Nursing Home Record

For profit - Limited Liability company · 96 certified beds · CMS number 455934

Northern Oaks Living & Rehabilitation Center, Abilene, TX

CMS records 29 health deficiencies at Northern Oaks Living & Rehabilitation Center in Abilene, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jan 22, 2026. The highest severity cited is F (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.

Inspections and deficiencies

CMS findings for Northern Oaks Living & Rehabilitation Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Northern Oaks Living & Rehabilitation Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (10 deficiencies)

Standard inspection Jan 22, 2026. CMS counts 10 health deficiencies and 8 fire safety deficiencies in this cycle.

Jul 2, 2026 · Complaint inspection

1 deficiency, highest D

F636 · Full assessment at admission and yearly

Requirement cited (CMS): Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 3, 2026

May 5, 2026 · Complaint inspection

1 deficiency, highest D

F580 · Telling residents and families about changes

Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 28, 2026

Jan 22, 2026 · Standard + complaint inspection

7 deficiencies, highest E

F849 · Hospice services

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 23, 2026

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 23, 2026

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 23, 2026

F690 · Bladder, bowel, and catheter care

Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 23, 2026

F605 · Limits on psychotropic drugs and chemical restraints

Requirement cited (CMS): Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 23, 2026

F577 · Seeing inspection results

Requirement cited (CMS): Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Severity
C No actual harm, potential for minimal harm, widespread
Status
Correction date Jan 23, 2026

F552 · Being informed about health and treatment

Requirement cited (CMS): Ensure that residents are fully informed and understand their health status, care and treatments.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 23, 2026

Nov 7, 2025 · Complaint inspection

1 deficiency, highest D

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 8, 2025
Previous cycle: 4 deficiencies (standard inspection Oct 29, 2024)

Standard inspection Oct 29, 2024. CMS counts 4 health deficiencies and 8 fire safety deficiencies in this cycle.

Mar 7, 2025 · Complaint inspection

1 deficiency, highest E

F677 · Help with daily care

Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Mar 8, 2025

Oct 29, 2024 · Standard + complaint inspection

3 deficiencies, highest E

F657 · Care plan timing and team review

Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 22, 2024

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Nov 22, 2024

F641 · Accurate resident assessments

Requirement cited (CMS): Ensure each resident receives an accurate assessment.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 22, 2024
Earlier cycle: 15 deficiencies (standard inspection Aug 29, 2023)

Standard inspection Aug 29, 2023. CMS counts 15 health deficiencies and 0 fire safety deficiencies in this cycle.

Sep 20, 2023 · Complaint inspection

2 deficiencies, highest E

F921 · Safe, functional, sanitary building

Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 12, 2023
Found in
infection control inspection

F584 · Safe, clean, homelike surroundings

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 12, 2023
Found in
infection control inspection

Aug 29, 2023 · Standard inspection

13 deficiencies, highest F

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Sep 22, 2023

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Sep 22, 2023

F840 · Using outside service providers

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Sep 22, 2023

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Sep 22, 2023

F809 · Meal times and snacks

Requirement cited (CMS): 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.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Sep 22, 2023

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Sep 22, 2023

F758 · Psychotropic drug safeguards

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Sep 22, 2023

F732 · Daily posting of nurse staffing

Requirement cited (CMS): Post nurse staffing information every day.

Severity
C No actual harm, potential for minimal harm, widespread
Status
Correction date Sep 22, 2023

F690 · Bladder, bowel, and catheter care

Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Sep 22, 2023

F686 · Pressure ulcer prevention and care

Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Sep 22, 2023

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Sep 22, 2023

F655 · Baseline care plan within 48 hours

Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 22, 2023

F578 · Refusing treatment and advance directives

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 22, 2023

Tags cited in more than one inspection

3 tags cited on more than one inspection date at Northern Oaks Living & Rehabilitation Center; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F656 Comprehensive person-centered care plan3Nov 7, 2025; Oct 29, 2024; Aug 29, 2023
F690 Bladder, bowel, and catheter care2Jan 22, 2026; Aug 29, 2023
F761 Drug labeling and secure storage2Jan 22, 2026; Aug 29, 2023

Fines and payment denials

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.02 h (below the Texas median of 3.27 h)
RN hours per resident per day
0.43 h (above the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.67 h
Nursing staff turnover
not reported
Administrators who left
not reported
CMS overall rating
3 of 5
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measure rating
4 of 5

CMS figures for Northern Oaks Living & Rehabilitation Center, copied as published; Texas medians are ours.

Facility details

Address
2722 Old Anson Rd, Abilene, TX 79603
Phone
(325) 676-1677
County
Taylor
Accepts
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Chain (CMS)
The Ensign Group
Certified beds
96
Average residents per day
76.5
In Medicare/Medicaid since
Jul 30, 1991
Inside a hospital
Yes
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • How are a resident's goals and preferences written into the care plan? (F656, cited 3 times)
  • How does the home support residents who need help with toileting or incontinence? (F690, cited 2 times)
  • How are medications stored and secured on each unit? (F761, cited 2 times)
  • How do doctors and nurses explain changes in treatment to residents and their families? (F552, cited 1 time)

Other nursing homes in Abilene and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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