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Complaint Investigation

Avir At Converse

July 27, 2024 · Converse, TX · 7700 Mesquite Pass
Citations 1
CMS Rating 1/5
Beds 100
Provider ID 675452
Healthcare Facility
Avir At Converse
Converse, TX  ·  View full profile →
Inspection Summary

Avir at Converse in CONVERSE, TX — inspection on July 27, 2024.

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

FF678
Immediate completed by [name], Director of Nursing in which Code status on Resident Face Sheet was verified by order Few affected

During an interview with the Administrator, [DATE] at 2:28 pm, the Administrator stated LVN A was terminated on [DATE].

The Administrator stated the Medical Director was notified of the incident at [DATE] at 12:02 pm and provided no further guidance.

The Administrator stated training for licensed nurses was initiated on [DATE] and was completed on the early morning on [DATE] and the training was completed by the DON.

Record review of document labeled, Employee Disciplinary Action Form, dated [DATE], revealed the name of LVN A, type of offense is listed as violation of company policy.

The document revealed LVN A as suspended on [DATE] at 11 pm and was terminated due to the result of the event on [DATE].

Record review of staff roster dated [DATE] reflected 13 licensed nurses (11 full time nurses and 2 prn nurses).

Record review of an in-service training attendance roster, dated [DATE], reflected the in-service topics included hospice resident and code status, resident rights and where to find code status.

The instructor was facility DON and roster was signed by 16 nurses (3 agency employees).

Documents attached to the in-service included an action tree describing how to respond when a resident is found with no pulse or unresponsive and listed the first action as go to [EMR name] and check code status.

Record review of a document titled Hospice Residents/Code Status/Resident Rights Post Test listed 4 questions which included 1.

What do you immediately check when a patient is found unresponsive? 2.

Can you be on hospice and still be a full code? 3.

Where do you find the code status? 4.

Resident has the right to decide their code status True or False?.

There are 18 (13 facility nurses and 5 agency nurses) completed posttests by nurses.

Record review of a Hospice list, dated [DATE], reflected 10 resident names. 3 residents are listed as full code.

675452

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 675452 B.

Wing 07/27/2024

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

Rosewood Rehabilitation and Care Center 7700 Mesquite Pass Converse, TX 78109

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 CONVERSE, 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 Avir at Converse or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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