Lone Star Ranch Rehabilitation and Healthcare Center
Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.
based on 238 Google reviews
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What this means for your family
This facility is an excellent choice for families prioritizing compassionate nursing care and high-quality rehabilitation services. While the staff is widely praised for their kindness, you should specifically inquire about the facility's protocols for medical monitoring and hygiene to address the rare but serious concerns raised by some reviewers.
Google Reviews
Google Reviews
238 reviews analyzed“Families considering Lone Star Ranch can expect a highly compassionate environment, with many reviewers praising the nursing and therapy teams for treating residents like family. While the facility is frequently lauded for its cleanliness and professional admission process, there are isolated but serious reports regarding medical neglect and unpleasant odors.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Effective and professional rehabilitation/therapy team
- Clean and well-maintained facility
- Smooth and professional admission process
Concerns
- Allegations of medical neglect and patient decline
- Unpleasant facility odors (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner uses highly templated responses that rely on a standard script for negative reviews, specifically directing complainants to a VP of Compliance. Positive reviews are met with brief, repetitive acknowledgments.
Questions for Your Tour
- 1We've heard wonderful things about how professional the admission process is; could you walk us through what the first few days would look like for our loved one?
- 2The therapy team here has such a great reputation; how do you customize rehabilitation plans to help residents regain their independence?
- 3With the nursing staff being so highly regarded for their compassion, how do you ensure that level of attentive care remains consistent throughout every shift?
- 4What specific steps does the facility take to maintain a fresh and clean environment, especially in the common areas and resident rooms?
- 5How does the clinical team monitor for any sudden changes in a resident's health or physical condition to prevent any decline in their well-being?
- 6What kind of daily activities or social events do you have planned to keep residents engaged and connected with one another?
Personalized based on this facility's data
Key Review Excerpts
“My mom was cared for with compassion, kindness, patience, respect and understanding all the way to the end. The staff became my family.”
“The staff is incredibly caring and attentive, and they go above and beyond to make residents feel comfortable. The DON Jessica is involved and shows so much compassion towards the residents.”
“I do not want anyone to go through what we are going through due to medical neglect of the staff. My father was there for 20 days for physical therapy and came out in a delicate state and is now hospitalized.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
13
measures
4
measures
Residents with depression symptoms
Residents needing more daily help over time
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple reports triggering 12 deficiencies, with concerning patterns in abuse and neglect protection, medication management, and food safety. The facility has repeatedly struggled with preventing abuse and responding properly to incidents, appearing across several surveys including recent ones in 2025. While all issues show correction dates, the recurring nature of protection failures and medication errors, combined with the high number of family complaints, suggests ongoing quality concerns that warrant careful consideration before placement.
Dec 29, 2025Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Pharmacy Service Deficiencies
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.
Nov 26, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jun 19, 2025Routine5
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
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.
May 15, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Nov 12, 2024Complaint1
Pharmacy Service Deficiencies
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.
Apr 25, 2024Routine9
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
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.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal Penalties
Fine
Sep 18, 2023
$8,190
Ownership & Operations
Who Operates This Facility
West Wharton County Hospital District
for profit
NEXION HEALTH AT KINGSVILLE, INC
DAVID MENDEZ
Chain Affiliation
Nexion Health
52 facilities nationwide
Chain avg rating: 2.9/5 · Rank 4 of 26 (Best)
Ownership & Management
Key personnel
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
238 reviews from families & visitors
Official Website
Visit nexion-health.com
Medicare data downloads
Original nursing home datasets
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