Center At Zaragoza, Llc
Inspection Findings
F-Tag F0580
F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
the physician for resident safety and well-being. In a telephone interview on 11/25/2025 at 12:40 p.m., the DON revealed that Resident #1 had a foley catheter bag draining to gravity. She stated that reporting a change of condition depends on what the change of condition was, such as a change in the level of consciousness, and vital signs. She stated that blood in urine should have been reported to the physician by the night nurse that first noticed it and then followed up on it by the day shift nurse. She stated that it was important for a change of condition to be reported to the physician in a prompt manner because if it was not then it could affect the resident's health overall, and it was also important to know that interventions apply.
She stated that it was the responsibility of the nurses to ensure that they report the change of condition to physician, oncoming shift and to charge nurse and to DON. She stated that she could not recall if the night nurse called the physician to report noted blood in urine. She stated that she had conducted an in-service for reporting change in conditions to the physician, but she could not recall when. In an interview on 11/25/2025 at 1:20 p.m., the Administrator revealed that Resident #1 did not like the foley catheter and would frequently pull at it. He stated that he was not aware of the incident on 08/01/25 of blood in urine. He stated that the expectations for the nurses were to notify the physician promptly of any changes of condition and for the nurses to follow the doctors' instructions and document everything done. He stated that the risk of not notifying the doctor promptly was a potential for a decline in residents medical condition. He stated that it was the responsibility of the floor nurses to ensure that they were reporting anything out of the ordinary to the doctor. He stated that the last in-service done on reporting changes of condition was on 08/2025. Record Review of change of condition in-service revealed training was completed on 08/06/2025 by facility DON. Review of facility policy titled Change of Condition reviewed on 04/02/2024 read in part .
The nurse shall evaluate and document/ report the following:f) all active diagnosis The nursing staff will notify the physician if any of the above signs and symptoms are identified.
Event ID:
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If continuation sheet
Center at Zaragoza, LLC 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 Center at Zaragoza, LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.