Country Village Care: Fluid Restriction Failure - TX
The resident, identified in inspection records as Resident 3, had a condition serious enough that a doctor had ordered a fluid restriction. That order was not followed. When state surveyors later asked why, the physician, identified as MD A, said she could not explain the delay but guessed it was related to the resident not being compliant.
The doctor's explanation carried an edge of absolution for the facility. MD A said she did not believe the delay in implementing the fluid restriction order contributed to the resident's fluid overload, pointing to the fact that the resident was already on diuretics. She also said she did not feel that failing to follow the restriction strictly would have caused the hospitalization.
The resident was hospitalized anyway.
Whether the facility's failure caused the hospitalization or the hospitalization happened in spite of it, the sequence is plain: the order existed, the order was not followed, and the resident ended up in a hospital.
Two nurses who had direct involvement in the resident's care were unreachable when surveyors tried to contact them on the day of the inspection. A surveyor called LVN B at 1:42 p.m. on August 25 and left a message asking for a return call. No call came back. A surveyor called LVN C, who had written progress notes for Resident 3 on January 14, 2025, at 4:53 p.m. the same day and left another message. That call was not returned either.
The inspection was classified as a complaint survey, meaning someone had reported concerns about the facility before inspectors arrived. The violation was tagged under F0692, which addresses quality of care, and was assessed at the level of minimal harm or potential for actual harm, affecting a few residents.
The facility's own quality of care policy, reviewed by surveyors during the inspection, described its purpose as ensuring the identification and provision of care that is resident-centered, consistent with each resident's preferences, goals, and professional standards of practice. The policy was undated.
A fluid restriction order is among the more straightforward directives a physician can issue. It does not require specialized equipment or advanced training. It requires staff to track and limit how much a resident drinks. When a patient is prone to fluid overload, the accumulation of excess fluid in the body can stress the heart and lungs and, in serious cases, require hospitalization to correct. Resident 3 required hospitalization.
The inspection report does not describe what happened to Resident 3 in the hospital, how long the stay lasted, or what condition the resident was in when discharged. It does not say whether the resident returned to Country Village Care.
What it says is that two nurses with knowledge of this resident's care did not call back.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Country Village Care from 2025-08-25 including all violations, facility responses, and corrective action plans.
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.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: October 5, 2026 · Our methodology
Country Village Care in Angleton, TX was cited for violations during a health inspection on August 25, 2025.
The resident, identified in inspection records as Resident 3, had a condition serious enough that a doctor had ordered a fluid restriction.
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.