Focused Care at Webster: Immediate Jeopardy Violations - TX
Two residents were placed under intensive monitoring, with one requiring round-the-clock supervision....
Latest reports, citations, and penalties from CMS data
Two residents were placed under intensive monitoring, with one requiring round-the-clock supervision....
The October 6 complaint inspection revealed systemic failures in wound care oversight and staff training that affected multiple residents....
Resident 39 provides the clearest example of this documentation failure....
She heard the resident's right arm "crack" during the repositioning....
Resident 10's medication administration record showed seven separate episodes of physical aggression toward staff between 7 p.m....
Video clips showed the incident unfolding during routine care....
The incident occurred at Meadowood Nursing Center on September 15, 2025, at approximately 10:30 p.m....
The resident told staff her left leg pain and tailbone pressure sore prevented her from standing....
The resident's cognitive assessment showed a score of 6, indicating severe impairment that would prevent her from making informed treatment decisions....
Federal inspectors found dozens of missing signatures across two wings during their October 7 investigation....
According to the grievance, an alarm sounded when R7 was watching television in a wheelchair and attempted to reach the remote control....
On October 1st, inspectors found only seven certified nursing assistants working the day shift when the facility's plan calls for eight....
The man told inspectors he still doesn't feel safe eating because he fears staff might tamper with his food....
Resident 44 had paralysis on one side of her body and required a two-person assist for transfers using a Hoyer lift....
The resident, identified as Resident #11, has end-stage renal disease and diabetes....
Staff never offered to brush his teeth in the morning, he said....
Resident #48 exemplified the level of dependency among affected patients....
The facility's restorative nursing aide, known as an RNA, was reassigned to basic nursing duties instead of providing the specialized care residents required....
The medication mix-up at Wellbrooke of Carmel involved Rytary, an extended-release drug used to treat Parkinson's symptoms....
The October 6 inspection triggered the most serious level of regulatory enforcement available to federal health officials....