Kerrville nursing home was hit with 16 health code violations during pandemic





A Kerrville nursing home, where 12 people died from COVID-19, was cited 16 times in 2020 for health code violations by Texas regulators.

The Texas Health and Human Services Commission issued the citations on Oct. 31 to Waterside Nursing and Rehabilitation, where 89 patients were infected with the virus. An additional 40 staff members contracted the virus. While Waterside officials corrected the issues by Nov. 10 — at the height of the outbreak — state officials found that the nursing home had failed to do the following:


  • Did not keep safe, clean and homelike surroundings.
  • Respect the residents' rights.
  • To post information relating to the total number of hours and actual time of day to be worked by RNs, LVNs and CNAs.
  • To make sure that the director of food service meets DADS qualifications.
  • To make sure that its menus are followed and document any substitutions made to the menus.
  • To include the nursing facility specialized services agreed to by the resident or LAR in the comprehensive care plan.
  • To include in the care plan services that will be provided to the resident.
  • To have the comprehensive care plan reviewed and revised by qualified persons after each assessment.
  • To establish smoking policies that took into account the needs of both smoking and non-smoking residents.
  • To establish and maintain an infection control program.
  • Did not provide proof that all residents' personal money that is deposited with the nursing home is secure.
  • Did not store, cook, and give out food in a safe and clean way.
  • Did not make sure that the nursing home area is free of dangers that cause accidents.
  • Did not make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.
  • Did not give each resident care and services to get or keep the highest quality of life possible.
  • Did not get rid of garbage properly.

During the outbreak, the Kerrville Fire Department, Health and Human Services and the Texas National Guard all provided training and personal protective equipment. 



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