Winnie L Nursing & Rehabilitation
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
assessmenttool should be completed, and interventions implemented as indicated. The ElopementRisk Assessment is to be completed at least quarterly and upon change of condition.2. All residents who are at risk for harm because of wandering (elopement) will be assessed by theinterdisciplinary care planning team.Interventions into elopement episodes will be entered onto the resident's care plan and medical.6.
Should an elopement episode occur, the contributing factors, as well as the interventions tried,will be documented on the nurses' notes. Director of Risk Management and\or Director ofNursing Services should be notified of elopement.7. If a resident is discovered to be missing, a search shall begin immediately. On 08/13/2025 at 6:50 PM, the ADM was informed of an IJ. The non-compliance was identified as past non-compliance. The IJ began on 08/07/2025 and ended on 08/08/2025 at 2:20PM The facility had corrected the noncompliance before the investigation began. The interventions and plan of correction included: Review of Resident #1 EMR revealed Resident #1 was moved to the secure unit for her safety immediately.Review of Resident # 1 EMR revealed she was seen by her MD on 08/08/2025. It was recommended by MD for Resident #1 to remain in secure unit. No other concerns noted.Review of facility in-services dated 08/07/2025-08/8/2025 revealed all staff were educated regarding elopements, securing doors and activating alarms, abuse and neglect and supervision of residents. Staff were instructed to notify DON, Admin regarding any attempts of elopement or resident who may have increased confusion and attempt to exit. Review of Elopement drills dated 08/08/2025 revealed a drill was completed on all shifts.
Review of Elopement Assessments dated 08/07/2025 revealed current residents were assessed for elopement/wandering risk. No new residents were identified to be at high risk.Review of Ad Hoc QAPI meeting held on 08/08/2025 revealed an QAPI meeting was held to discuss the elopement of Resident #1.
Record review of elopement follow- up interviews conducted by DON to all staff on 08/08/2025.Observations at facility on 08/13/2025 - 08/14/2025 and did not reveal observations of exit seeking or wandering residents. Interviews with facility staff on 8/13/2025-8/14/205 revealed they were educated on elopements, securing doors and alarms, supervision of residents, abuse and neglect, monitoring and documenting procedures during pre and post move from secure unit to a non- secure unit.
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Winnie L Nursing & Rehabilitation in Cameron, 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 Cameron, 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 Winnie L Nursing & Rehabilitation or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.