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Complaint Investigation

West Oaks Nursing And Rehabilitation Center

February 11, 2025 · Austin, TX · 3200 W. Slaughter Lane
Citations 1
CMS Rating 2/5
Beds 125
Provider ID 676095
Healthcare Facility
West Oaks Nursing And Rehabilitation Center
Austin, TX  ·  View full profile →
Inspection Summary

WEST OAKS NURSING AND REHABILITATION CENTER in AUSTIN, TX — inspection on February 11, 2025.

Found 1 citation. 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.

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Inspection Findings

FF755
Immediate Some nurse to assist in retrieving discharge summaries/orders. affected

The facility failed to ensure that Resident #1's hospital discharge orders were followed to prevent rehospitalization due to hypoglycemia.

Action: Medical Director notification

Start Date: 2/10/25

Completion Date: 2/10/25

Responsible: Executive Director

Action: Audit all admissions/readmissions from 1/23/25 to present to ensure all medications were correctly verified.

Start Date: 2/10/25

Completion Date: 2/10/25

Responsible: DON/Designee/Clinical Resource

Action: Inservice DON on admission requirements to verify orders. If the sending facility (hospital, SNF, etc.) does not provide discharge summaries or orders:

a.

The admitting nurse will call the hospital and/or facility resident is returning from to obtain discharge orders.

b. In the event orders are unable to be obtained, the NP/DON/ADON/MD will be notified by the admitting nurse to assist in retrieving discharge summaries/orders.

c.

These steps will remain in the permanent admission/readmission protocol.

Start Date: 2/10/25

Completion Date: 2/10/25

Responsible: Clinical Resource

676095

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 676095 B.

Wing 02/11/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

West Oaks Nursing and Rehabilitation Center 3200 W.

Slaughter Lane Austin, TX 78748

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 WEST OAKS NURSING AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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