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Complaint Investigation

Cleveland Health Care Center

December 31, 2025 · Cleveland, TX · 903 E Houston St
Citations 1
CMS Rating 4/5
Beds 142
Provider ID 455952
Healthcare Facility
Cleveland Health Care Center
Cleveland, TX  ·  View full profile →
Inspection Summary

CLEVELAND HEALTH CARE CENTER in CLEVELAND, TX — inspection on December 31, 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

FF0627
Resident Rights Deficiencies

During attempted interviews on 12/30/25 at 11:00 a.m. and 3:00 p.m., the agency nursing services did not answer or return calls for interview with LVN B.

During attempted interview on 12/31/25 at 8:30 a.m., the agency nursing services did not answer or return calls for interview with LVN B. A detailed message was left for request of interview with LVN B.

During attempted interviews on 12/31/25 at 10:00 a.m. and 1:00 p.m., Family members of Resident #1 did not answer the phone call and left detailed message for a return call.

During an interview on 12/31/25 at 11:00 a.m., The administrator said when the Resident #1 was mistakenly transferred.

She said LVN B had notified her of the incident of Resident #1 being transferred instead of his roommate.

She said she immediately called the hospice service and told them to return Resident #1 to the facility.

She said Resident #1 was never taken out of the ambulance and returned to the facility within 30 to 35 minutes.

She said LVN B assessed Resident #1 when he was returned, and no apparent injuries and the physician was notified, and family were at bedside when Resident #1 returned to this facility.

She said her expectation was for the correct resident to be transferred.

During an interview on 12/31/25 at 11:45 a.m., Hospice nurse C said she was not the nurse for the 11/28/25 and that nurse was on maternity leave, however she was aware of the event of 11/28/25.

She said the wrong resident had been transferred and the ambulance service brought Resident #1 back to the facility after hospice was notified by the Administrator of the incident.

Record review of the undated policy titled Transfer and Discharge indicated . It is the policy of this facility to permit each resident to remain in the facility, and not transferred or discharged from the facility .

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

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 CLEVELAND, 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 CLEVELAND HEALTH CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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