perimeter but were unable to locate the resident. The Director of Nursing (DON) and Administrator were notified, and emergency services were called. The resident was eventually found sitting in a vehicle on a neighboring property, approximately 500 feet from the facility, without any injuries. The investigation revealed that the resident exited through a door leading to a fenced-in patio area, where the magnetic locks on the gate had failed due to misalignment. Interviews with staff indicated that the magnetic locks had not been functioning properly, allowing the resident to leave the facility. The DON confirmed that the locks had become misaligned, causing them to fail. The resident was taken to the emergency room for evaluation and returned to the facility without injury. The facility's failure to maintain secure locks and provide adequate supervision contributed to the resident's elopement, highlighting a deficiency in ensuring a safe environment for residents.
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Illustrative
What surveyors actually found near you
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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 Kenedy
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| John Paul Ii Nursing Home | 0.3 mi | — | 5 | 0 |
| Bluebonnet Nursing And Rehabilitation | 10.5 mi | — | 7 | 0 |
| Yorktown Nursing And Rehabilitation Center | 23.4 mi | — | 13 | 0 |
| Frank M. Tejeda Texas State Veterans Home | 28.1 mi | — | 11 | 0 |
| Harmony Care At Floresville | 28.6 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.