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Complaint Investigation

Panola County Nursing & Rehabilitation

August 13, 2025 · Carthage, TX · 501 Cottage Rd
Citations 12
CMS Rating 3/5
Beds 108
Provider ID 675387
Healthcare Facility
Panola County Nursing & Rehabilitation
Carthage, TX  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

PANOLA COUNTY NURSING & REHABILITATION in CARTHAGE, TX — inspection on August 13, 2025.

Found 12 citations. 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

FF0644
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

Federal health inspectors cited PANOLA COUNTY NURSING & REHABILITATION in CARTHAGE, TX for a deficiency under regulatory tag F-F0644 during a standard health inspection conducted on 2025-08-13.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of PANOLA COUNTY NURSING & REHABILITATION.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-13.

Federal health inspectors cited PANOLA COUNTY NURSING & REHABILITATION in CARTHAGE, TX for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-08-13.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of PANOLA COUNTY NURSING & REHABILITATION.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-13.

Federal health inspectors cited PANOLA COUNTY NURSING & REHABILITATION in CARTHAGE, TX for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-08-13.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of PANOLA COUNTY NURSING & REHABILITATION.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-13.

Federal health inspectors cited PANOLA COUNTY NURSING & REHABILITATION in CARTHAGE, TX for a deficiency under regulatory tag F-F0677 during a standard health inspection conducted on 2025-08-13.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of PANOLA COUNTY NURSING & REHABILITATION.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-13.

During an observation on 08/11/25 beginning at 3:32 PM, Resident #50 was sitting up in her wheelchair at the same dining room table.

During an observation on 08/12/25 beginning at 8:25 AM, Resident #30 was sitting at the same dining room table.

There were a stack of daily chronicles sheets in a neat pile. Resident #30 was staring around the room.

During an observation on 08/12/25 beginning at 1:18 PM, Resident #30 and Resident #50 were sitting at the same dining room table.

Both residents were just looking around the room.

There were no activities.

During an interview on 08/13/25 beginning at 5:18 PM, the AD stated she was responsible for ensure residents were offered to participate in activities.

The AD stated some of the nursing staff helped assist residents to the activities but most of the time it was on her.

The AD stated most of the residents do not participate in the activities and prefer to stay in their rooms.

The AD stated Resident #30 and Resident #50 were dependent on staff to assist them to the activities.

The AD stated Resident #30 and Resident #50 usually refuse to participate in activities, so she stopped asking them.

The AD stated she should have provided encouragement or offered activities even if they normally refuse.

The AD stated activities were important for socialization and quality of life.

The AD stated activities, especially for dementia care residents, were important to improve the mood and behaviors.

During an interview on 08/13/25 beginning at 5:44 PM, the DON stated she expected residents to be offered activities.

The DON stated Resident #30 and Resident #50 will refuse to attend activities at times because of their dementia (memory loss) but it should have still been offered.

The DON stated the AD was responsible for ensuring residents attended activities.

The DON stated activities were important to improve their quality of life.

During an interview on 08/13/25 beginning at 6:08 PM, the Administrator stated she expected activities to have been offered to the residents.

The Administrator stated the AD was responsible for ensuring residents attended activities or were offered to participate in activities.

The Administrator stated activities were important to help the residents stay social.

Record review of the Activity Programs policy, revised June 2018, reflected .activities offered are based on the comprehensive resident-centered assessment and the preferences of each resident.the activities program is ongoing, and includes facility-organized group activities, independent individual activities, and assisted individual activities.our activity programs are designed to encourage maximum individual participate and are geared to the individual resident's needed.residents are encouraged, but not required, to participate in scheduled activities.

Federal health inspectors cited PANOLA COUNTY NURSING & REHABILITATION in CARTHAGE, TX for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-08-13.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of PANOLA COUNTY NURSING & REHABILITATION.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-13.

Federal health inspectors cited PANOLA COUNTY NURSING & REHABILITATION in CARTHAGE, TX for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-08-13.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of PANOLA COUNTY NURSING & REHABILITATION.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-13.

Federal health inspectors cited PANOLA COUNTY NURSING & REHABILITATION in CARTHAGE, TX for a deficiency under regulatory tag F-F0699 during a standard health inspection conducted on 2025-08-13.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide care or services that was trauma informed and/or culturally competent.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of PANOLA COUNTY NURSING & REHABILITATION.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-13.

Federal health inspectors cited PANOLA COUNTY NURSING & REHABILITATION in CARTHAGE, TX for a deficiency under regulatory tag F-F0755 during a standard health inspection conducted on 2025-08-13.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of PANOLA COUNTY NURSING & REHABILITATION.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-13.

Federal health inspectors cited PANOLA COUNTY NURSING & REHABILITATION in CARTHAGE, TX for a deficiency under regulatory tag F-F0756 during a standard health inspection conducted on 2025-08-13.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of PANOLA COUNTY NURSING & REHABILITATION.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-13.

Federal health inspectors cited PANOLA COUNTY NURSING & REHABILITATION in CARTHAGE, TX for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-08-13.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of PANOLA COUNTY NURSING & REHABILITATION.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-13.

Federal health inspectors cited PANOLA COUNTY NURSING & REHABILITATION in CARTHAGE, TX for a deficiency under regulatory tag F-F0925 during a standard health inspection conducted on 2025-08-13.

Category: Environmental Deficiencies

The facility was found deficient in the following area: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of PANOLA COUNTY NURSING & REHABILITATION.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-13.

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 CARTHAGE, 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 PANOLA COUNTY NURSING & REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.