Country Village Care
Country Village Care in Angleton, TX — inspection on September 23, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
jeopardy to resident health or safety
protocol surrounding getting written orders instead of verbal orders.
All nursing staff were in-serviced on the following:- General Wound Care with Competency and return Demonstration. - Abuse, Neglect, Exploitation prohibition. - Following MD Orders- Reporting Change of ConditionThe above in-services were initiated on 9/17/25 and are ongoing until all direct care staff has signed to be completed by 9/19/25. No one can provide direct care until they have had the in-service training given by the DON and or ADON's. In-servicing was initiated 9/17/25 and is ongoing. No staff member will be able to provide direct care until they have been educated on the above topics. DON and ADON's will provide proper training. An Ad Hoc QAPI meeting will be conducted on 9/18/25 at 9AM to review audit results and to ensure that the education given is covering the pertinent topics pertaining to this particular alleged deficient practice.DON and administrative nurses will have a collaborative effort with respect to wound care orders and implementation of those orders, and weekly during standard of care meetings on going indefinitely and will be reviewed by QAPI committee monthly for 6 months to ensure compliance.
Ongoing daily monitoring by DON or designee, to review any new pressure issues or other types of wounds and to ensure that the MD order is in place and being followed.
Standard orders for any noted skin issues will be applied as per MD recommendation.
Facility will be adding wound care competency check offs beginning 9/17/25 and ongoing for current and newly hired nurses and then annually ongoing. DON or designee will be responsible for competencies and check offs. No staff will be allowed to provide care to residents until they have received the noted training and appropriate check offs.
Wound Care Physician group will be signing orders in house moving forward to ensure dictation of all orders are correct and clarified.
This will be both a part of our POR and POC upon receipt of legal documents.
Monitoring of POR:
Record review of facility Resident Rights policy, dated December 2016, read in part Federal and state law guarantee certain basic rights to all residents of this facility.
These rights include the resident's right to: be notified of his or her medical condition and of any changes in condition in his or her condition.
Record review of the facility's Change of Condition policy, not dated, read in part observe, record and report any condition change to the physician so proper treatment can be implemented.
Procedure included notifying resident's responsible party.Record review of the facility's Inservice Training Reporting Change, dated 9/17/2025, read in part [TRUNCATED]
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