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Complaint Investigation

New Hope Manor

August 13, 2025 · Cedar Park, TX · 1623 W New Hope Dr
Citations 1
CMS Rating 4/5
Beds 114
Provider ID 675943
Healthcare Facility
New Hope Manor
Cedar Park, TX  ·  View full profile →
Inspection Summary

NEW HOPE MANOR in CEDAR PARK, TX — inspection on August 13, 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.

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Inspection Findings

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

During an interview with the MDSCPC on 08/13/2025 at 2:38pm, revealed that she had been trained on PASRR.

She said the resident had to have a PASRR before being admitted and when they got a new MD or ID diagnosis.

She said she was responsible for submitting the forms to the correct state agencies.

She said for a new resident the doctor would assess the resident and then she would do the PASRR.

She said the process for identifying residents with MD or ID was through initial assessments, then the doctor would review the resident's history and tell her if the resident had a qualifying diagnosis.

She said she would submit to the correct authority and if it were positive the facility would do an IDT meeting.

She said she thought the facility had 30 days to submit the request form to NFSS.

She said she did not know why she submitted the request to NFSS was submitted on 04/14/2025 instead of 03/19/2025.

She also said that Resident #1 was already getting therapy services through Medicare part B.

During an interview with CRNC on 08/13/2025 at 2:58pm, revealed she had not been trained on PASRR.

She said the facility obtains a copy of the PASRR screening upon admission if coming from the hospital and if coming from home the facility did their own PASRR screening.

She said the MDSCPC was responsible for making the appropriate referrals.

She said that's something that would be noticed on the assessment if the resident had an MD or ID.

She said she found out today that the facility had 20 days to submit the request to NFSS.

She said that if the referral was not sent to the state agency the resident may not get the services through PASRR.

She said she did not know why the facility delayed sending the referral to NFSS for Resident #1.

She said that Resident #1 was getting services through his Medicare part B.

Record review of Detail Item by Item Guide for Completing the Authorization Request for PASRR Nursing Facility Specialized Services Form Policy dated September 2023 revealed the NF has 20 business days from the date of the initial IDT or a specialized services review meeting to initiate all PASRR nursing facility specialized services (NFSS) for those with a positive PE for ID/DD recommended and agreed to at the meeting.

Facility ID:

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 CEDAR PARK, 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 NEW HOPE MANOR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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