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Kennedy Health & Rehab: Immediate Jeopardy Removed - TX
The October 22 complaint inspection found violations so severe that residents faced imminent risk of harm....
Latest reports, citations, and penalties from CMS data
The October 22 complaint inspection found violations so severe that residents faced imminent risk of harm....
Lab results arrived at the facility showing the bacterial growth, prompting the wound care nurse practitioner to order immediate IV antibiotic treatment....
The woman's spouse told federal inspectors that some days her legs hurt so badly she couldn't participate in therapy sessions....
The incident occurred on October 18, 2025, during the 11 p.m....
Video evidence showed staff routinely providing care alone....
State agencies must be notified within two hours of suspected abuse incidents....
Resident #148 fell on September 24, 2025....
The facility's infection control nurse discovered the organism causing the UTI was not sensitive to the antibiotic ordered at the hospital....
But the physician's orders included a critical safety parameter: "HOLD FOR SYSTOLIC GREATER THAN 130." Staff ignored that instruction multiple times....
The violations affected residents who remained at the facility for weeks without anyone determining their preferences for future living arrangements....
The resident required the extra-large sling based on measurements from the base of their spine to the top of their shoulder, the DON explained to inspectors....
The nurse failed to secure the resident's urinary catheter and committed a basic error that could increase infection risk....
None of these assessments appeared in the resident's official care plan or MDS evaluation upon admission....
Instead, multiple visit notes sat unsigned and unrecorded until the physician uploaded them in batches weeks later....
of Hydroxyzine as a PRN," the practitioner said when inspectors informed him of the scheduling error....
The attending nurse practitioner had prescribed Zosyn, a broad-spectrum antibiotic specifically for the patient's infections....
Resident #15 had a suprapubic catheter that required a securement device to prevent dangerous dislodgement....
The man has Alzheimer's disease, kidney disease, and requires maximum assistance with nearly every daily activity....
But the care plan told a different story....
The October inspection documented immediate jeopardy violations affecting multiple residents at the facility on Kingsley Street....