Sundance Inn Health Center: Discharge Notice Failures - TX
That explanation didn't satisfy inspectors.
The three residents, identified in the inspection report only as Resident #1, Resident #2, and Resident #3, were all residents whose wandering behavior the facility determined it could not safely manage. Sundance Inn does not have a secured unit. When it became clear the facility couldn't meet their needs, staff began talking with families about moving them elsewhere. What the facility did not do, in two of the three cases, was put anything in writing. For the third resident, a notice was issued only after the State Long-Term Care Ombudsman called the facility, and even then it wasn't given 30 days before the discharge date.
No notices were given to Resident #2 or Resident #3, or to anyone responsible for their care, at any point.
The administrator, identified in the report as the ADM, sat down with inspectors on April 30 and walked through how the facility handles admissions and discharges. She said the admissions team, which includes herself, the assistant directors of nursing, the director of nursing, and the business office manager, makes the call on who gets admitted. She acknowledged that the facility doesn't always know a resident wanders until after they arrive.
Her explanation for why no written notices went out was direct: since the families of all three residents were involved in discussions about where their loved ones would go next, the facility didn't feel the paperwork was necessary.
The facility's own transfer and discharge policy says otherwise. The policy lays out, in specific terms, what a proper discharge notice must contain: the reason for the transfer, the effective date, the location the resident is being sent to, an explanation of the right to appeal, contact information for the state entity that handles appeals, instructions for obtaining an appeal form, and the name and contact information for the Ombudsman's office. The policy also states that notice must generally be provided at least 30 days before a transfer or discharge takes place.
The administrator acknowledged that even the one notice that was issued, the one for Resident #1 that came after the Ombudsman's call, did not meet the 30-day requirement.
The practical consequence of skipping this paperwork is not just procedural. The written notice is the mechanism by which residents and their families learn they have the right to appeal a discharge to the state. Without it, a resident being pushed out of a facility because staff find their behavior difficult to manage may never know they can challenge that decision. The conversation a family has with an administrator is not a substitute for that. Conversations don't include appeal forms. Conversations don't put the Ombudsman's phone number in someone's hand.
The inspection was conducted in response to a complaint. Inspectors rated the harm level as minimal, with potential for actual harm, and noted the violation affected some residents.
What the record shows is a facility that admitted at least three people whose needs it could not meet, then moved them out through an informal process that kept the paperwork off the table until an outside agency forced the issue. Even then, the timing was wrong.
The administrator's position, stated plainly to inspectors, was that family involvement in the conversation was enough. For Resident #2 and Resident #3, no one intervened the way the Ombudsman did for Resident #1. Whatever those families were told in those conversations, they left without a document explaining that their family member had the right to fight the discharge, or who to call if they wanted to try.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Sundance Inn Health Center from 2026-04-30 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.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 6, 2026 · Our methodology
Sundance Inn Health Center in New Braunfels, TX was cited for violations during a health inspection on April 30, 2026.
That explanation didn't satisfy inspectors.
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.