Brady West Rehab & Nursing
BRADY WEST REHAB & NURSING in BRADY, TX — inspection on September 4, 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.
Inspection Findings
Federal health inspectors cited BRADY WEST REHAB & NURSING in BRADY, TX for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-09-04.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 3 deficiencies cited during this inspection of BRADY WEST REHAB & NURSING.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-12.
During an interview on 09/03/2025 at 2:28 PM the Manager said that [NAME] B should not have touched the dinner rolls with her bare hands as that could possibly contaminate the rolls.
The Culinary Manager said the cook had been working at the facility for about 10 years and she knew that she was not supposed to touch the rolls but instead use something else to serve the rolls.
The Culinary Manager said she believed that [NAME] B had gotten nervous and forgotten to use something like tongs to serve the rolls.
During an interview on 09/04/2025 at 2:02 PM the Administrator was made aware of the observation of [NAME] B using her hands to grab the dinner rolls and placing them on the resident's meal plate.
The Administrator said the cook should have used another method for placing the rolls on the plate as that could lead to the spread of infections.
Record review of the facility's undated document title Infection control overview and policy indicated in part: Hand hygiene continues to be the primary means of preventing the transmission of infection.
The following is a list of some situations that require hand hygiene: When coming on duty, before and after eating or handling food (hand washing with soap and water), consistent use by staff of proper hygienic practices and techniques is critical to preventing the spread of infections. In addition to proper hand hygiene, it is important for staff to use appropriate personal protective equipment (PPE) as a barrier to exposure to any body fluids whether known to be infected or not.
For example, in situations identified as appropriate gloves and other equipment such as gowns and masks are to be sued as necessary to the control the spread of infections.
Wearing intact disposable gloves in good condition and that are changed after each use helps reduce the spread of microorganisms.
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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
676034 09/04/2025
Brady West Rehab & Nursing 2201 Menard Hwy Brady, TX 76825
Testing Guideline revised 5/1/25 indicated in part: “Tuberculosis (TB) screening and/or testing
regulations. TB screening is a process that includes: a baseline individual TB risk assessment, TB
employer.
Annual screenings after hire are required for all healthcare personnel.” HJ
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.