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Complaint Investigation

Coral Rehabilitation And Nursing Of Austin

September 21, 2025 · Austin, TX · 6909 Burnet Ln
Citations 3
CMS Rating 1/5
Beds 157
Provider ID 455862
Healthcare Facility
Coral Rehabilitation And Nursing Of Austin
Austin, TX  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Coral Rehabilitation and Nursing of Austin in Austin, TX — inspection on September 21, 2025.

Found 3 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

FF0609
Freedom from Abuse, Neglect, and Exploitation Deficiencies

Review of the facility's in-services, April-September 2025, reflected none related to reporting injuries of unknown origin to facility management and the SSA.

Review of the facility's Reporting Abuse to Facility Management policy, revised December 2024, reflected, Policy Statement: It is the responsibility or our employees, facility consultants, Attending Physician, family members, visitors etc to promptly report any incident or suspected incident of neglect or resident abuse, including injuries of unknown source, and theft or misappropriation of resident property to facility management.Policy Interpretation and Implementation:g.

Injury of unknown source is defined as an injury that meets both of the following conditions:(1) The source of the injury was not observed by any person or the source of the injury could not be explained by the resident; and(2) The injury is suspicious because of: the extent of the injury; or the location of the injury (e.g., the injury is located in an area not generally vulnerable to trauma); or the number of injuries observed at one particular point in time; or the incidence of injuries over time.

Review of the facility's Long Term Care Regulation Provider Letter, issued 08/29/24, reflected, A NF must report to CII the following types of incidents, in accordance with applicable state and federal requirements: suspicious injuries of unknown origin.Do Report: An incident that results in serious bodily injury that involves any of the following: injuries of unknown source immediately, but not later than two hours after the incident occurs or is suspected.

Injuries of unknown source: Note: an injury should be classified as an injury of unknown source when ALL of the following conditions are met: The source of the injury was not observed by any person; and The source of the injury could not be explained by the resident; and The injury is suspicious because of: the extent of the injury; or the location of the injury (e.g., the injury is located in an area not generally vulnerable to trauma); or the number of injuries observed at one point in time; or the incidence of injuries over time.

455862 09/21/2025

Coral Rehabilitation and Nursing of Austin 6909 Burnet LN Austin, TX 78757

Review of the facility's Reporting Abuse, Neglect, and Exploitation policy, reviewed on 09/18/25, reflected the policy was reviewed and explained in detail by the contracted consultant. A flow chart was provided as a visual aid for the ADM and DON in facilitating reporting to the SSA.

Review of the facility's Skin Assessments completed by the DON and other charge nurses, 09/18/25-09/20/25, reflected all 70 residents were assessed and did not have injuries of unknown origin.

The ADM was notified on 09/21/25 at 1:18 p.m. that the IJ had been removed.

While the IJ was removed, the facility remained at a scope level of isolated and a severity level of no actual harm with the potential for more than minimal harm that is not immediate jeopardy due to the facility's need to evaluate the effectiveness of their corrective systems.

455862 09/21/2025

Coral Rehabilitation and Nursing of Austin 6909 Burnet LN Austin, TX 78757

Review of the facility's Skin Assessments, 09/18/25-09/20/25, completed by the DON and other charge nurses

facility's Transfer Checkoffs, 09/18/25-09/20/25, utilizing Gait Belt and Hoyer lift methods completed by physical therapy personnel/designees reflected all staff successfully checked off and returned demonstration of techniques before reporting to their shift.

Review of Kardex's at each nursing station reflected residents' EMR were available should the computer system go down.

Review of the Audit Care Plans and Kardex reflected it was consistently and accurately reviewed weekly and monthly for compliance and sustainability by the DON, MDS Nurse, ADM and QAPI.

The ADM was notified on 09/21/25 at 1:18 p.m. that the IJ had been removed.

While the IJ was removed, the facility remained at a scope level of isolated and a severity level of no actual harm with the potential for more than minimal harm that is not immediate jeopardy due to the facility's need to evaluate the effectiveness of their corrective systems.

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 Coral Rehabilitation and Nursing of Austin or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

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.