All citations for Benbrook Nursing & Rehabilitation Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Benbrook Nursing & Rehabilitation Center

Last standard health inspection on record

September 11, 2025

Showing 1 to 21 of 21 citations

  1. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 9, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 10, 2025).

  2. No harm, with potential for more than minimal harm

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of June 3, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 5, 2025).

  3. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 30, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 2, 2025).

  4. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of April 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 25, 2025).

  5. No harm, with potential for more than minimal harm

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of March 12, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 1, 2025).

  6. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 12, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 1, 2025).

  7. No harm, with potential for more than minimal harm

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0919, Environmental Deficiencies. Inspection of December 5, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 18, 2024).

  8. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of August 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 9, 2024).

  9. No harm, with potential for more than minimal harm

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of August 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 9, 2024).

  10. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 9, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 10, 2025).

  11. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 9, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 10, 2025).

  12. No harm, with potential for more than minimal harm

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of June 3, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 5, 2025).

  13. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 30, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 2, 2025).

  14. No harm, with potential for more than minimal harm

    Protect each resident from the wrongful use of the resident's belongings or money.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0602, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 12, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (December 4, 2024).

  15. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of March 12, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 1, 2025).

  16. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of February 8, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 10, 2025).

  17. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of January 28, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 9, 2025).

  18. No harm, with potential for more than minimal harm

    Give the resident's representative the ability to exercise the resident's rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0551, Resident Rights Deficiencies. Inspection of August 8, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 9, 2024).

  19. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of August 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 9, 2024).

  20. No harm, with potential for more than minimal harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Isolated (one or a few residents). CMS level D.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of August 8, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 9, 2024).

  21. No harm, with potential for more than minimal harm

    Dispose of garbage and refuse properly.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of August 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 9, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.