The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Lone Star Ranch Rehabilitation and Healthcare Center
Registered name: Lone Star Ranch Rehabilitaion and Healthcare Cente
Kingsville, TX · Medicare-certified · 146 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
3 of 5 overall
Lone Star Ranch Rehabilitation and Healthcare Center has a 3 out of 5 star overall rating. Its health inspection rating is low at 2 stars, staffing is 4 stars but reported nurse staffing is below the federal benchmark (3.22 vs 4.1 hours per resident per day), quality measures are 5 stars, there were no fines in the last 24 months, and it has a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.2203 hrs/resident/day
Quality measures
Last inspection: May 28, 2026Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2203.
Staffing detail
- Registered nurses
- 0.64
- Licensed practical nurses
- 0.56
- Nurse aides
- 2.02
- Weekend nursing
- 2.85
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 20%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
7.7%4%Improving
Residents with a fall causing major injury
3.9%2.7%Improving
Residents with pressure ulcers (bedsores)
0%1.5%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
22.6%25.5%Worsening
Residents whose ability to walk got worse
23%24.4%Worsening
Long-stay residents on antianxiety or sleep medication
24.2%20%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
14.7%11.4%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—88.9%—
Short-stay residents given the pneumonia vaccine
100%98.7%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited April 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited April 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: E
The nursing home failed to protect residents from abuse and neglect by others. Cited December 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,190 in total fines.
- $8,190
Federal fine
Sep 18, 2023
Operator & ownership
Recent ownership change · Apr 1, 2022
Now operated by West Wharton County Hospital District, previously Nexion Health at Kingsville INC.
- Ownership
- For profit - Corporation
- Chain
- Part of NEXION HEALTH · 53 homes · 2.3 stars avg
- Occupancy
- 82.7 residents on an average day (57% of 146 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 31 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.