Park Manor Bee Cave
Inspection Findings
F-Tag F0644
F 0644 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
interview and record review, the facility failed to coordinate assessments with the Preadmission Screening and Resident Review (PASRR) program under Medicaid to the maximum extent practicable to avoid duplicative testing and efforts and did not incorporate the recommendations from the PASRR evaluation report into the resident's assessment, care planning, and transition of care for 1 of 1 resident (Resident #1) reviewed for PASRR. The facility failed to submit a complete and accurate request for Nursing Facility Specialized Services (NFSS) in the LTC Online Portal within 20 business days after the Interdisciplinary Team (IDT) meeting for Resident #1. This failure could place residents at risk of not receiving necessary care or specialized services, which could diminish their quality of life and ability to achieve the highest practical level of functioning.Record review of Resident #1's admission record, dated 08/18/2025, reflected
a [AGE] year-old female who was admitted to the facility on [DATE REDACTED]. Resident #1 had diagnoses which included aphasia (communication disorder), chronic kidney disease, muscle wasting, generalized weakness, dysphagia (difficulty swallowing), malnutrition, anemia (shortage of healthy red blood cells), and
a history of cerebral infarction (past strokes).Record review of Resident #1's Quarterly MDS assessment, dated 08/10/2025, documented a BIMS score of 00, which indicated severely impaired cognitive function.Record review of Resident #1's Habilitation Service Plan, dated 03/14/2025, reflected in Section 5
the Outcome Action Plan to identify NF specialized services PT, OT, and ST.Interview with the DOR on 08/18/2025 at 4:19 PM revealed NFSS should be completed within 14 days after the IDT meeting. The DOR stated that failure to submit NFSS in a timely manner could result in the resident losing access to therapy services, limiting health improvement.Interview with the Administrator on 08/18/2025 at 5:14 PM revealed uncertainty regarding the NFSS submission timeframe after the IDT meeting.Record review of the facility's PASRR Level I Screening report reflected Resident #1's screening dated 09/10/2024. PASRR Screening reflects that there is evidence or indicators that Resident #1 has a Developmental Disability other than an Intellectual Disability. The PASRR Evaluation Summary report reflected Resident #1's Level II evaluation completed 04/15/2025. This report reflects that Resident #1 was recommended for the following Nursing Facility Specialized Services (IDD Only). Physical Therapy (PT), Occupational Therapy (OT), Speech Therapy (ST) Specialized Assessment Speech Therapy (ST), Specialized Assessment Physical Therapy (PT), Specialized Assessment Occupational Therapy (OT). Record review of the PASRR Nursing Facility Specialized Services report reflected Resident #1's NFSS form was not submitted until 05/14/2025.
The NFSS form was submitted 217 days later which is more than 20 business days past the required timeframe.Staff within the HHSC PASRR Unit reflected per 26 TAC Chapter 554, Subchapter BB S554.2704(i)(7), the facility failed to submit a complete and accurate NFSS request in the LTC Online Portal within the required timeframe.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
Park Manor Bee Cave in Bee Cave, 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 Bee Cave, 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 Park Manor Bee Cave or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.