Ambrosio Guillen Texas State Veterans Home
Inspection Findings
F-Tag F0609
F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
not suspended because the initial and the 5-day paperwork were submitted within 30 minutes on 10/13/25.
He stated that himself and the DON investigated there was no abuse on 10/01/25 by reviewing progress notes, speaking with LVN B, and Resident #1 did not report allegations of abuse and Resident #1 denied that her hand was squeezed on 10/01/25, though the Administrator stated he did not speak with Resident #1 on 10/01/25.Record review of the nursing facility's policy Abuse dated October 2022, revealed the purpose of the policy was to identify, prohibit, and prevent resident abuse. Under procedure, Abuse was defined as the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish. Abuse also includes deprivation by an individual including caretaker, of goods or services necessary to attain or maintain physical, mental, and psychosocial well-being. It reflected, 4. The facility will ensure the resident is free from physical or chemical restraints imposed for purposes of discipline or convenience and that are not required to treat the resident's medical symptoms. The policy reflected, 6. Any allegation of abuse will be immediately reported to the Administrator. The facility will designate an Abuse Prevention Coordinator who is responsible for reporting allegations or suspected abuse, neglect, or exploitation to the state survey agency, law enforcement, and other officials in accordance with state law. The policy also reflected 8.a. Any reasonable suspicion of a crime will be reported to the state agency and law enforcement immediately, but no later than 2 hours after forming the suspicion if results in serious bodily injury, or not later than 24 hours if the events that cause the suspicion do not result in serious bodily injury. Lastly, the policy reflected 9. Covered individual is anyone who is an owner, operator, employee, manager, or agent or contractor of facility. The covered individual will report the suspicion of a crime to the state agency and law enforcement within the required regulatory timeframes.Record review of the nursing facility policy Abuse Reporting with revision date October 2022, revealed the purpose of abuse reporting was to ensure allegations of abuse are reported immediately to
the Administrator and/or Director of Nursing and required Agencies. Under procedure, it noted: 1. The facility will designate an Abuse Prevention Coordinator who is responsible for reporting allegations of abuse to the state agencies, law enforcement, and other officials in accordance with state law. It also reflected, 4.
The facility will have a process in place to report allegations of abuse, neglect, exploitation, or mistreatment including injuries of unknown origin and misappropriation of resident property, and suspected crimes to the required agencies within twenty-four (24) hours of identification if the events that cause the allegation do not involve abuse or result in serious bodily injury.
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Ambrosio Guillen Texas State Veterans Home in El Paso, 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 El Paso, 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 Ambrosio Guillen Texas State Veterans Home or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.