Facility profile · CCN 675295
Lytle Nursing Home
43 federal citations on record , including 1 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $70,725.
Record summary
Federal record · Q1 202643
Total citations
35
Last 3 years
2
Actual harm+
4
Federal penalties
$70,725
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
43 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jul 17, 2025 | F908 | Keep all essential equipment working safely. | E | Standard |
| Jul 17, 2025 | F851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard |
| Jul 17, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Jul 17, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Jul 17, 2025 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard |
| Jul 17, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Jul 17, 2025 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard |
| Jul 17, 2025 | F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard |
| Apr 11, 2025 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | F | Complaint |
| May 27, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint |
| May 27, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Complaint |
| May 27, 2024 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | C | Standard |
| May 27, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| May 27, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard |
| May 27, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard |
| May 27, 2024 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | C | Standard |
| May 27, 2024 | F808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Standard |
| May 27, 2024 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard |
| May 27, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| May 27, 2024 | F726 | 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. | D | Standard |
| May 27, 2024 | F711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | Standard |
| May 27, 2024 | F710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | Standard |
| May 27, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| May 27, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| May 27, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Standard |
| May 27, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard |
| May 27, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| May 27, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| May 27, 2024 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard |
| May 27, 2024 | F584 | 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. | D | Standard |
| May 27, 2024 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard |
| Jan 9, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Jan 9, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Jan 9, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint |
| Oct 3, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Mar 22, 2023 | F926 | Have policies on smoking. | D | Standard |
| Mar 22, 2023 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | D | Standard |
| Mar 22, 2023 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Mar 22, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Mar 22, 2023 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard |
| Mar 22, 2023 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Mar 22, 2023 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Mar 22, 2023 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
Federal enforcement history
Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $70,725 and 1 payment-denial actions spanning 13 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| May 27, 2024 | Fine | $55,904 | — |
| May 27, 2024 | Payment Denial | — | Jun 27, 2024 · 13 days |
| Jun 20, 2023 | Fine | $4,235 | — |
| May 30, 2023 | Fine | $10,586 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
Concerned about care at Lytle Nursing Home?
An attorney who focuses on nursing-home abuse and neglect can review the facility's record with you — citation patterns, scope/severity levels, complaint-driven findings — and tell you whether the law recognizes what happened.
- Consultation is free and confidential
- You pay nothing unless there is a recovery
- Your note is shared only with vetted plaintiff attorneys