Heritage Park Rehabilitation And Skilled Nursing C
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
in place no complaint of pain or distress. No refusal of care. Calm and cooperative with staff and residents.
Observations and interviews on 10/14/2025, at 2:55pm revealed Resident# 1 lying in bed watching Tv.
Resident # 1 was dressed for the day and told me she had just completed her daily smoke break. She had lunch in her room and stated that she preferred to eat later in the evening. Interview on 10/14/2025, at 8:59am with Guardian G, stated Resident #1 was mistakenly transported Resident # 1 to an unscheduled appointment without her walker. Security found her outside at 7:00am after being dropped off at 6:00am.
The facility acknowledged their error and implemented corrective measures. Family Elder Care has served as Resident # 1's court-appointed Guardian since 2020 due to dementia. Despite these lapses, the respondent notes Resident# 1, generally remains content at Heritage Park, which she considers home.
Interview on 10/14/2025, at 12:14pm, CNA H, stated that she had only been working for the facility for two years. She stated she recently attended in-service training covering procedures for doctor appointments and the requirement to always remain with residents during appointments. She stated the training emphasized completing all documentation and contacting facility nurses or supervisors with any questions.
CNA H also stated she received abuse and neglect training and explained that leaving residents unattended poses serious risks including wandering, falls, and undetected health deterioration. Additionally, residents attending appointments without assistive devices face increased risks from falls or accidents, potentially worsening their medical conditions. Interview on 10/14/2025, at 1:27pm with LVN I, stated she discovered her former hospice patient Resident # 1 had been improperly transported to a canceled medical appointment. The facility failed to verify the appointment status before allowing transport, leaving Resident # 1 unattended outside the building without staff supervision, and sent her without her required walker despite her wandering history and cognitive impairment. LVN I, learned from Guardian A that Resident # 1 had been waiting alone since early morning. The night shift failed to remove the canceled appointment from
the schedule. Record review of Resident #1's progress notes dated 10/14/2025, at 1:08 pm revealed Resident # 1 continues behavior monitoring for emotional distress. Resident # 1 alert and oriented to person, place and situation, no signs of distress notes. Resident #1 is currently in her room awaiting lunch, denies pain or discomfort. An IT was identified on 10/11/2025at 06:08 pm. The ADM was notified of the IT, and the IT Template was provided to the facility on [DATE REDACTED] at 5:23p.m. While the IT was removed on 10/14/2025, the facility remained out of compliance at a scope of isolated and a severity of no actual harm with the potential for more than minimal harm that is not immediate threat.
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Heritage Park Rehabilitation and Skilled Nursing C in Austin, TX inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 Heritage Park Rehabilitation and Skilled Nursing C or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.