Park Valley Inn Health Center: Feeding Failure - TX
The resident, identified in inspection records only by age and sex, was admitted on August 5, 2025. He was in his first days at the facility, recently arrived from a hospital, and his initial care plan, created the day he arrived, documented a clear intervention: one staff member was required to assist him with eating. He could not feed himself.
His family already knew this. During a phone interview with inspectors on August 8, the resident's representative said she had come to visit him around 6:38 in the evening on August 6. His dinner tray was sitting on his bedside table. It had not been touched.
The certified nursing assistant who worked his hall that night told inspectors a different story, or at least a different assumption. During an interview on August 9, CNA A said he remembered delivering the dinner tray. He said he did not help the resident eat because he believed the man could feed himself. He acknowledged he knew how to look up a resident's care needs in the facility's documentation system, called Kardex. He said he did not believe he had done that for this resident that night.
He had not. The care plan said otherwise.
The facility's Director of Nursing told inspectors that admitting nurses were responsible for building the initial care plan, pulling information from hospital paperwork or directly from family members. She described care plans as a guide, something that shifts as residents' needs change. She said her expectation was clear: if a care plan said a resident needed feeding assistance, aides were expected to follow it. She listed what could happen if they did not. A resident could get sick. Their health could decline. They could become malnourished.
This resident had been in the building for one day when that went wrong.
Federal inspectors, who visited on August 9 as part of a complaint investigation, also found that as of that date, the facility had not completed an admission MDS assessment for the resident. The MDS, a standardized clinical assessment, is typically completed for new residents and helps drive care planning. Four days after his arrival, it had not been done.
Inspectors reviewed four residents' care plans in total. The breakdown affected one of them.
The violation was cited at a level of minimal harm or potential for actual harm, the lower end of the federal harm scale. That classification reflects the regulatory threshold, not necessarily the experience of a man with spinal fractures sitting alone beside a cold, untouched plate.
The inspection covered a stay that lasted just two days, August 5 to August 6. What happened in those 48 hours, at least on one evening, was that a new and injured patient needed help with something as basic as dinner, his care team had written that need into his chart, and the person responsible for his hall that night chose not to verify it.
His family found out when they came to visit.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Park Valley Inn Health Center from 2025-08-09 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
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Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: November 3, 2026 · Our methodology
Park Valley Inn Health Center in Round Rock, TX was cited for violations during a health inspection on August 9, 2025.
The resident, identified in inspection records only by age and sex, was admitted on August 5, 2025.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.