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 Rehabilitaion and Healthcare Cente
Kingsville, TX · Medicare-certified · 146 beds
In good standing
For-profitChain member
4 of 5 overall
Lone Star Ranch Rehabilitation and Healthcare Center in Kingsville, TX has an overall 4 out of 5 stars, with 4-star health inspection and quality ratings and 3-star staffing. It reports 3.16 nurse hours per resident per day versus the 4.1 federal benchmark, with $0 in fines in the last 24 months; recent inspection citations included accident hazards/supervision, food handling, and medication storage/labeling.
Facility ratings
Health inspections
Staffing
3.1593 hrs/resident/day
Quality measures
Last inspection: December 29, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1593.
Staffing detail
- Registered nurses
- 0.57
- Licensed practical nurses
- 0.62
- Nurse aides
- 1.97
- Weekend nursing
- 2.84
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 46%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
6.1%Worsening
Residents with a fall causing major injury
3.9%Worsening
Residents with pressure ulcers (bedsores)
0.2%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
0.8%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
26.3%Improving
Residents whose ability to walk got worse
19.7%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
23%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
13.5%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
88.9%Steady
Short-stay residents given the pneumonia vaccine
99.6%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 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
- Ownership
- For profit - Corporation
- Chain
- Part of NEXION HEALTH · 52 homes · 2.4 stars avg
- Occupancy
- 84.3 residents on an average day (58% 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.