Lytle Nursing Home

Nursing Home · Lytle, TX

CMS overall rating 1/5 For profit - Limited Liability company

CMS certification number675295

Contact & location

15366 Oak ST
Lytle, TX 78052
Atascosa County
Phone
(830) 772-3557
ZIP code
78052 – all care providers

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Facility details

Certified beds
70
Residents per day
45.2 (65% occupied)
Ownership
For profit - Limited Liability company
Legal name
Labranjor Health Care LLC
Medicare certified since
February 17, 1994
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.6
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 1.9
Quality measures★★★★★ 2/5
State avg 3.7
Long-stay quality★★★★★ 2/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
2.84 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.35 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.82 (state 0.95 · U.S. 0.86)
Nurse aides
1.67 (state 2.00 · U.S. 2.32)
Weekend total
2.61 (state 2.98 · U.S. 3.42)
Nursing staff turnover
—
RN turnover
—

Inspections

Last standard inspection
July 17, 2025
Health deficiencies (last cycle)
8.0 (state 9.3 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
43 health · 14 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2025-07-17 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F0851 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-07-18
2025-07-17 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.
F0761 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-07-18
2025-07-17 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-07-18
2025-07-17 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-07-18
2025-07-17 Allow resident to participate in the development and implementation of his or her person-centered plan of care.
F0553 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-18
2025-07-17 Assure that each resident’s assessment is updated at least once every 3 months.
F0638 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-18
2025-07-17 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-18
2025-07-17 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-18
2025-04-11 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.
F0585 · Resident Rights Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2025-05-11
2024-05-27 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
J
Immediate jeopardy to resident health or safety
Corrected 2024-07-10
2024-05-27 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
G
Actual harm
Corrected 2024-07-10
2024-05-27 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-07-10
2024-05-27 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-07-10
2024-05-27 Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
F0711 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-07-10
2024-05-27 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-07-10
2024-05-27 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-07-10
2024-05-27 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.
F0584 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-10
2024-05-27 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F0636 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-10
2024-05-27 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-10
2024-05-27 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-10
2024-05-27 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-10
2024-05-27 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-10
2024-05-27 Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
F0710 · Nursing and Physician Services Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-10
2024-05-27 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.
F0726 · Nursing and Physician Services Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-10
2024-05-27 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-10
2024-05-27 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-10
2024-05-27 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.
F0808 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-10
2024-05-27 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-10
2024-05-27 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
F0577 · Resident Rights Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2024-07-10
2024-05-27 Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
F0838 · Administration Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2024-07-10
2024-05-27 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
F0912 · Environmental Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2024-07-10
2024-01-09 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-17
2024-01-09 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-17
2024-01-09 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-17
2023-10-03 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-11-17
2023-03-22 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-04-28
2023-03-22 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-04-28
2023-03-22 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-04-28
2023-03-22 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-04-28
2023-03-22 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-04-28
2023-03-22 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-04-28
2023-03-22 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
F0912 · Environmental Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-04-28
2023-03-22 Have policies on smoking.
F0926 · Environmental Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-04-28

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $55,904 in fines.

DateTypeAmount
2024-05-27Payment Denial13 days payment denial
2024-05-27Fine$55,904

Ownership & management

NameRoleSince
Labranjor Health Care LLC (organization)5%+ Direct Ownership Interest · 100%
McCaskill, Donald (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Lytle Nursing Home?

Lytle Nursing Home has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Lytle Nursing Home have?

It has 70 certified beds and cares for about 45 residents per day.

Has Lytle Nursing Home been fined?

Yes. CMS lists 2 penalties totaling $55,904 in the last three years.

What is the phone number of Lytle Nursing Home?

(830) 772-3557. The facility is located at 15366 Oak ST, Lytle, TX 78052.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.