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Complaint Investigation

Brightpointe At Lytle Lake

Inspection Date: August 29, 2025
Total Violations 2
Facility ID 676416
Location Abilene, TX
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Inspection Findings

F-Tag F0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Immediate Jeopardy

F 0600

subject covering neuro checks, policy, falls and head injury unwitnessed fall.

Level of Harm - Immediate jeopardy to resident health or safety

Record review of 14 residents were reviewed for anticoagulant completed by DON on 8.28.25. Face sheets and dosages provided. &

Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

08/29/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Brightpointe at Lytle Lake

1201 Clarks Dr Abilene, TX 79602

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0684

Quality of Life and Care Deficiencies
Harm Level: Immediate Jeopardy

F 0684 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

by DON. Subjects covered documentation that must be completed such as an incident report the second

an incident occurs. What documentation must be completed and started in the electronic system, such as neuro checks and communication to physician, family, chain of command/don and then administrator.

Abuse/neglect-in-service provided by the facility. Signature pages for all staff provided. Signatures of all employees were observed on signature pages. In-service dated 8.28.25. presented by DON. Subjects covered what constitutes the injury to start neuro checks vs sending the resident directly to the hospital.

Record review of RN B was educated and suspended pending investigation. During interview with DON, RN has been terminated from position at the facility. Signature sheet provided by facility with employee RN signature of report of employee education. Dated 8.28.25. Second Report of education dated 8.27.25 presented by COR to DON with DON signature provided subject covering neuro checks, policy, falls and head injury unwitnessed fall. Record review of 14 residents were reviewed for anticoagulant completed by DON on 8.28.25. Face sheets and dosages provided. Record review of Safe surveys completed for all residents in the building with 1-4 questions: 1. Do you feel safe here at [facility]?2. Do you feel your rights are upheld here at [facility]?3. Does the staff treat you with respect?4. Have you had any issues with staff recently? 14 pages with 4 residents per page were completed with all questions being answered as yes, yes, yes, no for all residents. Record review of Actual/Alleged abuse monitoring completed starting 8.29.25 at 9am by administrator and 3 random times per day completed with administrator signature provided.

Times were 9am, 10:30am and 8am. Three employees random selected were CNA Q, CNA R, and CNA S, no concerns notated. Record review of Ad

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📋 Inspection Summary

Brightpointe at Lytle Lake in Abilene, TX inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Abilene, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Brightpointe at Lytle Lake or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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