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Complaint Investigation

Ennis Care Center

November 19, 2025 · Ennis, TX · 1200 S Hall St
Citations 1
CMS Rating 1/5
Beds 155
Provider ID 455486
Healthcare Facility
Ennis Care Center
Ennis, TX  ·  View full profile →
Inspection Summary

Ennis Care Center in Ennis, TX — inspection on November 19, 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.

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Inspection Findings

FF0689
Quality of Life and Care Deficiencies
Immediate Jeopardy

jeopardy to resident health or safety

therapy department and they reviewed policies on abuse, neglect, transfers and mechanical lifts.In an interview on 11/18/2025 at 3:40 PM with LVNB she stated she has worked at the facility for five years.

She stated she is the MDS coordinator but has worked the floor at times.

She stated she is frequently in-serviced on abuse, neglect, falls, transfers and mechanical lifts.

She stated an example of abuse would be not providing a resident food or items they request for comfort.

She denied witnessing abuse or neglect within the facility.

She stated that if a resident falls or falls out of the Hoyer lift a nurse would assess them prior to moving them and typically call 911 to have them further assessed at a hospital.

She stated that if she witnessed abuse or neglect, she would stop the abuse and report it to the Administrator immediately.

She stated that when using a lift they must have two people at all times.

She denied any knowledge of anyone using a Hoyer lift with only one person and stated there is no reason to only have one staff operating the lift.

She stated the ADON and herself were here on 11/7/2025 and received a call that led to the nurses checking on each resident.

She stated she was not the nurse who checked Resident #1s room and is unaware who did.

She stated she and the other nurses walked back up the hall and noted that CNA A was requesting assistance and LVN A assessed the resident while she called 911 and the ADON questioned CNA A.

She stated to her knowledge prior to 11/7/2025 agency staff did not have competency checkoffs within the facility that they relied on the agency to ensure their staff were competent.

She stated that since 11/7/2025 they have had in-services on abuse, neglect, transfers and mechanical lifts.

She stated that they had therapy department train and checkoff each staff member on transfers and mechanical lifts.

She stated they watched a video on proper transfer and mechanical lifts and now they have a competency check-off sheet for all agency staff to complete prior to working alone.

She stated the CNAs and CMAs can see how to transfer and or lift a resident in the electronic medical record under the Kardex.

She stated that CNA A did have access to the electronic medical record as she set up access, she stated that they have a standard login for the agency staff.The noncompliance was identified as PNC.

The facility was provided with the IJ template on 11/18/2025.

The facility had corrected the non compliance before the survey began.

Facility ID:

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 Ennis, 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 Ennis Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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