Alameda Oaks Nursing Center
Inspection Findings
F-Tag F0655
F 0655 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
reviewing Resident #1's baseline care plan assessment, dated 09/18/2025, she had forgotten to click the resident has diabetes mellitus box, and since she did not check mark the box on the admission assessment, the baseline care plan did not populate interventions/care plan for diabetes mellitus. LVN A stated Resident #1 never suffered any negative outcomes due to the missed diabetes mellitus diagnosis on
the baseline care plan. LVN A stated she recalled Resident #1 received oral antidiabetic medication. LVN A stated she followed Resident #1's physician orders, and completed glucose monitoring, and oral antidiabetic medication administration. LVN A stated the procedure for facilitating a baseline care plan commences when the admission nurse populates a care plan assessment. Once the care plan assessment was completed, an RN would review the assessment and sign off that the assessment was accurate and addresses the admitting diagnoses. Once the RN signed off, a baseline care plan would then be populated within Resident #1's electronic health record. LVN A stated lastly, the MDS Coordinator would review the baseline care plan as a third review. LVN A stated she accidentally missed clicking the resident has diabetes mellitus box. LVN A stated she should have clicked that specific box, but did not, and therefore affected the accuracy of Resident #1's baseline care plan. However, LVN A stated there were no negative outcomes for the missed check mark. LVN A stated baseline care plans are important as they reflect the individualized plan of care for Resident #1. LVN A stated going forward she will be more diligent in clicking
the admission assessment boxes to ensure the baseline care plans are accurate. During an interview on 12/20/2025 at 11:34AM the Interim DON stated she became the interim DON in November 2025 and could not speak to the actions of the previous DON. The interim DON stated that going forward all admissions/readmissions would thoroughly be reviewed during the daily morning meetings, as well as being reviewed by not only herself but also the MDS Coordinator to ensure accuracy. Additionally, the facility would facilitate an impromptu in-service regarding care plan assessments, and baseline care plans.
The interim DON stated while she reviewed Resident #1's electronic health care record as well as through her staff interviews, Resident #1 had no negative outcome due to the mistake of LVN A. The interim DON stated a diagnosis of diabetes mellitus would be within a baseline care plan. The interim DON stated baseline care plans were important, as they were individualized plans of care of what the facility was doing to mitigate any potential exacerbation of disease processes. Attempted to phone interview with the previous DON on 12/19/2025 at 4:58PM, 12/20/20/2025 at 10:30AM, 11:46AM but they did not return call by the exit conference. Record review of the facility's Area of focus: Care Planning-Baseline, Comprehensive , and routine updates Baseline care plan issued: 01/04/2022 and reviewed: 12/04/2025 revealed, Baseline care plan: Completion and implementation of the baseline care plan within 48 hours of the resident's admission is intended to promote continuity of care and communication among nursing home staff, increase resident safety, and safeguard again adverse events that are most likely to occur right after admission; and to ensure the resident and representative, if applicable, are informed of the initial plan for delivery of care and services.
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Alameda Oaks Nursing Center in Corpus Christi, TX inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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.