Advanced Rehab Athens: Missed Eye Drops Undocumented - TX
The medication was Carboxymethylcellulose eye solution, a lubricating drop given on a physician's order. According to the inspection report, doses on November 12, November 13, and November 17 were documented as not given. The gap between the first missed dose and the last spans five days.
The Director of Nursing acknowledged the problem directly. Speaking with inspectors at 12:20 p.m. on the day of the visit, she said the facility had ordered the solution the previous week and was waiting on delivery. She said medication aides were supposed to notify her, the assistant director of nursing, or the charge nurse whenever a prescribed medication was unavailable. She said there was an ample supply of the same eye drops on the other medication carts in the building, enough for all residents with orders for the drops, for several days.
That supply was there. The doses still weren't given.
The director of nursing told inspectors that when a medication isn't administered, the reason is supposed to be documented in the electronic medication administration record. She said she did not see where that had been documented for any of the three missed doses for the resident identified in the report as Resident 2.
The facility's own written policy, dated January 2024, says the same thing in plain terms: medications not administered should be documented as not administered, with the reason recorded. The policy also calls for a medication error report to be completed when administration discrepancies occur.
No reason was recorded. It is not clear from the inspection report whether a medication error report was filed.
The director of nursing told inspectors that if the ordered supply hadn't arrived in time, someone would have gone out and purchased more. That option, apparently, was not exercised during the five days between the first and last missed dose.
Inspectors cited the facility under F0755, which covers medication administration. The deficiency was tagged at a level of minimal harm or potential for actual harm, affecting few residents.
The citation does not describe what, if any, effect the missed doses had on Resident 2.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Advanced Rehabilitation and Healthcare of Athens from 2025-11-18 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: September 7, 2026 · Our methodology
Advanced Rehabilitation and Healthcare of Athens in Athens, TX was cited for violations during a health inspection on November 18, 2025.
The medication was Carboxymethylcellulose eye solution, a lubricating drop given on a physician's order.
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.