Carrollton Health And Rehabilitation Center
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
RN A revealed she worked on the 6a-6p shift. RN A stated she was proving care to Resident #1, and she worked on Wednesday (10/01/25) and Sunday (10/05/25). RN A stated she could not complete the wound care on 10/01/25 because she was too busy and did not complete the wound care. RN A stated she did not inform the night nurse that she was not able to complete the treatment on Wednesday so that the night nurse could complete the wound cares. RN A stated she was expected to inform the DON and ADON of not completing the wound cares, but she did not because she forgot. RN A stated the resident's wound care was completed on 09/30/25 and from the last time she completed the resident's wound care, the wounds did not have signs or symptoms of infection and had not deteriorated. RN A stated wound cares not completed could cause infection and or the wound getting worse. In an interview on 10/06/25 at 3:56 pm with RN B revealed she oversaw Resident #1 care on 10/03/25. RN B stated wound care for the resident was scheduled on 10/03/25 but she could not complete it because she was busy and forgot to report to the oncoming charge nurse. RN B stated she was supposed to report to the DON if she was not able to complete wound care but she did not. RN B stated from the previous wound care the resident's wounds had not deteriorated and the resident had not reported any signs or symptoms of infection. RN B stated wound care not completed per the primary care provider could lead to the wound getting infected or getting worse.
In an interview on 10/06/25 at 4:30 pm with the DON revealed she was not aware, and the staff had not informed her of not completing Resident #1's wound care. The DON stated she expected the charge nurses to complete the wound care and if unable they were to inform the oncoming nurse to complete the wound care and report to the DON. The DON stated the ADON was responsible to follow up and make sure wound cares were completed, but during the investigation the ADON was not present. The DON stated from the daily morning meetings and per the wound care reports there had not been reports of the resident's wounds getting worse, and the wound care doctor assessed the wounds weekly. The DON stated wound care not completed per the primary care provider could lead to the wound not healing properly and could cause infection to the wound. Review of the facility policy revised 07/15 and titled, Wound Management reflected, . 2. A resident having pressure ulcers received necessary treatment and services to promote healing, prevent infection, and prevent new, avoidable sores from developing. Once a wound has been identified, assessed and documented nursing should administer treatment to each affected area as per the Physician's order.
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CARROLLTON HEALTH AND REHABILITATION CENTER in CARROLLTON, 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 CARROLLTON, 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 CARROLLTON HEALTH AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.