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Complaint Investigation

Barton Valley Rehabilitation And Healthcare Center

January 2, 2026 · Austin, TX · 4501 Dudmar Dr
Citations 2
CMS Rating 3/5
Beds 126
Provider ID 675596
Healthcare Facility
Barton Valley Rehabilitation And Healthcare Center
Austin, TX  ·  View full profile →
Inspection Summary

Barton Valley Rehabilitation and Healthcare Center in Austin, TX — inspection on January 2, 2026.

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

FF0684
Quality of Life and Care Deficiencies

During an interview on 01/02/2026 at 1:25 PM, the DON stated if a new admission came in after LVN A had left, the charge nurse put in wound care orders from the hospital.

The DON stated that LVN A would assess and follow up the following day to ensure the hospital orders matched what was in the system and looked appropriate.

The DON stated wound care NP came in once a week and sent a report by the following day at the latest.

The DON stated the treatment orders in the wound report should have matched the orders that were in PCC.

The DON stated that it was important that the orders matched because that was the provider's order.

The DON stated that the order specified wound care for three times a week and if the order read twice a week there was a risk in infection.

The DON stated she reviewed the order and the order stated twice a week and one for every 72 hours which was still considered twice a week.

The DON stated LVN A reviewed the wound care report.

The DON stated she tried to review things as well but did not review every single wound care report.

The DON stated a lot of people should be laying eyes on stuff because we cannot always rely on one person.

The DON stated if drainage could be seen, she expected staff to look for a PRN order and change the dressing.

The DON stated first LVN A should have been called if she were there.

The DON stated she never viewed Resident #1's wounds and never received a report that there was a lot of drainage.

The DON stated if a PRN change was done, it would have been documented on the MAR/TAR or the nurse could have put in a progress note.

During an interview on 01/02/2026 at 1:56 PM, the ADM stated that LVN A or the charge nurse put in wound care orders into PCC.

The ADM stated if the charge nurse put wound care orders into PCC, then LVN A was expected to review and ensure they were accurate.

The ADM stated that LVN A was expected to review the wound care report.

The ADM stated it was expected to follow the order they had and she expected the orders to be up to date.

During an interview on 01/02/2026 at 2:24 PM, the ADM stated there was no facility policy on following orders or updating orders from the physician.

675596 01/02/2026

Barton Valley Rehabilitation and Healthcare Center 4501 Dudmar Dr Austin, TX 78735

During an interview on 01/02/2026 at 1:25 PM, the DON stated LMSW should document

was brief note with concerns discussed.

During an interview on 01/02/2026 at 1:56 PM, the ADM

in to do admission paperwork that day.

The ADM stated that she expected if any care plan is held there would be some kind of note.

The ADM stated she expected MDS F or a nurse to document the note or LMSW should document.

The ADM stated it was important to document because that is how the staff care for the resident and any family concerns should have been documented and who participated in the meeting.

Review of facility policy dated July 2017 titled Charting and Documentation reflected all services provided to the resident, progress towards care plan goals, or changes in the resident's medical condition. shall be documented in the resident's medical record.

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 Austin, 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 Barton Valley Rehabilitation and Healthcare Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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