01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-06-17 | 7 | 2026-06-17 | 4 |
| Cycle 2 | 2025-04-25 | 7 | 2025-04-25 | 3 |
| Cycle 3 | 2024-03-21 | 5 | 2024-03-21 | 1 |
CMS CCN 6759972026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Carillon Inc
1717 A Norfolk Ave · Lubbock, TX 79416 · Lubbock County
Certified beds100CMS provider file
Recent citation rows27current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
27 rows in the current release
1 rows carry G–L scope/severity codes; 1 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-17 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-06-202026-06-17 · HEALTHF0585Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-07-082026-06-17 · HEALTHF0640Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Correction field: Deficient, Provider has date of correction · 2026-06-192026-06-17 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2026-06-182026-06-17 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-07-082026-06-17 · HEALTHF0814Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Correction field: Deficient, Provider has date of correction · 2026-06-182026-06-17 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-06-182026-06-17 · FIREK0222Severity E · pattern; potential for more than minimal harm
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.
Correction field: Deficient, Provider has plan of correction · 2026-06-172026-06-17 · FIREK0351Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has plan of correction · 2026-07-242026-06-17 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has plan of correction · 2026-07-312026-06-17 · FIREK0511Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has plan of correction · 2026-07-172025-04-25 · HEALTHF0585Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-05-09 · complaint2025-04-25 · HEALTHF0812Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-05-09 · complaint2025-04-25 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-05-09 · complaint2025-04-25 · FIREK0222Severity E · pattern; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-04-252025-04-25 · FIREK0341Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Correction field: Deficient, Provider has date of correction · 2025-05-092025-04-25 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2025-05-102025-02-28 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-03-28 · complaint2025-02-28 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-03-28 · complaint2024-10-25 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2024-11-15 · complaint2024-10-25 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2024-11-15 · complaint2024-03-21 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2024-03-222024-03-21 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-03-222024-03-21 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2024-03-2103 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-01-27 | Fine | $57,321 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CARILLON, INC.Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 12/30/2009
- U.S. BANKOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 07/01/2016
- BREEDLOVE, BILLYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/27/2020
- FULTON, KYLEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/25/2023
- HATCH, LESLIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/18/2019
- OWENS, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/19/2022
- POWELL, DIANNEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/18/2021
- TURNER, LANEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/27/2020
- WILKERSON, DAVIDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/19/2023
- LIFE CARE SERVICES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/03/2003
- CULBERSON, JOHNIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2023
- KLEIN, TRENTONIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/26/2025
- RODDY, PAMELAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/16/2019
- SKINNER, DEREKIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/01/2018
- LIFE CARE SERVICES LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/30/2025
- CULBERSON, JOHNIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/09/2025
- KLEIN, TRENTONIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/07/2025
- SKINNER, DEREKIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/09/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.66per resident day
RN hours0.49per resident day
Weekend nurse hours4.21per resident day
Staff turnover65.8%CMS reported field
06 / LOCAL RECORDS
Open the Lubbock ledger →Other published facilities nearby
Avir At Heritage Oaks159 beds · CMS overall 1/536 citation rowsAvir At Lubbock117 beds · CMS overall 1/567 citation rowsCrown Point Health Suites108 beds · CMS overall 5/521 citation rowsHansford County Hospital District Dba Lakeridge Nu90 beds · CMS overall 2/536 citation rowsLakeside Rehabilitation And Care Center93 beds · CMS overall 1/554 citation rowsLubbock Health Care Center120 beds · CMS overall 3/522 citation rowsMesquite Post Acute Care120 beds · CMS overall 1/542 citation rowsMi Casita Nursing And Rehabilitation95 beds · CMS overall 3/537 citation rows