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Complaint Investigation

Accel At College Station

April 10, 2025 · College Station, TX · 1500 Medical Avenue
Citations 2
CMS Rating 2/5
Beds 116
Provider ID 676437
Healthcare Facility
Accel At College Station
College Station, TX  ·  View full profile →
Inspection Summary

Accel at College Station in College Station, TX — inspection on April 10, 2025.

Found 2 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.

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Inspection Findings

FF600
person assistance and the Abuse and Neglect Policy. The completion date was 4/09/2025. Few and the Abuse and Neglect Policy. The completion date was 4/10/2025. affected

The facility failed to ensure Resident #1 had two staff members assisting her during care as outlined in Resident #1's care plan.

What corrective actions have been implemented for the identified residents?

A. On 3/26/2025 Resident #1 involved in alleged deficient practice was discharged to the hospital resident did not return to the facility.

B. On 3/26/2025 CNA A was in-serviced on Referring to the Kardex for the level of assistance required by residents with ADL care and the Abuse and Neglect Policy by the administrator.

C. On 3/26/025 CNA A was suspended on 3/26/2025 pending investigation findings.

D. On 4/09/2025 at 7:20 pm the Administrator notified the Medical Director of the alleged deficient practice.

Record review completed on 04/10/25 of screenshot showing call made to the MD 04/09/25 at 7:20 pm.

E. CNA A last day employed was on 3/31/2025.

676437

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 676437 B.

Wing 04/10/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Accel at College Station 1500 Medical Avenue College Station, TX 77845

Findings included:

Review of Resident #1's face sheet, dated 04/09/25, reflected a [AGE] year-old female who was admitted to the facility on [DATE], readmitted on [DATE] and 07/07/23 with diagnoses including Congestive heart failure (a condition where the heart can't pump enough blood to meet the body's needs, leading to fluid buildup in the body, particularly in the lungs and extremities), varicose veins (swollen, twisted, and enlarged veins, usually seen on the legs), and body mass index BMI 45.0 - 49.9 (indicates Class III obesity, also known as morbid obesity).

Review of Resident #1's quarterly MDS assessment, dated 01/27/25, reflected a BIMS of 15, indicating resident had intact cognition.

Review of Resident #1's quarterly care plan, revised on 11/24/21, reflected ADL performance deficit related to immobility, pain, and poor vision with interventions of Toilet use - Resident #1 required (X2) staff participation to use toilet revised on 11/24/21.

Transfer - Resident #1 required (X2) staff participation with transfers revised on 11/24/21.

Bed Mobility - Resident #1 required (X2) staff participation to reposition and turn in bed revised on 11/24/21.

Bathing - Resident #1 required (X2) participation with bathing revised on 11/24/21.

676437

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 676437 B.

Wing 04/10/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Accel at College Station 1500 Medical Avenue College Station, TX 77845

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 College Station, 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 Accel at College Station or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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