Brush Country Nursing And Rehabilitation

F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

said that he did not know the facility was out of his pain medication. He said that his pain level was at a 4 and the pain was tolerable right now. During an interview with LVN A on 11/11/2025 at 11:14a.m., revealed, Resident #1 had been out of her Percocet for a few days. He said that Resident #2 was also out of his pain medication oxycodone. He said he called Resident #2's medication in this morning. He said Resident #2 had been out for less than 24 hours. He said he did not think there was a policy for ordering medication. He also said he would normally order medication three or four days in advance before the medication ran out.

During an interview with the NP on 11/11/2025 at 1:29p.m. revealed she believed Resident #1 had been out of her Percocet since the weekend. She said the doctor sent the triplicate to the pharmacy on Sunday. She said the pharmacy said they did not get the triplicate. She said the doctor sent another triplicate today. She said she verified the pharmacy got the triplicate. She said that the medication was ordered for Stat. She said she expected the medication any time now. She said it was hard to tell with Resident #1 on how it would affect her not getting her Percocet because she usually had the same symptoms with or without the medication. She said the facility did have Resident #2's pain medication in the emergency cart.During an

interview with the NP on 11/11/2025 at 2:00p.m., revealed that she had just met with Resident #1. She said Resident #1 now did not want the Percocet, she said she offered Tylenol, increasing her valium and Resident #1 did not want any of those options. She said Resident #1 wanted the Percocet as a PRN. She said she was working on finding another medication Resident #1 might take. During an interview with the ADM on 11/11/2025 at 2:15p.m., revealed the facility did not have a policy for ordering medications. During

an interview with the ADM on 11/11/2025 at 3:48p.m., revealed, ordering medication should be ordered timely and if the medication was not received the nurse must follow up. She also said if there was an issue

the nurse was to notify nurse management immediately. She said if a resident ran out of pain medication

the resident could be in severe pain. she said nurse management was responsible for monitoring to ensure medication was ordered timely. She said she was not sure how nurse management monitored because she had only worked at the facility for two days. She said she knew about Resident #1 being out of medication but did not know about Resident #2 until this morning.

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/11/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Brush Country Nursing and Rehabilitation

6500 Brush Country Rd Austin, TX 78749

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

aides were responsible for ensuring the MC were locked. She said the medication carts were to be always locked when not in use. She said if a MC was left unlocked and unattended a resident could get into the MC. She said all staff monitored to ensure staff were locking the MC. She said staff monitored by

observations. She said she was going to see a resident, and she thought she had locked the MC. During an

interview with the DON on 11/11/2025 at 4:08p.m., revealed she had been trained on medication storage.

She said the policy for the MC was that it needed to be locked any time the nurses and medication aides stepped away from the cart. She also said if the cart is not within the nurses' eyesight it should be locked.

She said if the medication was left unlocked and unattended a resident could get into the MC and ingest medication. She said leadership monitors to ensure staff are locking the medication carts. She said all managers monitored to ensure MC were locked. She said management monitored through observations.

She said she did not know why the MC #1 was unlocked. During an interview with the ADM on 11/11/2025 at 3:48p.m., revealed she had been trained on medication storage. She said the policy for medication refrigerator was medications needed to be stored at the correct temperature. She said if the temperature was out of range staff were to notify nursing management immediately. She said the nurses on the night shift were responsible for ensuring the MR was at the correct temperature. She also said if medication was not at the correct temperature the medication may not be affective. She said the MC must be locked when

the nurse or the medication aide walked away from the MC. She said if the MC was not locked someone could get into the MC and take medication that could harm them. She also said someone could take medication to sabotage an employee. She said nurse management monitored to ensure the MC were locked and the medication refrigerator was at the correct temperature. She said nurse management should monitor through observations for the MC being unlocked and checking the temperature log on the MR.

Record review of Storage of Medication Policy dated 4/2019, revealed Drug and biologicals used in the facility are stored in locked compartments under proper temperature, light, and humidity controls.

Compartments (including, but not 1imited to, drawers, cabinets, rooms, refrigerators, carts, and boxes) containing drugs and biologicals arc locked when not in use. Unlocked medication carts are not left unattended. Medications requiring refrigeration are stored in a refrigerator located in the drug room at the nurses' station or other secured location.

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