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15366 Oak St Lytle, TX 78052 · Atascosa County
CMS certification number 675295 · See this home on Medicare Care Compare
Is Lytle Nursing Home a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Lytle Nursing Home as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 2.74 hours per resident per day at Lytle Nursing Home, below the Texas median of 3.30 (US median: 3.72). About 0.36 of those hours are from registered nurses. On weekends it falls to 2.54 hours, 7% below its all-week average.
About this nursing home
Paying for care at Lytle Nursing Home: Medicare and Medicaid
Lytle Nursing Home is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on July 17, 2025 and found 8 deficiencies. In total, inspectors issued 43 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 43 citations at Lytle Nursing Home across 6 inspection dates, 7 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on May 27, 2024. The most common areas cited were resident assessment and care planning (15) and resident rights (6). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level J, May 27, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.
July 17, 2025 · 8 citations
FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EKeep all essential equipment working safely.
DAllow resident to participate in the development and implementation of his or her person-centered plan of care.
DAssure that each resident’s assessment is updated at least once every 3 months.
DEnsure that residents are free from significant medication errors.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
April 11, 2025 · 1 citation · includes complaint inspection
FHonor 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.
May 27, 2024 · 22 citations, includes immediate jeopardy · includes complaint inspection
JProvide appropriate treatment and care according to orders, resident’s preferences and goals.
GImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
EProvide and implement an infection prevention and control program.
DHonor 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.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DEnsure each resident receives an accurate assessment.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide safe and appropriate respiratory care for a resident when needed.
DObtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DEnsure 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.
DEnsure 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.
DSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
CConduct 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.
CProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
January 9, 2024 · 3 citations · includes complaint inspection
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
October 3, 2023 · 1 citation · includes complaint inspection
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
March 22, 2023 · 8 citations
ECreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DReasonably accommodate the needs and preferences of each resident.
DEnsure each resident receives an accurate assessment.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
DHave policies on smoking.
Questions to ask on a tour of Lytle Nursing Home
- Inspectors cited the home at the immediate-jeopardy level on May 27, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on May 27, 2024. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $55,904 in fines.
| Date | Type | Amount or length |
|---|---|---|
| May 27, 2024 | Fine | $55,904 |
| May 27, 2024 | Payment Denial | 13 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 3/5 |
| August 2026 | 1/5 | 2/5 | 1/5 | 2/5 |
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Location
Hospitals near Lytle Nursing Home
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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16.9 mi
Westover Hills Baptist Hospital San AntonioEmergency roomMedian ER visit 3h 11m for patients treated and sent home
-
21.3 mi
Medina Regional Hospital HondoEmergency roomMedian ER visit 2h 9m for patients treated and sent home
- 22.4 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Lytle Nursing Home › All nursing homes in Lytle ›
Compare Lytle Nursing Home with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Devine Health & Rehabilitation · Devine · 5 stars · 7.6 mi
- Medina Valley Health & Rehabilitation Center · Castroville · 3 stars · 9.6 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.