Henderson Health & Rehabilitation Center
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
with Resident #1's room. CNA E said she heard Resident #1 hollering and ran down to Resident #2's room.
CNA E said she saw Resident #2 push Resident #1 down on the floor by the bed, with both hands and kick her in the side. CNA E said Resident #2 was jumping back as she was coming into the room. CNA E said
she told the residents to stop fighting and told Resident #2 to leave the room. CNA E said CNA D ran and alerted the charge nurse, RN A, who conducted the post incident assessments.During an interview on 9/17/25 at 11:10 a.m., the ADM said Resident #2 had displayed verbal aggression with other residents, but there had been no previous physically aggressive behavior. The ADM said following the altercation between Residents #1 and #2 the residents were immediately separated; Resident #2 was placed on 1-to-1 supervision and referred to behavioral health inpatient facility. The ADM said Resident #2's medications were adjusted, and she was moved to a room with a private bathroom and there had been no more incidents of physical aggression. Attempted interviews with RN A by telephone and text message on 9/17/25 at 11:34 a.m. Review of progress note dated 8/17/25 at 4:30 p.m. by the DON indicated Resident #2 was placed on 1-to-1 supervision immediately following altercation with Resident #1.Review of a progress note dated 8/17/25 at 5:24 p.m. by RN A indicated Resident #2 was tolerating 1-to-1 supervision well.Review of a nursing follow-up dated 8/18/25 at 5:46 a.m. by FNP indicated Resident #2's Olanzapine dose was increased from 2.5mg to 5mg nightly and she was put on one-to-one observation.Review of a psychiatric hospital Discharge summary dated [DATE REDACTED] at 2:40 p.m. indicated Resident #2 was admitted to
the facility on [DATE REDACTED] at 4:32 p.m. and discharged on 8/27/25 with medication changes including discontinuing Olanzapine and starting Uzedy.Review of an admission record dated 9/16/25 indicated Resident #2 was admitted to the facility from a psychiatric hospital and assigned to room [ROOM NUMBER]-B.During an observation on 9/17/2025 at 11:30 am, Resident #2's room [ROOM NUMBER]-B revealed the room to have a private bathroom. Review of facility policy titled Policy and Procedures: Abuse, Neglect, and Exploitation revised on 9/6/24 indicated .Identifying, correcting, and intervening in situations in which abuse.is suspected or identified.by taking immediate action to correct any issues that can reduce the risk of further harm continuing or occurring.
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HENDERSON HEALTH & REHABILITATION CENTER in HENDERSON, 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 HENDERSON, 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 HENDERSON HEALTH & REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.