Bremond Nursing And Rehabilitation Center
Inspection Findings
F-Tag F0842
F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
10/13/25, reflected in part, Focus: I am at risk for falls related to unsteady gait, history of falls, muscle weakness, cognitive impairment. Goal: I will remain free from injury. Interventions/Tasks: I will be given non-skid socks or footwear to help me move safely. I will be reminded to use my call light. Staff will ensure my bed is in the lowest position. Review of the incident log from 09/01/25 through 10/14/25, reflected Resident #3 had an unwitnessed fall on 10/13/25 at 7:30 PM. Review of Resident #3's progress notes from 10/13/25 through 10/15/25 at 1:03 PM, reflected no progress note regarding a fall. Review of Resident #3's Fall Risk Evaluation dated 10/13/25 at 11:28 PM, reflected a score of 14 which indicated she was at risk for falls. During an interview on 10/15/25 at 11:42 AM, the DON stated she witnessed Resident #3 on the floor
on the evening of 10/13/25. She stated she treated it as an unwitnessed fall and initiated the incident report and assessments. She stated she did not document a progress note but should have. During an
observation and interview on 10/25/25 at 1:45 PM, Resident #3 was observed sitting up in a wheelchair in her room dressed in clean clothes. No bruises or injuries were observed on her exposed skin. Resident #3 stated she felt good because she just had a shower. When asked if she had a fall at the facility, she stated, About 25 times. She repeated that she had about 25 falls. She denied pain, and she denied any injuries.
She stated she felt safe at the facility and wanted to stay there forever. Review of the facility's Incidents and Accidents policy, reviewed/revised 04/11/25, reflected in part, It is the policy of this facility for staff to utilize (Title) to report, investigate, and review any accidents or incidents that occur or allegedly occur, on facility property and may involve a resident. Compliance Guidelines: 12. The nurse will enter the incident/accident information into the appropriate form/system within 24 hours of occurrence and will document all pertinent information. 13. Documentation should include the date, time, nature of the incident, location, initial findings, immediate interventions, notifications and orders obtained for follow-up interventions. Review of the facility's Fall Prevention Program policy, Reviewed/Revised 10/14/25, reflected in part, Policy: Each resident will be assessed for fall risk and will receive care and services in accordance with their individualized level of risk to minimize the likelihood of falls. Compliance Guidelines: When any resident experiences a fall, the facility will: a. Assess the resident. b. Complete a post-fall assessment. c. Complete an incident report. d. Notify physician and family. e. Review the resident's care plan and update as indicated. f. Document all assessments and actions. g. Obtain witness statements in the case of injury.
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Bremond Nursing and Rehabilitation Center in Bremond, 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 Bremond, 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 Bremond Nursing and Rehabilitation Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.