Advanced Rehab Athens: Incontinence Supply Failure - TX
It didn't work well. The resident, identified in inspection records as Resident #5, told the aide the arrangement was uncomfortable. But she said it was better than lying in bed all day. So she got up.
Federal inspectors documented the supply shortage following a complaint investigation completed August 15, 2025. The deficiency was cited at the level of actual harm.
CNA F told inspectors she worked August 9 and 10, a Saturday and Sunday, and that large briefs were simply not available on her hall. Resident #5 required bariatric briefs. CNA F said she could find only one that weekend. She used two mediums layered together and pulled the resident's pants up to keep them in place. Resident #5 wanted to get up around 11 a.m., as she did every day. CNA F explained there were no briefs. The resident said she could not stay in bed all day.
Across the hall, Resident #6 was watching. Cognitively sharp, with a BIMS score of 14, she told inspectors she witnessed her roommate's anxiety and frustration over the weekend. She also described her own situation: the briefs available were the wrong size, and if staff could get them closed at all, they cut off her circulation. One aide brought wipes from home and left them in her room so she would have something.
By Wednesday, August 13, when inspectors conducted interviews, Resident #4 was wearing a brief she described as a size too small. It was cutting into her skin. She said she had found a couple that kind of fit over the weekend, but the ones she had now were too tight. She said she was fine, just a little uncomfortable, and she hoped more supplies would arrive that day.
They did. At 1:20 p.m. on August 13, inspectors observed CNA B and two other staff members unloading briefs into a room being used as overflow storage. Staff said 3.5 pallets of supplies had arrived, including large, extra-large, and bariatric briefs. LVN G, who had also worked the August 9 and 10 weekend, confirmed to inspectors that large briefs had not been available those days and that some residents could not get up because nothing fit them.
A purchase order dated August 7 showed the facility had ordered 22 boxes of briefs in various sizes along with 21 boxes of wipes. The order was approved for purchase on August 8, a Friday, one day before the shortage left residents improvising through the weekend.
The supplies arrived four days later.
Incontinence briefs are not a comfort item. For residents who require them, they are the difference between getting out of bed and staying in it, between dignity and the particular humiliation of being told, as Resident #5 was told, that nothing on the hall fits you today. She got up anyway, in two mediums held up by her waistband, because lying in bed all day was worse.
Her aide had no better option to offer her.
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 2025-08-15 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 22, 2026 · Our methodology
Advanced Rehabilitation and Healthcare of Athens in Athens, TX was cited for violations during a health inspection on August 15, 2025.
The resident, identified in inspection records as Resident #5, told the aide the arrangement was uncomfortable.
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.