Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
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 Whitehall Rehab & Nursing during CMS and state inspections, most recent first.
A resident with dementia and a history of elopement risk managed to leave the facility and was found in a hazardous area outside. Despite having a wander alarm, the resident eloped at night, and staff initially failed to locate her promptly. The resident was eventually found unharmed, but the incident highlighted a lapse in supervision and response to alarms.
The facility's kitchen was found to have unsanitary conditions, including molded food and improperly stored items. Staff interviews revealed inconsistent responsibility for checking and discarding expired food, with the dietary manager and administrator acknowledging lapses in adherence to food storage protocols.
A facility failed to ensure privacy and dignity for three residents during care and meal assistance. A resident receiving incontinent care was exposed due to CNAs not pulling the privacy curtain, while two residents were fed by standing staff, potentially making them feel rushed. Staff acknowledged the lapses despite having completed resident rights training.
The facility failed to ensure no more than 14 hours between supper and breakfast, with breakfast often served after 9:00 AM and supper around 6:00 PM. Residents reported having to request snacks, and diabetic residents did not receive snacks at night. The Dietary Manager acknowledged past complaints about snack preparation, and the facility lacked a policy on meal and snack frequency, contributing to the deficiency.
A resident with severe cognitive impairment and pressure ulcers did not receive consistent wound care as prescribed. The facility failed to document wound care for the resident's left heel on 3 days and right buttock on 4 days in October. Staff interviews revealed that wound care was not always performed when the treatment nurse was off duty, despite it being the responsibility of the RN on the floor.
A facility failed to adhere to respiratory care protocols for a resident with COPD, as the nebulizer mask, humidifier bottle, and oxygen tubing were not changed weekly per physician's orders. Observations showed outdated equipment, and interviews confirmed that night shift nurses were responsible for these changes, which were not completed as required.
A resident with dementia eloped from the facility and was found in a nearby emergency room parking lot. Despite having a wander alarm, the incident was not reported to HHSC within 24 hours as required. The administrator believed staff maintained visual contact, leading to the decision not to report the incident as an elopement.
A resident with cognitive impairment and dependency for ADLs was injured during transport in a facility van due to inadequate securement. The van lacked a shoulder harness, and the staff was not trained on its necessity, leading to the resident falling forward and striking his head. This oversight in safety measures placed all residents using the van at risk.
The facility failed to ensure that four nurse aides completed a competency evaluation program within four months of hire, as required. Despite receiving skills checkoff training, these aides were scheduled to work without certification. Interviews revealed a lack of awareness and tracking system for the four-month requirement among staff, including the ADON, DON, and Administrator. The facility had been using in-house training since COVID-19 and recently transitioned to an online program, but the deficiency persisted due to inadequate oversight.
Resident Elopement Due to Inadequate Supervision
Penalty
Summary
The facility failed to provide adequate supervision to prevent a resident from eloping from the facility. The resident, who had a history of cerebral infarction, dementia, and hyperlipidemia, was identified as being at high risk for elopement due to progressing dementia and signs of sundowning. Despite having a wander/elopement alarm device, the resident managed to leave the facility and was found in an empty lot with multiple hazards, approximately 550 feet behind the facility and 300 feet from a highway. The incident occurred when the resident eloped from the facility at 1:30 am. The alarm on the exit door was triggered, but initial checks by staff did not locate the resident. It was only after further searching that the resident was found outside and redirected back to the facility without injury. The resident was noted to have moderately impaired cognition, with a BIMS score of 9, and was independent in most activities of daily living, including ambulation. The facility's care plan for the resident included interventions such as checking the placement of the wanderguard every shift and using an audible monitoring system to alert staff of exit-seeking behaviors. However, these measures were insufficient to prevent the elopement. Staff interviews revealed that the alarm was heard, but there was a delay in locating the resident, indicating a lapse in the immediate response to the alarm and supervision of the resident.
Sanitation Deficiency in Kitchen
Penalty
Summary
The facility failed to maintain sanitary conditions in its only kitchen, as observed during a survey. Molded food items, including tomatoes, honeydew melons, and shredded mozzarella cheese, were found in the walk-in refrigerator. Additionally, whipped topping with a brown and sticky liquid, uncovered prepared pudding, and unsealed raw cookie dough were improperly stored. In another refrigerator, unsealed and unlabeled sliced cheese and french fries were also found. These observations indicate a lack of adherence to proper food storage and handling protocols. Interviews with kitchen staff revealed a lack of consistent responsibility for checking and discarding expired or moldy food. A dietary aide stated that he does not check the freezers or refrigerators, leaving the task to the cooks and dietary manager. The dietary manager admitted to regularly checking for expired food but was late due to an emergency on the day of the survey. The administrator acknowledged the responsibility for ensuring kitchen staff received appropriate training and expected daily checks of food quality and kitchen cleanliness. The facility's policy requires opened packaged frozen items to be sealed, labeled, and dated, which was not followed.
Privacy and Dignity Breaches During Care and Meal Assistance
Penalty
Summary
The facility failed to ensure personal privacy for three residents during care, as observed by surveyors. Resident #25, a female with dementia and intact cognition, was provided incontinent care without the privacy curtain being pulled, exposing her to her roommate and the hallway. Both CNAs involved acknowledged the oversight and admitted to being trained on privacy protocols. Resident #25 expressed feeling exposed and embarrassed due to the lack of privacy during care. Additionally, the facility did not maintain dignity during meal assistance for Residents #18 and #59. Both residents, who required supervision and assistance with eating due to cognitive impairments, were fed by staff members who stood over them rather than sitting. This action was acknowledged by the staff as potentially making residents feel intimidated or rushed. The staff involved were aware of the proper protocol to sit while assisting residents with meals but failed to do so due to the unavailability of chairs. Interviews with the Director of Nursing and the Administrator confirmed that all staff are expected to maintain resident privacy and dignity, as outlined in the facility's policy on resident rights. Training records indicated that all involved staff had completed resident rights training earlier in the year, yet the deficiencies in maintaining privacy and dignity were still observed.
Inconsistent Meal and Snack Times in LTC Facility
Penalty
Summary
The facility failed to ensure that no more than 14 hours elapsed between a substantial evening meal and breakfast the following day, unless a nourishing snack was provided at bedtime. Observations on two consecutive days showed that breakfast trays were being served to residents in their rooms after 9:00 AM, while supper was served around 6:00 PM, resulting in a meal span exceeding 14 hours. Residents reported that snacks were available at the nurse's station, but they had to request them, and diabetic residents did not receive snacks at night. Interviews with the Dietary Manager and other staff revealed inconsistencies in the preparation and distribution of evening snacks. The Dietary Manager acknowledged past complaints about sandwiches not being made for evening snacks and admitted there was no policy on meal and snack frequency. The Director of Nursing (DON) was unaware that sandwiches were not being distributed and expressed concerns about the potential effects of inconsistent mealtimes on residents' medication schedules. The facility's Administrator was aware of complaints about late breakfast service and acknowledged staffing challenges in the dietary department. Despite efforts to address these issues, the facility did not have a policy regarding mealtimes and snacks, contributing to the deficiency. The lack of a consistent meal schedule and the failure to provide nourishing snacks placed residents at risk of not having their nutritional needs met.
Failure to Provide Consistent Wound Care for Resident with Pressure Ulcers
Penalty
Summary
The facility failed to provide necessary wound care treatment for a resident with pressure ulcers, as per professional standards of practice. The resident, who was admitted with severe cognitive impairment and required substantial assistance for all activities of daily living, had an unstageable pressure ulcer on the left heel and a stage 3 pressure ulcer on the right buttock. The treatment plan prescribed by the physician included specific dressing treatments for both pressure ulcers. However, the facility did not document the provision of wound care for the left heel on 3 out of 27 days and for the right buttock on 4 out of 27 days in October 2024. Interviews with facility staff revealed that wound care was not consistently performed when the treatment nurse was off duty. It was the responsibility of the RN on the floor to carry out wound care in the absence of the treatment nurse, but this was not always done. The Director of Nursing confirmed that the treatment nurse was responsible for wound care during her working days, and the charge RN or RN supervisor was expected to perform wound care when the treatment nurse was not available. The failure to adhere to the physician's wound care orders could lead to the deterioration of the resident's pressure ulcers.
Failure to Follow Respiratory Care Protocols
Penalty
Summary
The facility failed to provide respiratory care consistent with professional standards and care plans for a resident requiring such care. Specifically, the facility did not change the nebulizer mask, humidifier bottle, and tubing for the oxygen concentrator as per the physician's orders. The resident, who was cognitively intact, had a history of Chronic Obstructive Pulmonary Disease, generalized anxiety disorder, Type 2 diabetes mellitus, and Chronic Kidney Disease. Observations revealed that the humidifier bottle attached to the oxygen concentrator was not changed weekly as ordered, and the nebulizer mask was not dated correctly, indicating a lapse in following the prescribed schedule for changing respiratory equipment. Interviews with the Director of Nursing (DON) and the Administrator confirmed that the responsibility for changing the oxygen setup every Sunday was assigned to the night shift charge nurses. However, the equipment was not changed as required, and the dates on the equipment were not updated correctly. The facility's policy required disposable parts to be changed weekly and labeled with the date, but this was not adhered to, leading to a deficiency in the care provided to the resident.
Failure to Report Resident Elopement Incident
Penalty
Summary
The facility failed to report an alleged incident of neglect involving a resident who eloped from the facility and was found in the emergency room parking lot next door. The incident occurred on 4/14/24, and the administrator did not report it to the Health and Human Services Commission (HHSC) within the required 24-hour timeframe. The administrator believed that the staff had maintained visual contact with the resident at all times, which led to the decision not to report the incident as an elopement. The resident involved was a female with a history of cerebral infarction, dementia, and hyperlipidemia. Her comprehensive care plan indicated she was at high risk for elopement due to her dementia and sundowning symptoms. Despite having a wander/elopement alarm device, the resident managed to leave the facility unnoticed, highlighting a lapse in the monitoring and response to the alarm system. Interviews with facility staff, including the Director of Nursing (DON) and the administrator, revealed a misunderstanding of the incident's severity and the reporting requirements. The facility's policies on missing residents and abuse/neglect were not followed, as the incident was not reported to the state agency as required. This oversight could potentially place residents at risk for harm and injury.
Resident Injury Due to Inadequate Securement in Facility Van
Penalty
Summary
The facility failed to ensure adequate supervision and proper securement of a resident during transport, leading to an accident. The incident involved a male resident with a history of myocardial infarction, moderate cognitive impairment, and dependency for all activities of daily living. During transport in the facility van, the resident was not properly secured with a shoulder harness, resulting in him falling forward and striking his head, which caused a laceration and required emergency room care. Interviews with staff revealed that the van was equipped only with a lap belt, and there was no shoulder harness available or used. The van driver and CNA accompanying the resident were not trained on the necessity of a shoulder harness, and the maintenance director confirmed that the van lacked this essential safety feature. The absence of a shoulder harness was a critical oversight, as it could have prevented the resident from falling forward during transport. The facility's transportation policy and training procedures were inadequate, as they did not ensure the use of both lap and shoulder belts as required by federal regulations. The maintenance director and van driver were not aware of the need for a shoulder harness, and the facility's administrator was under the impression that both lap and shoulder belts were in use. This lack of proper training and equipment placed all residents using the facility van at risk of injury.
Failure to Ensure Timely Certification of Nurse Aides
Penalty
Summary
The facility failed to ensure that four nurse aides, identified as NA B, NA C, NA D, and NA E, completed a nurse aide competency evaluation program within four months of their hire date. This deficiency was identified through observations, interviews, and record reviews. The staff roster and personnel files revealed that these nurse aides had been employed beyond the four-month period without completing the required training and competency evaluation program approved by the state. Despite receiving skills checkoff training by the facility staff, they were still scheduled to work without the necessary certification. Interviews with the staff, including NA D, revealed that she had been employed for three years and had not passed the written test of the CNA course despite multiple attempts. She was unaware of the four-month completion requirement and continued to perform nurse aide tasks under supervision. The Assistant Director of Nursing (ADON) and the Director of Nursing (DON) were also interviewed, and both were not fully aware of the four-month timeframe requirement. They mentioned that the administrator was responsible for enrolling nurse aides in the NATCEP program, but there was no system in place to ensure completion of the program within the required timeframe. The Administrator confirmed that there was no tracking system for ensuring the completion of the training program and that the facility had been using in-house training since the COVID-19 pandemic. The facility had transitioned to an online NATCEP program to address attendance issues with in-person classes. The Administrator was not aware that the four-month timeframe had resumed after the COVID waiver ended. The lack of a tracking system and awareness of the regulatory requirements contributed to the deficiency, potentially placing residents at risk of receiving care from inadequately trained staff.
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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 Crockett
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Winfield Rehab & Nursing | 0 mi | — | 14 | 0 |
| Houston County Nursing Home | 10.7 mi | — | 0 | 0 |
| Avir At Elkhart | 22.2 mi | — | 1 | 0 |
| Groveton Nursing Home | 25.2 mi | — | 4 | 0 |
| Trinity Rehabilitation & Healthcare Center | 26.2 mi | — | 37 | 3 |
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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.