Advanced Rehabilitation And Healthcare Of Athens
Advanced Rehabilitation and Healthcare of Athens in Athens, TX — inspection on November 18, 2025.
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.
Inspection Findings
During an interview on 11/17/2025 at 10:45 AM, LVN C said she had worked at the facility for about 1 month and knew of no residents having any visitor restrictions.
She said she did not know where that would be documented.
During an interview on 11/17/2025 at 10:50 AM, the SW said she was new to the facility and was not familiar with Resident #1's history.
She said specific instructions regarding visitors and residents leaving the facility with someone would be communicated on the face sheet.
The SW said she did not know what Resident #1's discharge plans were.
During an interview with the Administrator on 11/17/2025 at 11:02 AM, the Administrator said she was not aware of Resident #1's history of being exploited.
She said the nursing staff should know where information regarding special instructions about visitors and other safety matters were in the chart.
During an interview with the DON on 11/18/2025, she said the MDS staff were responsible for care plans being updated and/or revised with input from the IDT.
During an interview with MDS Coordinator D on 11/18/2025 at 11:18 AM, she said the MDS Coordinators schedule care plan meetings to coordinate with MDS scheduled assessments.
She said Resident #1's care plan had not been updated or revised to reflect his history of exploitation and the restrictions on visitors because she and MDS Coordinator E were not aware of Resident #1's exploitation history nor visitor restrictions.
She said the care plan had not been revised to reflect Resident #1's plan to remain in the facility long term because it had not been confirmed. A review of the facility's policy dated 02/10/202/revised 09/04/2024 and titled Comprehensive Care Plans included the following: Policy:It is the policy of this facility to develop and implement a comprehensive perResident #1-centered care plan for each resident, consistent with resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the resident's comprehensive assessment.Policy Explanation and Compliance Guidelines:1.
The care planning process will include an assessment of the resident's strengths and needs and will incorporate the resident's strength and cultural preferences in developing goals of care.
Services provided or arranged by the facility, as outlined by the comprehensive care plan, shall be culturally-competent and trauma-informed .5.
The comprehensive care plan will be reviewed and revised by the interdisciplinary team after each comprehensive and quarterly MDS assessment .
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/18/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Advanced Rehabilitation and Healthcare of Athens
121 Commons Drive Athens, TX 75751
SUMMARY STATEMENT OF DEFICIENCIES
12:20 PM, the DON said the medication aides were supposed to tell the charge nurse, ADON, or her when they did not have prescribed medication available for administration.
She said the Carboxymethylcellulose eye solution had been ordered last week, and the facility was awaiting delivery.
She said there was an ample supply of the eye drops on the other medication carts and there was enough for all residents who had orders for the eye drops for several days.
The DON said the 11/12/2025, 11/13/2025, and 11/17/2025 doses of Carboxymethylcellulose eye drops solution were documented as not being given.
She said the reason for not administering a medication was supposed to be documented but she said she did not see where that was documented for the 3 missed doses of Resident #2's eye drops.
She said someone would go out and purchase more if needed before the order was delivered. A review of the facility's policy dated 01/09/2024 and revised 04/06/2023 and titled Medication-Treatment Administration and Documentation included the following: Anticipated Outcome: To provide a process for accurate, timely administration and documentation of medication and treatmentsProcess: 4.
Administer the medication according to the physician order.7.
Medications or treatments that were not administered should be documented as not administered on the EMAR/TAR with the reason for the not administration. 8.
Complete a Medication Error Report for medication administration discrepancies .
Facility ID:
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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.