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 Park Plaza Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
A resident with an indwelling urinary catheter was observed with the catheter tubing dragging on the floor on three occasions, despite a care plan to prevent this. The DON acknowledged the risk of infection and attributed the issue to a new, smaller wheelchair. Facility policy also emphasized keeping catheter tubing off the floor.
A resident with hypoxemia and COPD had her oxygen nasal cannula and SVN mask improperly stored, not in plastic bags, contrary to facility policy. Staff interviews confirmed the oversight, acknowledging the risk of contamination and potential respiratory infections. The facility's policy required such equipment to be stored in bags when not in use to prevent contamination.
A nurse medication cart on the north hall was found unlocked and unattended, containing several medications, including insulin pens. LVN C admitted to leaving the cart unsecured after assisting a staff member. The facility's policy requires medication carts to be locked when unattended to prevent unauthorized access.
A resident on enhanced barrier precautions due to a urinary catheter did not receive proper infection control care from CNA A and CMA B. They failed to change gloves between tasks and did not use the required PPE, risking cross-contamination. The DON confirmed the expectation for PPE use and acknowledged the oversight, attributing it to staff haste.
A CNA failed to perform proper hand hygiene and glove changes while providing incontinence care to a resident with multiple diagnoses, including Covid-19 and dementia. The CNA used the same soiled gloves to clean the resident and apply skin protector, without changing gloves or performing hand hygiene before retrieving a clean brief. The CNA admitted to the lapse, attributing it to nervousness, and the RCN confirmed that aides are expected to follow infection control protocols.
Failure to Maintain Catheter Tubing Off the Floor
Penalty
Summary
The facility failed to provide appropriate care for a resident with an indwelling urinary catheter, which was observed dragging on the floor on three separate occasions. The resident, who was cognitively intact and self-propelling in a wheelchair, had a care plan that included maintaining the catheter tubing and drainage bag off the floor to prevent infection. Despite this, observations on three consecutive days showed the catheter tubing dragging on the floor as the resident moved in their wheelchair. During an interview, the Director of Nursing (DON) acknowledged that the catheter tubing should not touch the floor due to the risk of infection and cross-contamination. The DON attributed the issue to the resident's new, smaller wheelchair, which may have caused the tubing to hang lower than usual. The facility's policy on catheter care, dated 2007, also emphasized keeping the catheter tubing and drainage bag off the floor, highlighting a failure to adhere to established guidelines.
Improper Storage of Respiratory Equipment
Penalty
Summary
The facility failed to provide safe and appropriate respiratory care for a resident, identified as Resident #3, who required such care. Resident #3, who was admitted with diagnoses of muscle weakness and hypoxemia, was observed with her oxygen nasal cannula tubing wrapped around her oxygen tank on her wheelchair and her SVN mask resting on top of a dresser, neither of which were stored in a plastic bag when not in use. This was contrary to the facility's policy, which required that respiratory equipment be stored in a bag to prevent contamination when not in use. Interviews with the resident and staff, including RN D and the DON, confirmed that the equipment was not stored properly, which could lead to contamination and potential respiratory infections. The facility's policy, dated June 1, 2006, specified that oxygen therapy equipment should be stored in a treatment bag when not in use and replaced every seven days. Despite this policy, the staff failed to adhere to these guidelines, as evidenced by the improper storage of Resident #3's respiratory equipment. The DON acknowledged that the failure likely occurred because the staff forgot to change and store the equipment properly. The ADO was also informed of the issue and recognized the risk of cross-contamination due to the improper storage of the oxygen items.
Medication Cart Left Unlocked and Unattended
Penalty
Summary
The facility failed to ensure that all drugs and biologicals were stored in locked compartments, as required by professional principles. Specifically, the north hall nurse medication cart was found unlocked and unattended. LVN C, who was responsible for the cart, admitted to leaving it unsecured after stepping away to assist a staff member. This oversight was observed during a survey on March 11, 2025, at 10:20 AM, when the cart was found containing several bubble-packed prescribed medications, insulin pens, and over-the-counter medications. Interviews with the Director of Nursing (DON) and the Assistant Director of Operations (ADO) confirmed that the facility's policy mandates medication carts to be locked when unattended. Both acknowledged that leaving the cart unlocked could lead to unauthorized access by residents or visitors. The facility's policy on Medication Administration Procedures, dated 2003, specifies that the unlocked side of the cart must always be in full view of the nurse during medication administration, and the cart must be locked after the process is completed.
Inadequate Infection Control Practices During Resident Care
Penalty
Summary
The facility failed to establish and maintain an effective infection prevention and control program, as evidenced by the actions of CNA A and CMA B during the care of a resident. The resident, who was admitted with diagnoses including muscle weakness, reduced mobility, and urinary retention, was on enhanced barrier precautions due to the presence of a urinary catheter. Despite this, both CNA A and CMA B did not adhere to proper infection control protocols during incontinent care. They failed to change gloves when transitioning from cleaning the resident's bowel movement to handling clean items and performing catheter care, which could lead to cross-contamination and infection. During the observation, CNA A and CMA B were noted to perform incontinent care without changing gloves between tasks, such as wiping the resident's bowel movement and then handling the catheter and clean briefs. Additionally, they did not use the required personal protective equipment (PPE) beyond gloves, despite the resident being on enhanced barrier precautions due to multidrug-resistant organisms (MDROs). This oversight was confirmed during interviews with both staff members, who acknowledged their failure to change gloves and use appropriate PPE, citing a lack of awareness about the necessity of these precautions during incontinent care. The Director of Nursing (DON) confirmed that staff were expected to use PPE, including gloves and gowns, for residents on enhanced barrier precautions, especially those with indwelling medical devices like urinary catheters. The DON attributed the failure to staff being in a hurry and acknowledged the risk of infection spread due to these lapses in protocol. The facility's policies on infection control, catheter care, and enhanced barrier precautions were reviewed, highlighting the importance of proper glove use and PPE to prevent contamination and infection transmission.
Infection Control Deficiency
Penalty
Summary
The facility failed to maintain an infection prevention and control program, as evidenced by an incident involving a CNA who did not perform proper hand hygiene and glove changes while providing incontinence care to an 84-year-old female resident. The resident, who had diagnoses including Covid-19, overactive bladder, gastronomy, and dementia, required total assistance with most activities of daily living and was always incontinent of bowel and bladder. During the observed care, the CNA used the same soiled gloves to clean the resident and apply skin protector, without changing gloves or performing hand hygiene before retrieving a clean brief and placing it underneath the resident. In an interview, the CNA admitted to not changing gloves during care and acknowledged that she should have done so. She attributed her failure to nervousness and mentioned that she had received infection control training about two weeks prior but had not received training with return demonstration from the facility. The RCN confirmed awareness of some infection control concerns and stated that aides are expected to follow facility protocols, which include hand washing or sanitizing hands and changing gloves before retrieving a clean brief. The facility's perineal care policy also emphasizes the importance of changing gloves if visibly soiled and performing hand hygiene before and after glove use.
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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 San Angelo
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Cedar Manor Nursing And Rehabilitation Center | 0.6 mi | — | 5 | 0 |
| Sagecrest Alzheimers Care Center | 3 mi | — | 0 | 0 |
| Avir At Meadow Creek | 3.5 mi | — | 1 | 0 |
| Avir At Arbor Terrace | 3.6 mi | — | 7 | 0 |
| Regency House | 3.9 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.