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Complaint Investigation

Purehealth Transitional Care At Thr Arlington

July 3, 2024 · Arlington, TX · 800 W. Randol Mill Road, 6th Floor
Citations 4
CMS Rating 2/5
Beds 54
Provider ID 676407
Healthcare Facility
Purehealth Transitional Care At Thr Arlington
Arlington, TX  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

PUREHEALTH TRANSITIONAL CARE AT THR ARLINGTON in ARLINGTON, TX — inspection on July 3, 2024.

Found 4 citations. 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

FF0658
Ensure services provided by the nursing facility meet professional standards of quality.

prognosis

jeopardy to resident health or Documentation on electronic healthcare system. CNAs to report any skin issues, bleeding, drain/line safety issues during incontinence care and showers.

been completed with nursing staff and some of the in services had been completed over the phone. He stated all nursing staff would not be allowed to work their shift until they were in-served on Competent nursing and infection control.

While the IJ was removed on [DATE], the facility remained out of compliance at a severity level of no actual harm that is not Immediate Jeopardy with a scope of pattern due to the facility continuing to monitor the implementation and effectiveness of their plan of removal.

676407 07/03/2024

Purehealth Transitional Care at Thr Arlington 800 W.

Randol Mill Road, 6th Floor Arlington, TX 76012

jeopardy to resident health or prognosis safety Documentation on electronic healthcare system. CNAs to report any skin issues, bleeding, drain/line

In an interview with the Administrator on [DATE] at 05:53 PM, he sated one on one in services had been completed with nursing staff and some in services had been completed over the phone. He stated all nursing staff would not be allowed to work their shift until they were in-served.

While the IJ was removed on [DATE], the facility remained out of compliance at a severity level of no actual harm that is not Immediate Jeopardy with a scope of pattern due to the facility continuing to monitor the implementation and effectiveness of their plan of removal.

During monitoring, interviews were conducted on [DATE] from 12:01 pm through 5:53 pm.

The facility nursing staff revealed they had been trained on what to do when they received a resident without orders, a resident with any type of drains/ lines/tubes, head to toe assessment, reporting to the physician, reporting to ADON, DON, and administrator, and CNA's reporting to the nurses.

The staff interviewed consisted of RN A, CNA B, LVN C, RN D, RN F, nurse manager, ADON, and new wound care nurse.

During interview and observation on [DATE] from 02:00pm to 4:00 pm, five residents (Resident #1, #2, #3, #4, #5) had some form of line, tube or drain coming out of their bodies. Resident #2 had a PICC line, Resident #3 and Resident #4 had an indwelling catheter to drain urine from the bladder and Resident #5 had a JP drain.

All drains/lines were dated, emptied and clean, output documented.

Residents stated that they had no concerns with their lines.

They stated their lines/drains/tubes were emptied as needed, cleaned and new dressing applied as needed.

Two residents with indwelling catheters stated that they received catheter care daily.

All residents stated output had been measured, and emptied by the nurses and that site care and assessment was done every shift.

Record review of orders for the five residents on [DATE] , reflected line/drain/tube care, management, and date to change/replace.

Record review of MAR/TAR for the five residents on [DATE] , reflected dated inserted, dressing change dates, amount of output.

Record review of in service dated [DATE] titled Abuse/ in connection IJ 600, reflected RNs, LVNs, MDS, ADON, and CNAs had received one on one training by DON and Infection control nurse on [DATE].

Nursing department staff were trained regarding the following topics:

Skin assessments - weekly head to toe assessments, identify areas, who to notify, what/where to document.

Changes of condition - who to report to, things to mention, who to notify, how to document.

Wounds - notify physician, obtain orders, and document.

Resident care - signs and symptoms and prognosis

Documentation on electronic healthcare system. CNAs to report any skin issues, bleeding, drain/line issues during incontinence care and showers.

676407

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 676407 B.

Wing 07/03/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Purehealth Transitional Care at Thr Arlington 800 W.

Randol Mill Road, 6th Floor Arlington, TX 76012

During interview and observation on [DATE] from 02:00pm to 4:00 pm, five residents (Resident #1, #2, #3, #4, #5) had some form of line, tube or drain coming out of their bodies. Resident #2 had a PICC line, Resident #3 and Resident #4 had an indwelling catheter to drain urine from the bladder and Resident #5 had a JP drain.

All drains/lines were dated, emptied and clean, output documented.

Residents stated that they had no concerns with their lines.

They stated their lines/drains/tubes were emptied as needed, cleaned and new dressing applied as needed.

Two residents with indwelling catheters stated that they received catheter care daily.

All residents stated output had been measured, and emptied by the nurses and that site care and assessment was done every shift.

Record review of orders for the five residents on [DATE], reflected line/drain/tube care, management, and date to change/replace.

Record review of MAR/TAR for the five residents on [DATE], reflected dated inserted, dressing change dates, amount of output.

Record review of orders for the five residents [DATE], reflected line/drain/tube care, management, and date to change/replace.

Record review of MAR/TAR for the five residents on [DATE], reflected dated inserted, dressing change dates, amount of output.

Record review of in service dated [DATE] titled Competent nursing/ infection control in connection IJ726, reflected RNs, LVNs, MDS, ADON, and CNAs had received one on one training by DON and Infection control nurse on [DATE].

Nursing department staff were trained regarding the following topics:

Skin assessments - weekly head to toe assessments, identify areas, who to notify, what/where to document.

Changes of condition - who to report to, things to mention, who to notify, how to document.

Wounds - notify physician, obtain orders, and document.

Resident care - signs and symptoms and prognosis

Documentation on electronic healthcare system. CNAs to report any skin issues, bleeding, drain/line issues during incontinence care and showers.

676407

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 676407 B.

Wing 07/03/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Purehealth Transitional Care at Thr Arlington 800 W.

Randol Mill Road, 6th Floor Arlington, TX 76012

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 ARLINGTON, 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 PUREHEALTH TRANSITIONAL CARE AT THR ARLINGTON or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.