Northern Oaks Living & Rehabilitation Center
2722 Old Anson Rd · Abilene, TX · 79603 · 3256761677
96 certified beds For profit - Limited Liability company Chain: The Ensign Group
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- No federal fines or payment denials in CMS’s 3-year window.
- 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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (31 in the current record)
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Potential for harm · D January 22, 2026 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected January 23, 2026 · Resident Rights
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Potential for harm · E January 22, 2026 · found via complaint
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected January 23, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 22, 2026 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected January 23, 2026 · Quality of Life and Care
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Potential for harm · E January 22, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 23, 2026 · Pharmacy Service
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Potential for harm · E January 22, 2026 · found via complaint
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 January 23, 2026 · Pharmacy Service
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Potential for harm · D January 22, 2026 · found via complaint
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected January 23, 2026 · Administration
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No harm found · C January 22, 2026 · found via complaint
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected January 23, 2026 · Resident Rights
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Potential for harm · D November 7, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · E March 7, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 8, 2025 · Quality of Life and Care
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Potential for harm · D October 29, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected November 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · E October 29, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 29, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · E September 20, 2023 · found via complaint
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 October 12, 2023 · Resident Rights
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Potential for harm · E September 20, 2023 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected October 12, 2023 · Environmental
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Potential for harm · D August 29, 2023
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected September 22, 2023 · Resident Rights
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Potential for harm · D August 29, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected September 22, 2023 · Resident Assessment and Care Planning
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Potential for harm · E August 29, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 22, 2023 · Resident Assessment and Care Planning
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Potential for harm · E August 29, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 22, 2023 · Quality of Life and Care
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Potential for harm · E August 29, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected September 22, 2023 · Quality of Life and Care
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Potential for harm · E August 29, 2023
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected September 22, 2023 · Pharmacy Service
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Potential for harm · E August 29, 2023
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 September 22, 2023 · Pharmacy Service
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Potential for harm · F August 29, 2023
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected September 22, 2023 · Nutrition and Dietary
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Potential for harm · F August 29, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 22, 2023 · Nutrition and Dietary
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Potential for harm · E August 29, 2023
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Corrected September 22, 2023 · Administration
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Potential for harm · E August 29, 2023
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 22, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455934 · certified since July 30, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.