Coral Rehabilitation And Nursing Of Austin

interview on [DATE] at 01:31 PM with NC she confirmed that she in-serviced DON prior to the DON

jeopardy to resident health or assessments, and notification to RP and MD and DON.

They reviewed facility policy on acute change safety condition protocol, and the importance of timely and accurate documentation and notification of changes in resident conditions and identifying and documenting and communicating the changes

reported, according to the facility policy to the DON, MD/NP and RP/family.

She was aware and agreed to use the action tab for risk management and follow through with documentation.

She received training and education relevant to acute care planning needs and to relay all information to the ADM, DON, ADON, and MDS to make sure all acute care planning needs will be met.

She received training and education on completing required resident assessments and confirmed she is competent to perform the assessments necessary.

They also discussed the care planning and updating the resident's care plans to include fallsIn an interview on [DATE] at 11:45 AM DON stated most of the nurses are trained and retrained on neuro check and post fall evaluation.

She stated they were trained on reporting to physician and family in a timely manner. DON stated that during their daily meeting falls and other related issues were evaluated, and necessary actions were taken.

There was no fall or incident of any significant changes in condition. Resident #3 had a fall on [DATE] and was reviewed and all the necessary steps were taken after the fall.

She stated during the review it was revealed the care plans were not updated, not just for fall but also for various other issues.

She stated the care plans were updated accordingly.

The external NC will be supervising and monitoring the activities to ensure things are going in the right track.In an interview on [DATE] at 03:12PM with NC, she stated she in serviced and trained DON .

She stated she had interviewed the nursing staff on the weekend as well to make sure they learned everything that they were supposed to.

She stated she was happy with the outcome and will monitor and guide them to optimize their competency.The following nurses were interviewed and observed working on PCC completing neuro checks and post fall evaluation.

They were able to navigate the neuro check and post fall evaluation form on E H R (PCC).

They were able to explain how to fill them out and the rationale and significance of the findings during the evaluation .

They were able to identify a significant change and when to notify a physician /or call EMS, additionally staff were able to answer randomly asked post training quiz questions.

See below:In an interview on [DATE] at 01:00 PM with RN O, - Full time started [DATE] During the interview she stated: she received the training [DATE].

She stated she was previously doing neuro checks on paper form and then would hand it over to DON.

Now she got trained to do the documentation directly on the EH R.

She stated she knew to immediately report ANE to the ANE coordinator who was the ADM. In an interview on [DATE] at 01:15 PM RN G - PRN -[DATE] During the interview stated: she received training on [DATE] and was trained on neuro check, post fall evaluation and incident report was to be completed.

Neuro check to be continued for 3 days, she stated she was previously doing charting on paper , now on both , first on paper and then on PCC.

Stated she is confident in doing neuro and post fall evaluations.

She stated neuro check are complet[TRUNCATED]

455862 09/30/2025

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

During the interview stated: Interview over the phone, able to answer quiz questions.

Able to explain neuro check and post fall process and procedures.

Stated able to coordinate care independently.In an interview on [DATE] at 01:55 PM with LVN B, Trained on [DATE].

During the interview stated: She was doing after the fall evaluation and neuro check before too.

Stated she was confident enough to conduct oneIn an interview on [DATE] at 02:35 PM with MDS Coordinator, LVN Trained on [DATE].

During the interview stated she received the trainings for the post fall procedures and how to enter the information in the E H R. In an interview on [DATE] at 02:35 PM with LVN P Interview over the phone.

Nurse for 7 years.

Done post fall evaluation and neuro checks before.

Received the training on [DATE] from the facility.

Stated she was able to conduct a post fall procedure independentlyReview of the facility's in-services and post-training quizzes reflected staff were reeducated and returned demonstration of competencies with clinical fall protocol, fall risk assessments, neuro checks, and EMR documentation and use.Additionally, the following care plans/ assessments had been updated by the facility - Resident #65Resident #100Resident #66Resident #49Resident #27Resident #3Resident #7Resident #19Resident #11Resident #14Resident #6Resident #12 These failures resulted in an identification of an Immediate Jeopardy (IJ) and the ADM and DON were notified on [DATE] at 12:23 PM.

While the IJ was removed on [DATE], the facility remained out of compliance at a scope of isolated and a severity level of no actual harm with potential for more than minimal harm that is not immediate jeopardy due to the facility's need to complete in-service training and evaluate the effectiveness of the corrective systems.