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Complaint Investigation

Winfield Rehab & Nursing

Inspection Date: November 21, 2025
Total Violations 1
Facility ID 675976
Location Crockett, 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 - Few

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

on 10/15/25 at 4:40 p.m. LVN C stated that the pills could have gotten on the floor from the resident spitting them out when the staff was not looking, or the staff dropped the pills and did not pick them up. She stated that the pills should not have been on the floor and that there was a risk of another resident finding the medication. LVN C said taking it could cause adverse health effects and there was a risk of the resident whose medication it was missing a dose, as it could have also caused them adverse health effects. During

an interview on 10/15/25 at 4:43 p.m. MA A stated that the pills could have gotten on the floor from the resident spitting them out when the staff is not looking. She stated that the staff could have dropped the pills and did not pick them up. She stated that the pills should not have been on the floor and that there was

a risk of another resident finding the medication. MA A stated taking the medication if it was not prescribed to you could have caused adverse health effects and there was a risk associated with missing a dose of the medication if it was prescribed to you, as it might have caused adverse health effects. During an interview

on 10/15/25 at 4:50 p.m. the DON stated that the pills could have gotten on the floor from the resident spitting them out when the staff is not looking, or the staff could have dropped the pills and not picked them up. She stated that the pills should not be on the floor and that there is a risk of another resident finding the medication. The DON said taking the medication if it was not prescribed to you for your specific medical condition it could have caused adverse health effects. She stated that there is a risk of the resident whose medication it was missing a dose, as it can also cause them adverse health effects. During an interview on 10/16/25 at 12:08 p.m. MA B stated that the pills could have gotten on the floor from the resident spitting them out when the staff was not looking, or the staff could have dropped the pills and did not pick them up.

She stated that the pills should not be on the floor and that there was a risk of another resident finding the medication as taking medication that does not belong to you could have caused adverse health effects. MA B stated that taking medication that does not belong to you could have caused adverse health effects. She stated that there is a risk of the resident whose medication it was when they missed a dose, as it could have also caused them adverse health effects. During an interview on 10/16/25 at 1:30 p.m. the ADM stated that the policy for medications is to always be kept safe and always secured. The administrator stated that they moved Resident #1 from room [ROOM NUMBER] to room [ROOM NUMBER] last week.

The ADM stated that the risk of leaving medications in the room is the resident not taking the medication or another resident taking a medication that they do not need. She stated that the resident could have dropped the pills and the staff member was not there to see it but that the medication, if administered properly should not be on the floor. During an interview on 10/16/25 at 2:10 p.m. the ADON stated that the pills could have gotten on the floor from the resident spitting them out when the staff is not looking, or by

the staff dropping the pills and not picking them up. She stated that the pills should not have been on the floor and that there was a risk of another resident finding the medication. The ADON stated taking medication that is not prescribed to you could have caused adverse health effects. She stated that there was a risk of the resident whose medication it was in missing a dose, as it also could have caused them adverse health effects. During an interview on 10/16/25 at 2:17 p.m. CNA D stated that the pills could have gotten on the floor from the resident spitting them out when the staff was not looking, or the staff dropped

the pills and did not pick them up. She stated that the pills should not have been on the floor and that there is a risk of another resident finding the medication and taking it. CNA D stated that taking medication that is not prescribed to you could cause adverse health effects and there was also a risk of the resident whose medication it was when they missed a dose, as it also could have caused them adverse health effects.

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📋 Inspection Summary

Winfield Rehab & Nursing in Crockett, 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 Crockett, 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 Winfield Rehab & Nursing or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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