Harker Heights Nursing & Rehabilitation
Inspection Findings
F-Tag F0584
F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
poor health outcome. During an interview with LVN J on 08/11/2025 at 3:29pm revealed she had been trained on resident rights and homelike environment. She said the policy for temperatures was to call MAIN, ADM, and DON if the AC was not working. She said staff were to also watch the residents to ensure the heat was not affecting them. She said signs of dehydration were lethargic, sweating, dry mucus, and dry mouth. She said if a resident became dehydrated, they could get hyperthermia (elevated body temperature). She said if the AC was not working staff were to move the residents to a cool area and provide fluids to them. She also said staff were to monitor the resident's intake and output. She said the temperatures were to be between 71 degrees and 81 degrees Fahrenheit. Record review of the POR Documents revealed that the MAIN Director checked the system, called [company name] for repairs and did status checks every two hours on 08/09/2025. Record review of the Hardware Store Receipt revealed that the portable AC were purchased at 4:18pm on 08/09/2025 from the hardware store. Record review of
the receipt from the Hardware Store dated 08/09/2025 revealed the facility purchased 4 portable AC units from the hardware store. Record review of the Temperature Log dated 08/09/2025, 08/10/2025 and 08/11/2025 revealed temperatures have remained within regulation since being fixed. Record review of resident medical records revealed 36/36 Residents in memory care were assessed on 8/9/2025 with no signs or symptoms noted. Record review of In-Services dated 08/09/2025 revealed the DON and Administrator were educated on 08/09/2025 on what to do when the AC unit is not functioning properly by
the VP of Operations. Record review of In-services dated 08/09/2025 revealed all staff on all shifts had been educated on what to do when the AC is not functioning correctly, and how to spot and prevent dehydration. Record review of the Temperature monitoring log revealed that the DON had monitored the temperatures and no issues were noted. Record review of the QAPI revealed that QAPI meeting was held
on 08/09/2025. The DON was informed the Immediate Jeopardy was removed on 08/11/2025 at 8:45pm.
The facility remained out of compliance at a severity level of isolated and a scope of no actual harm with
the potential for more than minimal harm due to the facility's need to evaluate the effectiveness of the corrective systems that were put into place.
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Harker Heights Nursing & Rehabilitation in Harker Heights, 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 Harker Heights, 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 Harker Heights Nursing & Rehabilitation or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.