Immanuel's Healthcare
Inspection Findings
F-Tag F0698
F 0698 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
and the body surface)in his right arm and no concerns were noted. During an observation and interview on 09/04/ 25 at 11:15 am Resident #3 stated he went to dialysis every time and he did not miss any appointments. Resident #3 stated the dialysis center took the form and did not give him one back.
Resident#3 stated he did not have any concerns. The Surveyor observed the fistula was covered in the right arm and no concerns were noted. During an interview and observation on 09/04/25 at 11:25 am LVN
A stated the facility did not keep a book of the communications from the dialysis center. LVN A stated when residents returned from the dialysis center the forms were placed either in the purple binder or medical records drop box. The Surveyor and LVN A observed no outstanding dialysis forms. LVN A stated Resident# 1, Resident #2 and Resident #3 were on her hall and they all went to dialysis M/W/F. LVN A stated she would have Resident #1 and Resident #3 prepped and ready to go with breakfast and snacks for morning transportation to dialysis. LVN A stated residents were transported by the local- city bus on a set schedule. LVN A stated Resident #2 was transported to dialysis before lunch. LVN A stated she checked and monitored their port entry and none of the residents hadany concerns or issues with their ports. LVN A stated she had not experienced any of the three residents refuse to go to dialysis. LVN A stated if a resident refused or missed dialysis it would be documented in the progress notes. LVN A stated post dialysis vitals were supposed to be documented in the vitals section and progress notes in the EHR when residents returned. LVN A stated she would document the information if the resident vitals were abnormal in the resident's chart and report to the DON and MD. During an interview on 09/04/25 at 11:50 am the DON stated she could not make the dialysis center send the communication forms back. The DON stated if an issue or concern happened at dialysis the dialysis center could call; email and fax and the information would be received. The DON stated they would call to get the form faxed to them. The DON stated she was also over medical records and did not have any medical dialysis communication forms pending to be uploaded. The DON stated the dialysis residents were in and out the hospital a lot. The DON stated the orders were not reactivated when the residents returned to the facility. The DON stated the admitting nurse would be responsible for making sure the orders were activated. The DON stated no resident had missed dialysis because the transportation times were set, and the local bus picked up Resident #1 and Resident #3 together at the same time and Resident #2 was picked up before lunch. The DON stated the dialysis residents' entry sites were checked on every shift and any concerns would be noted in the progress notes and the DON, the MD and RP would be notified.During an interview on 09/04/25 at 1:08 pm the CNA/Central Supply stated she was responsible for doing the residents' pre/post dialysis weights and weekly weights when she was there. The CNA/Central Supply stated she was not always in the facility when Resident #2 returned from dialysis treatment. The CNA/Central Supply stated her schedule was not always the same. During an interview on 09/04/25 at 1:45pm LVN B stated that she checked Resident# 1, Resident #2 and Resident #3's vitals when they returned from dialysis. LVN B stated any abnormalities she would document in the progress notes which was in the resident's chart. and notify the DON, and the MD.
LVN B stated the residents were very serious about their dialysis treatments and they did not miss their appointments. LVN B stated she checked the residents' entry sites and monitored the residents for any concerns. During an interview on 09/05/25 at 11:00 am the MD stated he was not responsible for dialysis orders and that was done by the nephrologist at the dialysis center. The MD stated he had too many residents on dialysis and he knew the facility provided care and treatment as ordered. During an interview
on 09/05/25 at 3:00 pm with the Admin and the DON, the DON stated the facility had a policy related to the dialysis resident care and treatment to the access site. The DON stated the dialysis residents had not missed treatment or care.
Event ID:
Facility ID:
If continuation sheet
IMMANUEL'S HEALTHCARE in FORT WORTH, 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 FORT WORTH, 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 IMMANUEL'S HEALTHCARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.