John Paul II Nursing Home
209 S 3rd St., Kenedy, TX 78119 · Karnes County · (830) 583-9841
58 certified beds, about 38 residents a day · Non profit - Corporation · Medicaid since 1976
CMS high performing icon Certified for Medicaid
Overall
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 45E409 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 12, 2025, inspectors cited 3 health deficiencies (the Texas average is 9.4, the national average 9.2).
None of its 9 health citations since June 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.30 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.40 of those hours.
24.1% of nursing staff left within the year CMS measured (Texas average 55.3%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
506/23
108/24
309/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 9 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
4E
0F
Potential for minimal harm
0A
0B
0C
September 12, 2025Standard inspection · 3 citations
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interviews and record reviews the facility failed to ensure all alleged violations involving abuse, neglect, exploitation, or mistreatment, including injuries of unknown sources are reported immediately but not later than 2 hours ( for an injury of unknown origin involving serious bodily injury) to the administrator of the facility and to other officials, including to the State Survey Agency in accordance with State law through established procedures, for 1 of 4 Residents (Resident #9) reviewed for a fall injury, in that: The facility did not report an allegation of injury of unknown origin with serious injury to the State Survey Agency (HHSC) within the 2 hours time frame for Resident #9's unwitnessed fall that occurred on 6/19/25. This deficient practice could affect any resident and could contribute to the non-reporting of injuries of unknown origin.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on interviews, and record reviews the facility failed to have evidence all allegations of an injury of unknown with serious bodily injury were thoroughly investigated and documented for 1 of 4 residents (Resident #9) reviewed for a fall injury. The facility failed to have evidence that a thorough investigation was conducted following the allegation Resident #9 had an unwitnessed fall which resulted in serious bodily injury. These failures could place residents at risk for abuse and neglect by not investigating injuries of unknown origin that involve serious bodily injury.
- D 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.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to store all drugs and biologicals in locked compartments under proper temperature controls and permit only authorized personnel to have access to the keys for one medication cart out of two carts reviewed for medication storage, in that : LVN A left the medication cart unsecured on Hallway two while administering medications. These deficient practices could place residents at risk for misappropriation, misuse or tampering of medications.
August 9, 2024Standard inspection, Complaint inspection · 1 citation
- D Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Inspectors wroteBased on observations, interviews and record review, the facility failed to maintain and ensure safe and sanitary storage of residents' food items for 1 of 5 residents' (Resident #7) refrigerators reviewed. The personal refrigerator in Resident #7's room contained food items which were unlabeled and undated. This deficient practice could place residents at risk of foodborne illness due to consuming foods which are spoiled.
June 30, 2023Standard inspection · 5 citations
- E Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on interview and record review, the facility failed to conduct a performance review at least once every 12 months and provide regular in-service education based on the outcome of these reviews for 6 of 6 CNA's, NA's or RA's (RA F, NA G, NA H, NA I, NA J, NA K) reviewed for performance reviews, in that: The facility failed to conduct performance reviews at least every 12 months for RA F, NA G, NA H, NA I, NA J, NA K. This failure could result in residents not receiving the necessary care and services due to nurse aides not receiving training based on their performance review outcome.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen (Main Kitchen), in that: The facility failed to ensure an opened items in the reach in refrigerators were dated or discarded correctly This deficient practice could place residents who ate food from the kitchen at risk for foodborne illness.
- E Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Inspectors wroteBased on interviews and record reviews, the facility failed to ensure Quality Assurance and Performance Improvement (QAPI) training that outlines and informs staff of the elements and goals of the facility's QAPI program for 10 of 16 employees (RA F, NA G, NA H, NA I, NA J, NA K, LVN L, RN M, LVN N, LVN O) reviewed for training, in that: The facility failed to ensure RA F, NA G, NA H, NA I, NA J, NA K, LVN L, RN M, LVN N, LVN O completed QAPI training within the last year. These failures could affect residents and place them at risk of poor care or victimization due to lack of staff training.
- E Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Inspectors wroteBased on interview and record review, the facility failed to provide mandatory effective behavioral health training for 16 of 16 employees (RA F, NA G, NA H, NA I, NA J, NA K, LVN L, RN M, LVN N, LVN O, MR, DM, AD, DON, MDS Coordinator and SW)reviewed for training, in that: The facility failed to ensure RA F, NA G, NA H, NA I, NA J, NA K, LVN L, RN M, LVN N, LVN O, MR, DM, AD, DON, MDS Coordinator and SW completed behavioral health training within the previous year. This failure could place residents at risk of not attaining or maintaining their highest practicable physical, mental, and psychosocial well-being due to lack of staff training.
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents have a right to personal privacy for 2 of 4 residents (Residents #20 and, #29) reviewed for privacy, in that: 1. CNA A did not completely close Resident #20's privacy curtain while providing catheter care for the resident. 2. CNA B and CNA C did not completely close Resident #29's privacy curtain while providing incontinent care for the resident. This deficient practice could place residents at-risk of loss of dignity due to lack of privacy.
Fire safety inspections
2 fire safety citations on file: 1 on September 12, 2025, 1 on August 9, 2024.
Every fire safety citation2 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.30 | 3.39 | 3.86 |
| Registered nurses | 0.40 | 0.43 | 0.69 |
| All nursing staff on weekends | 2.90 | 2.98 | 3.42 |
| Nurse aides | 1.99 | ||
| Licensed practical nurses | 0.91 | ||
| Nursing staff turnover (share who left in a year) | 24.1% | 55.3% | 45.8% |
| Registered nurse turnover | not reported | 54.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.44 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.46 on weekdays and 2.90 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.41 in April to June 2025 to 3.30 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.30 | 0.40 | 3.46 | 2.90 | 0.0% | 0 of 90 | 38 |
| Oct to Dec 2025 | 3.46 | 0.40 | 3.68 | 2.89 | 0.0% | 0 of 92 | 39 |
| Jul to Sep 2025 | 3.63 | 0.42 | 3.77 | 3.27 | 0.0% | 0 of 92 | 37 |
| Apr to Jun 2025 | 3.41 | 0.40 | 3.58 | 2.98 | 0.0% | 0 of 91 | 38 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 20.9 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 4.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 7.4 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.4 | 3.3 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 20.3 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.1 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.3 | 9.6 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 2.1 | 1.8 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on September 12, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on August 9, 2024: "Have a policy regarding use and storage of foods brought to residents by family and other visitors."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 2 problems in this area, most recently on June 30, 2023: "Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on September 12, 2025: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.90 hours per resident per day, below the Texas average of 2.98.
Other nursing homes nearby
- Kenedy Health & Rehabilitation Kenedy, 2.4 mi · 1 of 5 stars · 20 citations
- Bluebonnet Nursing & Rehabilitation Karnes City, 10.5 mi · 1 of 5 stars · 42 citations
- Yorktown Nursing and Rehabilitation Center Yorktown, 23.2 mi · 3 of 5 stars · 14 citations
Texas contacts for a concern about a nursing home
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.
- Resident advocate: Texas Office of the State Long-Term Care Ombudsman, 800-252-2412. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is John Paul II Nursing Home's Medicare star rating?
- CMS rates John Paul II Nursing Home 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did John Paul II Nursing Home get at its last inspection?
- 3 health deficiencies at the standard inspection on September 12, 2025. The Texas average is 9.4.
- Has John Paul II Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does John Paul II Nursing Home accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns John Paul II Nursing Home?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.