Alta Vista Rehabilitation And Healthcare
Alta Vista Rehabilitation and Healthcare in Brownsville, TX — inspection on August 27, 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
if MDS assessments did not capture the fall, it did not affect the care because herself or the team would have updated the care plan and implemented interventions.
The DON said not capturing the falls on the MDS assessments, did not affect the payment, but rather it would just not be coded correctly.
Record review of the facility's Resident Assessment and Associated Processes policy dated 01/2022 reflected - Policy: It is the policy of this facility that resident's will be assessed and the findings documented in their clinical health record.
The comprehensive assessment includes the completion of the MDS as well as the Care Area Assessment process. An accurate comprehensive assessment will include special treatments and procedures.
Record review of CMS's RAI Version 3.0 Manual dated 10/2024 reflected section J:J1700: Fall History on Admission/Entry or ReentryPlanning for Care: Determine the potential need for further assessment and intervention, including evaluation of the resident's need for rehabilitation or assistive devices.
Evaluate the physical environment as well as staffing needs for residents who are at risk for falls.
J1800: Any Falls Since Admission/Entry or Reentry or Prior Assessment - Has the resident had any falls since admission/entry/reentry or the prior assessment, whichever is more recent.
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