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 Yorktown Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
The facility's kitchen ice machine, used for resident beverages, was found with visible rust and large sections of yellow and brown ice. Multiple staff, including dietary and nursing, were aware of the issue but did not consistently report or address it, citing unclear responsibilities. There was no established cleaning schedule or adequate staff training, leading to ongoing unsanitary conditions in the ice machine.
The facility failed to maintain proper hand hygiene during meal preparation, as observed when a Dietary Manager did not change gloves or wash hands after handling meal tickets and before continuing food preparation. This lapse in protocol was confirmed through interviews, highlighting a risk of cross-contamination.
A facility failed to conduct a PASRR level 2 evaluation for a resident with mental illness, despite her diagnoses of major depressive disorder with psychotic symptoms and psychotic disorder with delusions. The resident's PASRR level 1 screening incorrectly indicated no mental illness, and her admission MDS assessment did not recognize her as having a serious mental illness. The DOCC acknowledged the oversight, which could prevent the resident from receiving necessary specialized services.
A resident receiving enteral feeding had a tube feeding bag that was improperly labeled, lacking the formula name and correct date, which could lead to errors in care. The LVN trusted the night nurse's report despite these discrepancies, and the facility's policy did not adequately cover labeling procedures.
A facility failed to ensure proper pharmaceutical services when an LVN pre-popped a tramadol tablet for a resident and left it unsupervised in a medication cart. The resident, with severe cognitive impairment and pain management needs, had a care plan requiring pain medication as ordered. The DON confirmed that medications should not be pre-popped, as it could lead to errors. The facility's policy outlined proper medication administration steps, which were not followed in this instance.
A resident with severe cognitive impairment and multiple medical conditions was injured during a transfer when a CNA used a mechanical lift with the wrong-sized sling and without the required two-person assistance. The resident fell, sustaining a fracture and a laceration, after the CNA attempted the transfer alone, contrary to the care plan.
Failure to Maintain Sanitary Ice Machine for Resident Beverages
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety, specifically related to the condition and maintenance of the kitchen's ice machine. Observations revealed that the ice machine, which provided ice for resident beverages at meals, had visible rust on both the inside and outside surfaces and contained large sections of yellow and brown colored ice. Multiple staff members, including dietary and nursing staff, acknowledged awareness of the discolored ice and rust, with some stating they avoided using the affected ice but did not report the issue, assuming it was already known or not their responsibility. Interviews with dietary staff indicated a lack of clarity regarding responsibility and procedures for cleaning the ice machine. The Dietary Cook reported seeing the rust and discolored ice and stated she had informed the Dietary Supervisor but not the Maintenance Director, as she believed it was not her role. The Dietary Supervisor confirmed that both she and the Maintenance Director were responsible for ensuring the ice machine was cleaned, and that a cleaning schedule was supposed to be in place, but also stated that staff were expected to remove discolored ice as needed. The Maintenance Director admitted to cleaning the filters monthly and removing yellow ice when he noticed it, but there was no specific cleaning schedule or training provided for cleaning the ice machine. Further review of facility policy revealed that the Dining Services Director was responsible for maintaining a clean and sanitary kitchen environment and ensuring staff were knowledgeable about proper cleaning procedures. However, the lack of a consistent cleaning schedule, insufficient staff training, and unclear lines of responsibility contributed to the ongoing presence of rust and discolored ice in the machine, resulting in the deficiency.
Improper Hand Hygiene During Meal Preparation
Penalty
Summary
The facility failed to adhere to professional standards for food service safety in the kitchen, specifically regarding proper hand hygiene during meal preparation. An observation revealed that the Dietary Manager (DM) did not change gloves or wash hands after handling meal tickets and before continuing to prepare food. The DM initially washed her hands and put on gloves to cut bread, but then assisted with placing plates on trays and handled meal tickets without changing gloves or washing hands. This action was identified as a potential cause of cross-contamination. Interviews with the DM and the Assistant Dietary Manager (ADM) confirmed the lapse in proper hand hygiene practices. The DM acknowledged that she should have completed cutting the bread before assisting with other tasks and recognized the risk of cross-contamination due to not changing gloves and washing hands. The ADM emphasized the importance of changing gloves and washing hands to prevent contamination, especially after touching meal tickets. The facility's policy on meal distribution and the U.S. FDA Food Code were reviewed, highlighting the requirement for food employees to wash hands during food preparation to prevent cross-contamination.
Failure to Conduct PASRR Level 2 Evaluation for Resident with Mental Illness
Penalty
Summary
The facility failed to ensure that all Pre-Admission Screening and Resident Review (PASRR) level 1 residents with mental illness received a PASRR level 2 evaluation, specifically for one resident. Resident #5, a female with diagnoses including major depressive disorder with psychotic symptoms, psychotic disorder with delusions, and unspecified severe dementia, was admitted to the facility without a PASRR level 2 evaluation. The resident's PASRR level 1 screening form incorrectly indicated no mental illness, despite the presence of a psychotic disorder diagnosis upon admission. The resident's admission Minimum Data Set (MDS) assessment did not recognize her as having a serious mental illness, and her care plan included focuses on psychotropic medication and behavioral issues. The Director of Clinical Care (DOCC) acknowledged the absence of a level II PASRR evaluation and the lack of a physician-signed form confirming dementia as the primary diagnosis. This oversight could potentially prevent the resident from receiving necessary specialized services to address her mental health needs.
Improper Labeling of Enteral Feeding Bag
Penalty
Summary
The facility failed to ensure that a resident receiving enteral feeding was provided with appropriate treatment and services to prevent complications. Specifically, the tube feeding for a resident was not labeled with the required information, which could lead to decreased continuity of care, errors in tube feeding, and nutritional deficits. The resident, a female with anoxic brain damage, dysphagia following cerebral infarction, and aphasia, was moderately cognitively impaired and received all nutrition and hydration through a feeding tube. Observations revealed that the tube feeding bag was not properly labeled with the formula name, and the date was incorrect, leading to potential confusion among staff. During an interview, an LVN admitted to trusting the night nurse's report about the feeding bag despite the incorrect date and lack of formula identification. The Director of Nursing (DON) confirmed that the label should include the formula name, rate, date, and time hung, and that new tubing should be hung every 48 hours. The facility's policy did not cover the specific procedures for hanging and labeling tube feeding bags, and the Texas Health and Human Services guidelines emphasize the importance of proper labeling. This oversight in labeling could compromise the resident's care and safety.
Medication Administration Deficiency
Penalty
Summary
The facility failed to provide pharmaceutical services that ensure the accurate acquiring, receiving, dispensing, and administering of drugs for a resident. During a medication cart check, a Licensed Vocational Nurse (LVN) was observed to have pre-popped a tramadol tablet for a resident and left it unsupervised in the top drawer of the medication cart. The LVN admitted to pre-popping the medication and acknowledged that it was not standard practice, expressing uncertainty about why it was done in this instance. The Director of Nursing (DON) confirmed that medications should not be pre-popped and stored for later use, as this could lead to medication being lost, taken by someone else, or forgotten. The resident involved was a female with a history of severe cognitive impairment, dementia with agitation, muscle wasting, and hemiplegia following a stroke. The resident's care plan included administering pain medication as ordered, and her physician had prescribed tramadol for pain management. The facility's medication administration policy, as reviewed, included steps for proper medication administration, such as observing the resident swallow the medication and documenting after administration. However, the LVN's actions deviated from these procedures, leading to a deficiency in pharmaceutical services.
Inadequate Supervision and Incorrect Equipment Use During Resident Transfer
Penalty
Summary
The facility failed to ensure adequate supervision and assistance devices to prevent accidents for a resident who required two-person assistance during transfers. The resident, who had severe cognitive impairment and multiple medical conditions including osteoporosis, dementia, and congestive heart failure, was transferred by a CNA using a mechanical lift with the wrong-sized sling. This transfer was conducted independently by the CNA, contrary to the care plan that specified the need for two aides and a medium-sized sling. During the transfer, the resident's bottom bumped the bed, causing the lift to jolt and the resident to slide out of the sling, resulting in a fall. The resident sustained a zygomatic fracture and a laceration to the right temporal region. The incident occurred when the CNA was the only aide on the floor and did not seek assistance from the nursing staff, despite knowing the requirement for two-person assistance. The incident was reported by the nursing staff, and the resident was assessed and sent to the hospital for evaluation. The CNA involved had previously received training on the use of mechanical lifts, but failed to adhere to the established protocols, leading to the resident's fall and injury.
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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 Yorktown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Whispering Oaks Rehab & Nursing | 16.5 mi | — | 0 | 0 |
| Cuero Nursing And Rehabilitation Center | 16.6 mi | — | 5 | 0 |
| La Bahia Nursing And Rehabilitation | 21.9 mi | — | 8 | 0 |
| John Paul Ii Nursing Home | 23.2 mi | — | 5 | 0 |
| Kenedy Health & Rehabilitation | 23.4 mi | — | 12 | 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.