Inspection·August 20, 2025

F 0732 Post nurse staffing information every day. Level of Harm - Potential for minimal harm Based on observation, interviews and record reviews, the facility failed to ensure nurse staffing information was posted in a prominent place readily accessible to residents and visitors that included: The total number and the actual hours worked by the registered nurses, licensed practical nurses or licensed vocational nurses and certified nurse aides directly responsible for resident care per shift for 12 of 12 days [KS1] (8/9/25, 8/10/25, 8/11/25, 8/12/25, 8/13/25, 8/14/25, 8/15/25, 8/16/25, 8/17/25, 8/18/25, 8/19/25, 8/20/25)reviewed for required postings. The facility failed to ensure the daily staffing information up to date and was posted in a prominent location on 08/20/25. This failure could place residents, their families, and visitors at risk of not knowing how many nursing staff are currently working to provide care on all shifts. [KS2] [KS1]List the dates of the 12 days in the based on statement [KS2]The failure statement should include the 12 datesFindings Included: During an observation on 08/20/25 at 9:40 AM, the daily staffing posted located outside the Administrator's door was dated 08/08/25. During[KS1] an interview on 08/20/25 at 10:00 AM, the Administrator stated her expectation was that the daily staffing be posted daily. The Administrator stated the ADON was responsible for posting the daily staffing. The Administrator stated she had not realized that it was not being kept current. During[KS2] an interview on 08/20/25 at 10:30 AM the ADON stated she was responsible for posting daily nurse staffing hours but had been busy with other job duties and just had forgotten to keep the posting current for the past 12 days. Review of policy titled Nurse Staffing Posting Information dated 01/01/2024 revealed: It is the policy of this facility to make staffing information readily available in a readable format to residents and visitors at any given time . The nurse staffing sheet will be posted on a daily basis. [KS1]Did we ask the Administrator why it was important the nurse staffing info be posted every day? It would be helpful to have her stating how residents were/could be affected if the information was not posted. [KS2]Did we ask the ADON about the 12 days referenced in the based on statement? It would be helpful to have the ADON saying she had not posted the info for 12 days, starting on 8/9/25. Residents Affected - Many Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 676068 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 676068 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/20/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Cedar Manor Nursing and Rehabilitation Center 1915 Greenwood St San Angelo, TX 76901 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)