Village Creek Rehab: Resident Fall During Care - TX
Despite facility policies requiring two-person assistance for high-risk residents, the assistant worked alone....
Latest reports, citations, and penalties from CMS data
Despite facility policies requiring two-person assistance for high-risk residents, the assistant worked alone....
The resident told federal inspectors in September that he didn't receive his lidocaine patch roughly one day out of every five....
Country Care Manor blocked the resident's return after a hospitalization that began October 17, 2025, according to a federal inspection completed November 21....
The medication violation at Cross Timbers Rehabilitation and Healthcare Center exposed confusion among nursing staff about basic medication safety protocols....
The same stale information remained posted when they checked again an hour later....
The patient required substantial help with transfers due to complications from an ischemic stroke and arteriovenous malformation in her brain....
Resident #1 fractured his right femur sometime around September 29th....
The problems centered on how nursing staff handled incidents involving two residents in September and October....
The resident scores 9 on cognitive assessments, indicating moderate impairment, and requires total assistance with bowel and bladder incontinence....
Federal inspectors found that CNA H did not retract the foreskin of Resident #11 during incontinence care on November 20, despite facility policy requiring it....
Federal inspectors observed the privacy violation during an early morning care routine....
Federal inspectors found the facility failed to ensure proper immunizations for two residents during a complaint investigation in November....
Resident 75 at Elan Skilled Nursing and Rehab developed a rash in August that doctors ordered tested with a skin scraping or biopsy on August 19....
Federal inspectors found nebulizer masks and tubing left exposed throughout Bel Air at Teravista during a November complaint investigation....
As the aide walked out of the room, the resident was heard saying "What?" but received no response or explanation for her sudden exit....
The facility's Director of Nursing acknowledged during interviews that rodents posed serious risks to residents who cannot move....
She said Resident #2 required transfers using a mechanical lift, but acknowledged she had never actually transferred that resident herself....
The transfer violated federal regulations requiring nursing homes to ensure safe discharge arrangements that protect residents' rights and well-being....
But the facility's nurses never added that notification requirement to the patient's medication administration record....
She told inspectors on November 20 that she frequently sees gnats and roaches throughout the facility despite monthly pest control services....