Lytle Nursing Home
15366 OAK ST, Lytle, TX, 78052
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company
- Certified beds
- 70 · avg 46 residents/day
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $70,725 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 150211
- Service type
- Medicare/medicaid
- Licensed capacity
- 70 beds
- Bed type breakdown
- 70 Medicaid/Medicare
- Current license effective
- May 30, 2024
- Current license expires
- May 30, 2027
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Labranjor Health Care Llc (Limited Liability Company (LLC))
- Administrator
- Peter O Porras
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (2 on record)
- Donald b Mccaskill
W-2 Managing Employee · 100% · since 2008
- Labranjor Health Care Llc
5% or Greater Direct Ownership Interest · 100% · since 2008
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 43)
- E0908·Jul 17, 2025
Environmental Deficiencies
Keep all essential equipment working safely.
- F0851·Jul 17, 2025
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- D0842·Jul 17, 2025
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E0812·Jul 17, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0761·Jul 17, 2025
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.
- D0760·Jul 17, 2025
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- D0638·Jul 17, 2025
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
- D0553·Jul 17, 2025
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Federal penalties
By year
- 20241 fine · $56K · 1 payment denial
- 20232 fines · $15K
Most recent events
- May 27, 2024Payment denial · 13 days · starting Jun 27, 2024
- May 27, 2024Fine · $56K
- Jun 20, 2023Fine · $4,235
- May 30, 2023Fine · $11K
Largest single fine on record: $56K.
Fire-safety citations
14 Life-Safety-Code citations on file. Most recent: Jul 17, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Lytle Nursing Home is a 70-bed nursing facility in Lytle (Atascosa County), licensed to Labranjor Health Care LLC, with all beds covered under Medicare and Medicaid. CMS rates it 1 star overall — the lowest tier — driven by a 1-star staffing rating. Quality-of-care measures rate 4 stars. Three CMS fines totaling $70,725 have been issued, and the facility is currently operating at about 66% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star. That places this facility among the bottom 37.8% of Texas nursing homes on staffing — and staffing hours per resident are not reported to CMS, so the exact daily minutes cannot be confirmed from the data available. The 1-star rating alone signals fewer nursing hours per resident than at higher-rated facilities in the state.
Three CMS fines totaling $70,725 have been issued. The Texas median for fined facilities is about $20,699 — this facility's total is roughly 3.4 times that figure. About 30% of Texas nursing homes have no fines at all.
The facility is operating at roughly 66% of its 70 licensed beds — about 46 residents on an average day. Paired with the staffing and fine signals, that lower occupancy level is part of the record families should consider.
Quality-of-care measures rate 4 stars for long-stay residents, the second-highest tier. That rating covers outcomes like pressure wounds, falls with injury, and the use of antipsychotic medications — areas where the facility performs better than its overall rating suggests.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing hours per resident
CMS rates staffing 1 star but daily nursing minutes aren't reported — ask how many hours of nursing care each resident receives on a typical day and night shift.
Details behind the three fines
Three CMS fines totaling $70,725 were issued — ask what each citation was for and what specific changes were made in response.
Why occupancy is at 66%
Only about 46 of 70 beds are filled on an average day — ask whether beds are held vacant intentionally or whether the lower census reflects something else.
How quality outcomes are maintained
Long-stay quality measures rate 4 stars despite a 1-star staffing rating — ask which care practices the facility credits for outcomes like pressure-wound prevention and fall reduction.
Resident Council activity
A Resident Council exists here but no Family Council — ask how often the Resident Council meets and how family members can raise concerns in its absence.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.