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Complaint Investigation

Alameda Oaks Nursing Center

Inspection Date: November 20, 2025
Total Violations 2
Facility ID 455687
Location Corpus Christi, TX
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Inspection Findings

F-Tag F0755

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

they had orders for medication and stated the order should match the blister pack and the narcotic sheet.

The DON confirmed that LVN B administered tramadol to Resident #2 on 09/20/25 at 2:00pm. The DON stated Resident #2 had gone to the hospital and when she came back the medication list they provided did not include the tramadol. The DON stated Resident #2 got orders for tramadol on 09/22/25. The DON stated she did not know if LVN B was aware the Resident #2 did not have orders for tramadol on 09/20/25 and did not know if he reviewed her orders before administering tramadol. The DON stated she was not aware of LVN B reaching out the physician to request an order for tramadol before providing it but stated LVN B should have done that. The DON stated LVN B should not have administered tramadol without an order. The DON stated when LVN B had orientation in July of 2025 he was trained over medication administration and ensuring residents had orders prior to administering medication. The DON stated, per their facility policy, medication could not be administered without an order. The DON stated LVN B did not follow this policy. The DON stated administrating medication without an order could negatively impact residents because it could be contraindicated. The DON stated Resident #3 did not have any negative outcome due to being administered tramadol on 09/20/25. Record review of an in-service completed 10/09/25 covering Administering of Medications revealed that LVN A had received the training. Record

review of the facility's policy titled, Administration of Medications with a reviewed date of 09/09/25 revealed,

  1. 1. Medication administration is the responsibility of those individuals who through certification and licensure
  2. are authorized in their state to administer medication in a skilled nursing facility. 2. Staff who are responsible for medication administration will adhere to the 10 rights of Medication administration.e. Right Time and Frequency. Check the order for when it would be given and when was the last time it was given.3. A physician order that includes dosage, route, frequency, duration, and other required consideration including

    the purpose, diagnoses or indication for use is required for administration of medication.

    Event ID:

    Facility ID:

    If continuation sheet

    Printed: 04/13/2026 Form Approved OMB No. 0938-0391

    Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

    (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

    (X2) MULTIPLE CONSTRUCTION

    B. Wing

    A. Building

    (X3) DATE SURVEY COMPLETED

    11/20/2025

    NAME OF PROVIDER OR SUPPLIER

    STREET ADDRESS, CITY, STATE, ZIP CODE

    Alameda Oaks Nursing Center

    1101 S Alameda Corpus Christi, TX 78404

    For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

    SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0842

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

F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

completed 10/09/25 covering Administering of Medications revealed that LVN C had received the training.

Record review of the facility's policy titled, Administration of Medications with a reviewed date of 09/09/25 stated, 1. Medication administration is the responsibility of those individuals who through certification and licensure are authorized in their state to administer medication in a skilled nursing facility. 2. Staff who are responsible for medication administration will adhere to the 10 rights of Medication administration.F. Right documentation. Make sure to write the time and any remarks on the chart correctly. Medication administration should be documented timely following the administration to the resident. Controlled substances should be signed out from the descending count sheet and documented on the MAR for each routine and PRN dose of medication administered.

Event ID:

Facility ID:

If continuation sheet

📋 Inspection Summary

Alameda Oaks Nursing Center in Corpus Christi, TX inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 Corpus Christi, 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 Alameda Oaks Nursing Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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