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Fredericksburg Nursing And Rehabilitation Lp

📍 1117 S Adams St, Fredericksburg, TX 78624 📞 (830) 997-4364 🛏️ 90 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 2 penalties totaling $9,750

$9,750
Feb 8, 2022

Fine

$0
Feb 8, 2022

Payment Denial

2021 1 penalties totaling $5,000

$5,000
Jun 17, 2021

Fine

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Health Violations by Year

2024 20 violations

Tag 0550 E May 17, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Jun 17, 2024
Tag 0641 D May 17, 2024

Ensure each resident receives an accurate assessment.

✓ Corrected: Jun 17, 2024
Tag 0656 E May 17, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jun 17, 2024
Tag 0657 E May 17, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Jun 17, 2024
Tag 0661 D May 17, 2024

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

✓ Corrected: Jun 17, 2024
Tag 0684 D May 17, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jun 17, 2024
Tag 0690 D May 17, 2024

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Jun 17, 2024
Tag 0726 E May 17, 2024

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Jun 17, 2024
Tag 0759 D May 17, 2024

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Jun 17, 2024
Tag 0760 D May 17, 2024

Ensure that residents are free from significant medication errors.

✓ Corrected: Jun 17, 2024
Tag 0801 D May 17, 2024

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

✓ Corrected: Jun 17, 2024
Tag 0803 E May 17, 2024

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

✓ Corrected: Jun 17, 2024
Tag 0805 D May 17, 2024

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

✓ Corrected: Jun 17, 2024
Tag 0806 E May 17, 2024

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

✓ Corrected: Jun 17, 2024
Tag 0809 E May 17, 2024

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

✓ Corrected: Jun 17, 2024
Tag 0814 E May 17, 2024

Dispose of garbage and refuse properly.

✓ Corrected: Jun 17, 2024
Tag 0880 E May 17, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 17, 2024
Tag 0908 E May 17, 2024

Keep all essential equipment working safely.

✓ Corrected: Jun 17, 2024
Tag 0912 B May 17, 2024

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

✓ Corrected: Jun 17, 2024
Tag 0880 D Mar 7, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 8, 2024

2023 11 violations

Tag 0609 D Mar 26, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Apr 14, 2023
Tag 0641 D Mar 26, 2023

Ensure each resident receives an accurate assessment.

✓ Corrected: Apr 14, 2023
Tag 0656 E Mar 26, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Apr 14, 2023
Tag 0684 J Mar 26, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Apr 14, 2023
Tag 0727 E Mar 26, 2023

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

✓ Corrected: Apr 14, 2023
Tag 0745 E Mar 26, 2023

Provide medically-related social services to help each resident achieve the highest possible quality of life.

✓ Corrected: Apr 14, 2023
Tag 0801 D Mar 26, 2023

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

✓ Corrected: Apr 14, 2023
Tag 0812 E Mar 26, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Apr 14, 2023
Tag 0842 D Mar 26, 2023

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Apr 14, 2023
Tag 0912 B Mar 26, 2023

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

✓ Corrected: Apr 14, 2023
Tag 0940 E Mar 26, 2023

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

✓ Corrected: Apr 14, 2023
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2022 13 violations

Tag 0677 D Dec 4, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Dec 5, 2022
Tag 0609 D Feb 8, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Mar 3, 2022
Tag 0610 D Feb 8, 2022

Respond appropriately to all alleged violations.

✓ Corrected: Mar 3, 2022
Tag 0641 E Feb 8, 2022

Ensure each resident receives an accurate assessment.

✓ Corrected: Mar 3, 2022
Tag 0645 E Feb 8, 2022

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Mar 3, 2022
Tag 0656 D Feb 8, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Mar 3, 2022
Tag 0695 D Feb 8, 2022

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Mar 3, 2022
Tag 0801 C Feb 8, 2022

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

✓ Corrected: Mar 3, 2022
Tag 0865 F Feb 8, 2022

Have a plan that describes the process for conducting QAPI and QAA activities.

✓ Corrected: Mar 3, 2022
Tag 0868 F Feb 8, 2022

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

✓ Corrected: Mar 3, 2022
Tag 0880 D Feb 8, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 3, 2022
Tag 0912 B Feb 8, 2022

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

✓ Corrected: Mar 3, 2022
Tag 0676 E Jan 13, 2022

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

✓ Corrected: Feb 5, 2022

2021 3 violations

Tag 0726 D Jun 17, 2021

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Jul 17, 2021
Tag 0728 D Jun 17, 2021

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

✓ Corrected: Jul 17, 2021
Tag 0880 E Jun 17, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 11, 2021
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2020 16 violations

Tag 0577 C Feb 28, 2020

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

✓ Corrected: Mar 31, 2020
Tag 0637 D Feb 28, 2020

Assess the resident when there is a significant change in condition

✓ Corrected: Mar 31, 2020
Tag 0644 E Feb 28, 2020

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: Mar 31, 2020
Tag 0656 D Feb 28, 2020

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Mar 31, 2020
Tag 0657 D Feb 28, 2020

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Mar 31, 2020
Tag 0692 D Feb 28, 2020

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Mar 31, 2020
Tag 0695 D Feb 28, 2020

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Mar 31, 2020
Tag 0740 D Feb 28, 2020

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

✓ Corrected: Mar 31, 2020
Tag 0744 D Feb 28, 2020

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

✓ Corrected: Mar 31, 2020
Tag 0759 E Feb 28, 2020

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Mar 31, 2020
Tag 0761 D Feb 28, 2020

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Mar 31, 2020
Tag 0814 C Feb 28, 2020

Dispose of garbage and refuse properly.

✓ Corrected: Mar 31, 2020
Tag 0842 D Feb 28, 2020

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Mar 31, 2020
Tag 0880 E Feb 28, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 31, 2020
Tag 0883 D Feb 28, 2020

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: Mar 31, 2020
Tag 0912 B Feb 28, 2020

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

✓ Corrected: Mar 31, 2020

2019 10 violations

Tag 0550 D Dec 5, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Dec 10, 2019
Tag 0604 D Dec 5, 2019

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Dec 23, 2019
Tag 0607 D Dec 5, 2019

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Dec 10, 2019
Tag 0609 D Dec 5, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Dec 10, 2019
Tag 0689 D Dec 5, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Dec 23, 2019
Tag 0842 D Dec 5, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Dec 23, 2019
Tag 0695 E Mar 15, 2019

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Apr 3, 2019
Tag 0759 E Mar 15, 2019

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Apr 3, 2019
Tag 0761 E Mar 15, 2019

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Apr 3, 2019
Tag 0912 B Mar 15, 2019

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

✓ Corrected: Apr 3, 2019
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2018 11 violations

Tag 0636 E Mar 2, 2018

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: Mar 30, 2018
Tag 0656 D Mar 2, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Mar 30, 2018
Tag 0690 E Mar 2, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Mar 30, 2018
Tag 0726 E Mar 2, 2018

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Mar 30, 2018
Tag 0727 F Mar 2, 2018

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

✓ Corrected: Mar 30, 2018
Tag 0732 C Mar 2, 2018

Post nurse staffing information every day.

✓ Corrected: Mar 30, 2018
Tag 0755 E Mar 2, 2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Mar 30, 2018
Tag 0761 E Mar 2, 2018

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Mar 30, 2018
Tag 0842 D Mar 2, 2018

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Mar 30, 2018
Tag 0880 E Mar 2, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 30, 2018
Tag 0912 B Mar 2, 2018

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

✓ Corrected: Mar 30, 2018
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