Brush Country Nursing And Rehabilitation
Brush Country Nursing and Rehabilitation in Austin, TX — inspection on October 4, 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
NUMBER].
The DON stated it was just brought to her attention that there were no privacy curtains in
in room [ROOM NUMBER].
The DON stated the curtains were in the room to provide privacy.The DON
facility's policy tilted Privacy undated reflected: Policy Statement Each resident shall be cared for in a manner that promotes and enhances quality of life, dignity, respect and individuality.Policy Interpretation and ImplementationResidents shall be treated with dignity and respect.Staff shall promote, maintain and protect resident privacy, during assistance with personal care and during treatment procedures.
675118 10/04/2025
Brush Country Nursing and Rehabilitation 6500 Brush Country Rd Austin, TX 78749
During a phone interview on safety 10/04/2025 at 2:57 pm RN I stated she worked the 6pm to 6am and was in-serviced by the DON on 10/3/2025 regarding the process for reordering pain medication and the process for new orders and
medication after she confirmed orders with the provider and NP, calling the pharmacy, trying to get it out of the e-kit. RN I stated she completed a questionnaire about the training.Observations of Medication carts revealed sampled Residents pain medications being available.
Review of Resident #1's pharmacy receipt reflected Resident #1's Oxycodone 5mg was delivered on the evening of 10/02/2025 in the amount of 60 pills.
Review of Resident #1 MAR/TAR reflected Resident #1 was administered Oxycodone 5mg on 10/02/2025 for a pain level of 3.
Review of Resident #1's progress notes dated 10/03/2025 reflected the MD was contacted for Resident #1 and pain and skin assessments were completed.
Review of sampled Residents progress notes reflected pain and skin assessments were completed on 10/03/2025.
Reviewed of facility's POR binder reflected: Reviewed in-service training on oversight of medication orders by charge nurses, reviewing orders for new admission, reviewing received medication, monitoring medications for residents; who to report to when medication is needed or unavailable from e-kit; pain management interventions.
Reviewed pain assessment for resident #1.
Reviewed staff interviews.
Reviewed competency tests.
Reviewed medication arrival confirmation, MD notification, Ombudsman notification, narcotic audit, ADHOC QAPI meeting, Resident #1 assessment, resident assessments, and monitoring interviews. An IJ was identified on10/03/2025.
The IJ template was provided to the facility on [DATE] at 12:34 pm.
While the IJ was removed on 10/04/2025, the facility remained out of compliance at a scope of pattern and a severity level of no actual harm because the facility needs to evaluate the effectiveness of the corrective systems
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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.