Beltline Healthcare: Immediate Jeopardy Violations - TX
The September inspection revealed systemic breakdowns in how staff handled residents with dementia who refused medications and exhibited escalating behaviors....
Latest reports, citations, and penalties from CMS data
The September inspection revealed systemic breakdowns in how staff handled residents with dementia who refused medications and exhibited escalating behaviors....
The missing records covered residents numbered 1, 2, 3, 5, 7, 29, 41, 44, 45, 49, 53, and 63....
The neglect left residents at risk for poor hygiene, diminished self-worth, and other negative health outcomes....
Her care plan specifically stated she would benefit from walking groups, discussions, ice cream socials, religious services and outdoor time....
The violations affected patients whose medical conditions made independent eating impossible....
The same resident had previously gone 10 consecutive days without bathing from July 17 to July 28....
Resident 108 required the enhanced precautions due to a urinary catheter and pressure wounds, according to physician orders dated August 26....
The resident's care plan included 13 specific interventions developed over eight months, from December 2024 through August 2025....
The resident, identified in inspection records as Resident 2, had dementia and a physician's order requiring one-on-one supervision to prevent wandering....
The computer system was programmed to require vital signs before dispensing these medications, but workers found ways around the safeguards....
CNA #566 was working the 3 p.m....
The facility failed to complete a Basic Metabolic Panel and Complete Blood Count for Resident 53 that should have been drawn in July 2025....
Federal inspectors found the expired food during an August complaint investigation at the 16101 Euclid Beach Boulevard facility....
Two days after the hallway crawling incident, the facility's interdisciplinary team met to discuss what they classified as a fall....
Federal inspectors observed the violation on September 9 at 2:12 p.m....
The treatment uses negative pressure to remove drainage and promote healing in deep wounds that penetrate to bone or muscle....
Resident 93's blood pressure swung wildly during the monitoring period, ranging from a dangerous low of 103/61 to a critically high 200/108....
The extended-release morphine medication is typically prescribed for chronic severe pain requiring around-the-clock treatment....
The breakdown began around 7:15 AM on September 17, 2025, when Resident #12 pressed their call light asking for help with incontinence care....
Resident #259 lay on his back between his bed and bedside table on August 2nd, complaining of back pain after the fall....