Bremond Nursing And Rehabilitation Center
Bremond Nursing and Rehabilitation Center in Bremond, TX — inspection on November 18, 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.
Inspection Findings
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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