Woodlands Place Rehabilitation Suites
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
mobile through the facility have hot liquids in a cup with a lid and hot liquids is available in nourishment room with assistance from staff for 5 days and then weekly for 3 months and re-evaluate for further supervision if needed. 13. Ad-hoc QA with Medical Director, Administrator, and DON was conducted on 10/14/25. Record review of in-services dated 10/14/25 reflected the Administrator, DON, ADON C and the Dietary Manager were in-serviced by the Clinical Service Director on the facility's Nutrition Polices to reduce the risk of Burns from hot beverages. Record review of in-services dated 10/14/25 reflected the Nursing staff were in-serviced by the DON on the facility's Nutrition Polices to reduce the risk of Burns from hot beverages. Record review of in-services dated 10/14/25 reflected the Dietary staff were in-serviced by
the Dietary Manger on the facility's Nutrition Polices to reduce the risk of Burns from hot beverages. Record
review of the Coffee Temperature log, for October 2025 reflected Temperatures were taken at breakfast, lunch, and dinner. Temperatures were within the facility guidelines for transfer to serving pots. Record
review of the facility's Quality Assurance meeting minutes reflected an AD Hoc meeting was held with the Medical Director, Administrator, DON, Dietary Manager, and ADON's on 10/14/25 about the mitigation plan for hot beverages. Record review of the resident roster list provided to the dietary department on 10/14/25 and 10/21/25 indicated which residents were high risk travelers for hot beverages and residents who had vision, tremors, poor hand control and behaviors. Record review of CNA A personnel file reflected she received a verbal warning and education from the DON on 10/14/25 to always have dietary prepare hot beverages for residents, ensure the beverages were placed safely on a table to prevent the potential for a spill. In interviews covering all three shifts (6 AM- 2PM, 2 PM-10 PM, and 10 PM- 6 AM), revealed they had been in-serviced that all hot beverages had to be prepared by the kitchen staff. Hot beverage was to be served by the staff from carafes provided by dietary. All hot beverages were stored in the nutrition room under lock and key and only staff could pour hot liquids for residents. Staff were in serviced on ensuring mobile residents who were independent with food and drink had a travel mug with a lid in use with hot beverages. Staff were taught any resident with vision impairment, tremors, weakness, or behaviors required
a lidded cup and supervision while consuming. Staff were also trained on appropriate temperature for reheating of food and coffee. Food 160 degrees and Coffee 150 d
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Woodlands Place Rehabilitation Suites in Denison, 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 Denison, 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 Woodlands Place Rehabilitation Suites or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.