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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 2
CMS Rating 2/5
Beds 54
Provider ID 676407
Healthcare Facility
Purehealth Transitional Care At Thr Arlington
Arlington, TX  ·  View full profile →
Inspection Summary

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

Found 2 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.

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Inspection Findings

FF600
Immediate nursing care to prevent infection/hospitalization . service also included affected

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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