Laurel Court
Inspection Findings
F-Tag F0760
F 0760 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
sometimes the system made them input each order in separately for it to populate when to administer it in
the MAR. She stated these doses of Gabapentin were normal doses and could still be increased if needed.
NP stated that she was unaware that CR#1 had not gotten her doses as she had ordered and she did not receive any questions from facility nurses or staff regarding confusion with the two 300 MG Gabapentin orders. She stated that nurses always contacted her if they were confused and no one should ever administer medication unless they have full understanding of the orders. In an interview with the DON on 10/23/25 at 10:55 a.m. she was informed that MA B had not given CR#1 her 300 MG of Gabapentin medication as ordered. She explained if an aide had confusion with the orders, they should have reached out to a nurse for clarification. If the nurse had a question, they should reach out to the physician. All orders were to be followed as documented in the computer. She explained the harm in CR#1 not receiving her medication as ordered would be increased pain for CR#1. Record review of MA B's employee file documented that she was hired at the facility on 08/19/24 as a certified medication aide. Her essential functions in this role were to administer medications as ordered by a physician under the supervision of a licensed nurse in accordance with any state and federal regulations and consistent with facility policy,
record the administration of medications appropriately, and demonstrate knowledge of the five rights (right patient, right drug, right dose, right route, and right time). Record review of the facility's policy titled Adverse Consequences and Medication Errors revised April 2014 stated: A medication error is defined as the preparation or administration of drugs or biological which is not in accordance with physician's orders, manufacturer specifications, or accepted professional standards and principles of the professional(s) providing services.Examples of medications errors include:a. Omission - a drug is ordered but not administered;b. Unauthorized drug - a drug is administered without a physician's order;c. Wrong dose (e.g., Dilantin 12 mL ordered, Dilantin 2 mL given);d. Wrong route of administration (e.g., ear drops given in eye);e. Wrong dosage form (e.g., liquid ordered, capsule given);f. Wrong drug (e.g., vibramycin ordered, vancomycin given);g. Wrong time; and/orh. Failure to follow manufacturer instructions and/or accepted professional standards (e.g., failure to shake medication that is labeled shake well, crushing a medication
on the do not crush list without an order).
Event ID:
Facility ID:
If continuation sheet
LAUREL COURT in ALVIN, TX inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 ALVIN, 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 LAUREL COURT or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.