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Copperas Hollow Nursing & Rehabilitation Center

πŸ“ 345 Country Club Dr, Caldwell, TX 77836 πŸ“ž (979) 567-4300 πŸ›οΈ 41 beds

Inspection History Overview

Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

January 18, 2025 Complaint Investigation

Fines and Penalties by Year

2025 1 penalties totaling $14,901

$14,901
Jan 18, 2025

Fine

2021 10 penalties totaling $30,385

$2,948
Jun 21, 2021

Fine

$15,973
May 4, 2021

Fine

$2,620
Apr 26, 2021

Fine

$2,293
Apr 19, 2021

Fine

$1,965
Apr 12, 2021

Fine

$1,638
Apr 5, 2021

Fine

$1,310
Mar 29, 2021

Fine

$983
Mar 22, 2021

Fine

$655
Mar 15, 2021

Fine

$0
Jan 28, 2021

Payment Denial

2020 1 penalties totaling $15,461

$15,461
Nov 2, 2020

Fine

2018 2 penalties totaling $143,570

$103,244
Sep 13, 2018

Fine

$40,326
Jun 7, 2018

Fine

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Health Violations by Year

2025 2 violations

Tag 0742 J Jan 18, 2025

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

βœ“ Corrected: Jan 19, 2025
Tag 0842 E Jan 18, 2025

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Jan 19, 2025

2024 1 violations

Tag 0684 D Jul 23, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Jul 24, 2024
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2023 11 violations

Tag 0583 E Aug 21, 2023

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Oct 15, 2023
Tag 0761 E Aug 21, 2023

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.

βœ“ Corrected: Oct 15, 2023
Tag 0880 E Aug 21, 2023

Provide and implement an infection prevention and control program.

βœ“ Corrected: Oct 15, 2023
Tag 0558 E May 25, 2023

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Jul 14, 2023
Tag 0577 E May 25, 2023

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

βœ“ Corrected: Jul 14, 2023
Tag 0656 D May 25, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Jul 14, 2023
Tag 0677 E May 25, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jul 14, 2023
Tag 0688 D May 25, 2023

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: Jul 14, 2023
Tag 0727 F May 25, 2023

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

βœ“ Corrected: Jul 14, 2023
Tag 0812 F May 25, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Jul 14, 2023
Tag 0689 G Mar 12, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Apr 4, 2023

2022 4 violations

Tag 0580 D Jul 14, 2022

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Jul 22, 2022
Tag 0655 D Jul 14, 2022

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Jul 22, 2022
Tag 0684 D Jul 14, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Jul 22, 2022
Tag 0656 D Feb 11, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Mar 21, 2022
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2021 11 violations

Tag 0755 E Aug 12, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Tag 0607 D May 4, 2021

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

βœ“ Corrected: May 31, 2021
Tag 0610 D May 4, 2021

Respond appropriately to all alleged violations.

βœ“ Corrected: May 31, 2021
Tag 0657 D May 4, 2021

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Jun 4, 2021
Tag 0686 E May 4, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Jun 4, 2021
Tag 0761 E May 4, 2021

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.

βœ“ Corrected: Jun 4, 2021
Tag 0880 E May 4, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jun 16, 2021
Tag 0550 D Feb 10, 2021

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Mar 1, 2021
Tag 0600 G Jan 28, 2021

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Tag 0690 G Jan 28, 2021

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Tag 0772 G Jan 28, 2021

Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.

2020 6 violations

Tag 0656 D Nov 2, 2020

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Dec 17, 2020
Tag 0880 E Nov 2, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Dec 17, 2020
Tag 0655 E Aug 6, 2020

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Aug 28, 2020
Tag 0880 F Aug 6, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Aug 28, 2020
Tag 0600 K Feb 3, 2020

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Feb 4, 2020
Tag 0689 K Feb 3, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Feb 4, 2020
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2019 9 violations

Tag 0570 E Jul 31, 2019

Assure the security of all personal funds of residents deposited with the facility.

βœ“ Corrected: Aug 31, 2019
Tag 0641 D Jul 31, 2019

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Aug 31, 2019
Tag 0656 D Jul 31, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Aug 31, 2019
Tag 0755 E Jul 31, 2019

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Aug 31, 2019
Tag 0759 E Jul 31, 2019

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Aug 31, 2019
Tag 0602 D Jun 4, 2019

Protect each resident from the wrongful use of the resident's belongings or money.

βœ“ Corrected: Jun 30, 2019
Tag 0550 E Jan 29, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Feb 15, 2019
Tag 0600 D Jan 29, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Feb 15, 2019
Tag 0729 D Jan 29, 2019

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

βœ“ Corrected: Mar 1, 2019

2018 11 violations

Tag 0600 K Sep 13, 2018

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Oct 12, 2018
Tag 0689 K Sep 13, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Oct 12, 2018
Tag 0835 K Sep 13, 2018

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

βœ“ Corrected: Oct 12, 2018
Tag 0580 E Jun 7, 2018

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Jul 16, 2018
Tag 0644 E Jun 7, 2018

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

βœ“ Corrected: Jul 16, 2018
Tag 0656 G Jun 7, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Jul 16, 2018
Tag 0742 G Jun 7, 2018

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

βœ“ Corrected: Jul 16, 2018
Tag 0756 F Jun 7, 2018

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Jul 16, 2018
Tag 0812 F Jun 7, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Jul 16, 2018
Tag 0880 E Jun 7, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jul 16, 2018
Tag 0883 E Jun 7, 2018

Develop and implement policies and procedures for flu and pneumonia vaccinations.

βœ“ Corrected: Jul 16, 2018
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2017 7 violations

Tag 0155 E Jun 1, 2017

Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.

βœ“ Corrected: Jun 2, 2017
Tag 0157 E Jun 1, 2017

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Jun 2, 2017
Tag 0309 E Jun 1, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

βœ“ Corrected: Jun 2, 2017
Tag 0323 E Jun 1, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

βœ“ Corrected: Jun 2, 2017
Tag 0425 E Jun 1, 2017

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

βœ“ Corrected: Jun 2, 2017
Tag 0441 F Jun 1, 2017

Have a program that investigates, controls and keeps infection from spreading.

βœ“ Corrected: Jun 2, 2017
Tag 0514 E Jun 1, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

βœ“ Corrected: Jun 2, 2017
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