Granbury Care Center
Inspection Findings
F-Tag F0678
F 0678 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Correction 6:Record review of documentation including the Provider Investigation Report dated [DATE REDACTED] and
the Self-Reporting protocol dated [DATE REDACTED] revealed the facility investigation of the incident was started on [DATE REDACTED] at 2:15 am by the Administrator. Verification of Correction 7:Record review of the 13 sampled Resident Code Status' were reviewed that included the advanced directives, physician's orders, and care plans. No errors were found. Verification of Correction 8:Record review in-service training records sign-in sheets and quizzes revealed completion by all active staff. Interviews with the following 12 sampled staff revealed all stated they had received in-service training including abuse/neglect, advance directives, CPR, resident rights, code status' and following physician's orders that included completing a competency quiz.
They were not allowed to work until the in-services had been completed. [DATE REDACTED] at 1:50 pm, CNA BXXX[DATE REDACTED] at 11:29 am, CMA CXXX[DATE REDACTED] at 11:55 am, Social WorkerXXX[DATE REDACTED] at 11:12 am, CMA DXXX[DATE REDACTED] at 11:24 am, CNA E.9/11.25 at 11:27 am, CNA FXXX[DATE REDACTED] at 11:34 am, LVN GXXX[DATE REDACTED] at 11:38 am, LVN HXXX[DATE REDACTED] at 11:44 am, Rehabilitation ManagerXXX[DATE REDACTED] at 11:48 am, CNA IXXX[DATE REDACTED] at 11:52 am, CMA JXXX[DATE REDACTED] at 11:57 am, CNA K. Verification of Correction 9:Record review revealed the residents on LVN A's hallway were interviewed with no additional concerns identified regarding
the LVN. The resident's all said staff were respectful and appropriate, denied staff were rude or spoken abusively to, felt safe, knew how to report abuse, who the abuse coordinator was and did not express any concerns with their treatment and care. In interviews with the following sampled residents revealed none of them expressed concerns with staff. [DATE REDACTED] at 11:27 am, Resident #2XXX[DATE REDACTED] at 11:31 am, Resident #4XXX[DATE REDACTED] at 11:35 am, Resident #3XXX[DATE REDACTED] at 11:41 am, Resident # 5XXX[DATE REDACTED] at 11:45 am, Resident #6. Verification of Correction 10:Record review of LVN A's employee file revealed a termination date of [DATE REDACTED]. Record review of referral to Texas Board of Nursing was completed on [DATE REDACTED] at 2:54 pm.
Record review revealed LVN A's CPR certification was current, expiring on 03/2027. Verification of Correction 11:Record review of documentation monitoring revealed it was on-going daily since [DATE REDACTED]. No further concerns have been identified.
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Granbury Care Center in Granbury, 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 Granbury, 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 Granbury Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.