Windsor Calallen
WINDSOR CALALLEN in CORPUS CHRISTI, TX — inspection on August 21, 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.
Inspection Findings
During an interview on 08/21/25 at 3:25pm with the Regional MDS Nurse, she stated every Friday she completed education calls.
The Regional MDS Nurse stated on 05/05/25 she was at the facility and provided a training over care areas that had to be care planned including nutrition and where to care plan diets.
The Regional MDS Nurse stated MDS Nurse B had received the training.
The Regional MDS Nurse stated she was unable to find any documentation of the education that was provided on 05/05/25.
During an interview with the DON on 08/21/25 at 3:42pm she stated MDS Nurse B was responsible for completing Resident #1's care plan.
The DON stated care plans should include the resident's diets and stated she had reviewed Resident #1's care plan and it did not include her diet.
The DON stated she did not know why Resident #1s care plan did not include her diet.
The DON stated it was important to include resident's diets on their care plans so that everyone could be aware of it.
The DON stated she reviewed and monitored the care plans to ensure they had all required information.
The DON stated care plans should be monitored daily and stated she performed monthly audits on everything and stated any new changes should have been updated on the care plans.
The DON stated her and MDS Nurse B had both been trained by the Regional MDS Nurse over developing a care plan and what should be included and stated her last training was on 07/15/25 and MDS Nurse B last training was on 05/05/25.
The DON stated they did not have any documentation for those trainings.
The DON stated not including a resident diet on their care plan could negatively impact them because they could miss a diet texture.
During a continued interview on 08/21/25 at 3:42pm with the DON she stated she did not have any documentation to provide for the training her and MDS Nurse B had received over care plans by the Regional MDS nurse on 05/05/25 and 07/15/25. At this time the DON provided an Inservice she had started on 08/21/25 that included the DON and MDS Nurse B and covered, completing care plans accurately and reviewing [and] updating daily [with] any new orders, changes in condition/ADLS
Record review of facility policy titled, Comprehensive Care Plans with an implementation date of 10/24/22 included the following verbiage, Policy: It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the resident's comprehensive assessment. and 3.
The comprehensive care plan will describe, at a minimum, the following: a.
The services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being.
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