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Complaint Investigation

Benbrook Nursing & Rehabilitation Center

August 9, 2025 · Benbrook, TX · 1000 Mckinley St
Citations 3
CMS Rating 1/5
Beds 115
Provider ID 675906
Healthcare Facility
Benbrook Nursing & Rehabilitation Center
Benbrook, TX  ·  View full profile →
Inspection Summary

Benbrook Nursing & Rehabilitation Center in Benbrook, TX — inspection on August 9, 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.

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Inspection Findings

FF0609
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

training on handling and reporting elopements/code silver training. He stated that if staff had informed him, he would have notified the police if the Resident was not immediately found. He stated he would have notified the state if a resident had eloped. He denied he ever threatened staff with their jobs if they said anything about the incident. He stated that he would be beginning an investigation now, and if he finds that Resident #1 did in fact elope, he will report it to the state.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/09/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Benbrook Nursing & Rehabilitation Center

1000 McKinley St Benbrook, TX 76126

SUMMARY STATEMENT OF DEFICIENCIES

that he was not aware of Resident #1 having any injuries in the past three weeks. He reported that staff have received training on handling and reporting elopements/code silver training. He denied he ever threatened staff with their jobs if they said anything about the incident. He stated that he would be beginning an investigation now.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/09/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Benbrook Nursing & Rehabilitation Center

1000 McKinley St Benbrook, TX 76126

SUMMARY STATEMENT OF DEFICIENCIES

jeopardy to resident health or safety

had been verified as fixed. In an interview on 8/09/25 at 2:26 pm, the ADM reported that he and the DON received training on 8/09/25 by the regional LNFA COO who went over all the trainings that they were to provide to staff, the plan of removal, and reportable guidelines and investigation.

The ADM reported he will report all reportable events immediately to the LNFA COO for investigation oversight, and if the COO is out of office, he will notify the CEO. He reported that as an Administrator he plans to talk to the staff more thoroughly and watch how he is talking to staff as something that was meant as a precautionary statement had been taken as a threat. He stated he intended to make sure that documentation is thorough.

The ADM reported that this was IJ as the resident was at risk due to possible elopement that wasn't reported in a correct or timely manner and there was an allegation that the Administrator threatened retaliation against staff for documenting and reporting. In an interview on 8/09/25 at 4:17 PM the DON stated that she and the ADM had received training from corporate on all training involved in the plan of care and all the in-service trainings that they were to provide to the staff.

She stated that she feels the reeducation of staff on all the topics will make a difference and that now the corporate number has been made available to staff.

The DON stated that this situation was an IJ because there was an allegation of an elopement that was not processed or addressed, and it was an IJ because the situation presented a risk.

She reported she will be questioning staff regarding elopements during clinical meetings going forward and will be monitoring to ensure that any PRN staff who have not received the appropriate training are not allowed to work. On 8/09/25 at 2:46 pm the ADM was notified the IJ was removed.

However, the facility remained out of compliance at a severity level of no actual harm with the potential for more than minimal harm that is not immediate jeopardy with a scope of isolated due to the facility's need to evaluate their corrective actions.

Facility ID:

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


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