Harker Heights Nursing & Rehabilitation
Inspection Findings
F-Tag F0559
F 0559 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
camera themselves and told her she would need to come and do it. The RP stated the next day when she went to the facility, Resident #1's belongings were moved into the new room, and the ADM stated, I had to move [Resident #1] to prove to the state that we did it. Interview on 10/15/25 at 1:43 PM with the SW, who stated she worked in the facility for 4 months. She stated for a room change they had a team meeting, obtained room numbers of rooms available, then they would reach out to the family, and show the room to
the resident. The SW stated she did not remember being involved in a move room/change for Resident #1.
The SW stated room changes were communicated to residents and families by verbal consent but not in writing per facility policy. The SW further stated verbal consent from residents and family was written into a progress note in the electronic health record. She stated Housekeepers moved the residents' belongings, and social workers were in charge. An interview on 10/15/25 at 2:05 PM with the AD, who stated they discussed room changes with residents and their families, if residents needed to change rooms. The AD stated they discussed room changes during IDT meetings and saw the availability of rooms in the facility.
The AD stated they notified the family and residents verbally, and they asked if families wanted to be in the facility during the move. The AD stated the camera should be removed by the family in person per her understanding to make sure it's not broken and re-installed correctly. She stated the SW was in charge of room changes, but other staff members could be involved in the family notifications. An interview on 10/15/25 at 2:19 PM with LVN A, stated the family must be notified and present during the Residents' move from the other room. An interview on 10/15/25 at 3:30 PM with the ADM, stated the bathroom was not working in Resident #1's previous room, and they moved Resident #1 into another room. He stated the DON had verbally notified the RP of the room move. He further stated the RP became upset about the facility already moving Resident #1, and the RP became aggressive towards staff members, and threatening if they were to come near Resident #1. The ADM stated the room change for Resident #1 was discussed at the IDT meeting, and there were many reasons for changing rooms, such as the room was not appropriate. He further stated the families were notified verbally, and they were not required to notify the residents or family in writing, according to the facility policy. An interview on 10/15/25 at 3:55 PM with the DON, stated she worked in facility since August of 2025. The DON stated she talked to the RP on multiple occasions. She further stated she called the RP regarding moving Resident #1 on Monday, 09/23/25, and had spoken with her regarding the upcoming move. The DON stated the ADM notified her, and stated the RP did not come on 09/23/25. She further stated a state surveyor told the facility to have Resident #1 moved to a different room with a working toilet, so they were under pressure to complete Resident #1's room move. She stated they were trying to do the right thing by completing the room move and to be in compliance with the state. The DON stated she discussed the urgency to be in compliance with the RP, and
she was not sure if the facility was supposed to remove the camera from Resident #1's previous room.Attempted a review on 10/15/25 at 4:20 PM from the ADM and did not obtain a Policy & Procedure of Resident Room Changes and whether the resident and/or RP should be notified in writing and/or verbally.Record review of the facility's Policy & Procedure for Statement of Resident Rights, dated January 2023, reflected, Compliance Guidelines.15. To not be relocated within the community, except in accordance with nursing community regulations.Refusals of Certain TransfersThe community will document reasons for room transfers and refusals.
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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.