Lytle Nursing Home
15366 Oak St · Lytle, TX · 78052 · 8307723557
70 certified beds For profit - Limited Liability company
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Total nurse staffing below 3.0 hours per resident-day
2.69 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.69 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.31 | 0.55–0.75 |
| Weekend hours / resident-day | 2.39 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $60,139 |
Inspection citations (43 in the current record)
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Potential for harm · D July 17, 2025
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected July 18, 2025 · Resident Rights
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Potential for harm · D July 17, 2025
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected July 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 17, 2025
Ensure that residents are free from significant medication errors.
Corrected July 18, 2025 · Pharmacy Service
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Potential for harm · E July 17, 2025
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.
Corrected July 18, 2025 · Pharmacy Service
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Potential for harm · E July 17, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 18, 2025 · Nutrition and Dietary
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Potential for harm · D July 17, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · F July 17, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected July 18, 2025 · Administration
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Potential for harm · E July 17, 2025
Keep all essential equipment working safely.
Corrected July 18, 2025 · Environmental
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Potential for harm · F April 11, 2025 · found via complaint
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.
Corrected May 11, 2025 · Resident Rights
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Immediate jeopardy · J May 27, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 10, 2024 · Quality of Life and Care
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Actual harm · G May 27, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 10, 2024 · Resident Rights
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Potential for harm · D May 27, 2024
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.
Corrected July 10, 2024 · Resident Rights
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Potential for harm · D May 27, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected July 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 27, 2024
Ensure each resident receives an accurate assessment.
Corrected July 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 27, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected July 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · E May 27, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 27, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 10, 2024 · Quality of Life and Care
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Potential for harm · D May 27, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 10, 2024 · Quality of Life and Care
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Potential for harm · D May 27, 2024
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected July 10, 2024 · Nursing and Physician Services
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Potential for harm · E May 27, 2024
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected July 10, 2024 · Nursing and Physician Services
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Potential for harm · D May 27, 2024
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.
Corrected July 10, 2024 · Nursing and Physician Services
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Potential for harm · D May 27, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected July 10, 2024 · Pharmacy Service
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Potential for harm · D May 27, 2024
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.
Corrected July 10, 2024 · Pharmacy Service
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Potential for harm · D May 27, 2024
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.
Corrected July 10, 2024 · Nutrition and Dietary
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Potential for harm · E May 27, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 10, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 27, 2024 | Fine | $55,904 |
| May 27, 2024 | Payment Denial | 13 days |
| June 20, 2023 | Fine | $4,235 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675295 · certified since February 17, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.