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Complaint Investigation

The Lev At Town Park

Inspection Date: November 17, 2025
Total Violations 2
Facility ID 455800
Location Houston, TX
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Inspection Findings

F-Tag F0580

Resident Rights Deficiencies
Harm Level: Immediate Jeopardy

F 0580 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

non-verbal residents and how to assess both. In the non-verbal resident a facial expression of grimacing, moaning or groaning during the physical assessment. They were able to explain the importance of documentation of all medications, even the PRN medications. Each nurse was able to explain when to send

a resident out without authorization in an emergency. The nurses indicated that residents should be sent out if there was a fall, bleeding, a resident was on anticoagulants and if there was a break in the limbs.

Each staff member relayed the importance and process for accurate documentation. The CNAs and CMAs were able to explain the Stop N Watch procedure, completing their documentation in the POC (plan of care) as well. Both were to immediately notify charge nurses when a resident appeared different than normal. All staff were able to identify three types of Neglect and give an example of Neglect. 11/15/25 at 1:00am IJ Lowered Administrator and DON notified. On 11/17/25 at 1:08pm, during an interview with the Admin, she stated she became aware of CR#1 hospitalization on 11/10/25 and was informed by nursing staff that CR#1 was in the hospital because it was medically related. Admin stated she started the Self Report on 11/10/25. The Admin started the IJ's have taught her to be more thorough in looking at systems in place and talking with families more. Admin stated if she had had a relationship with FM this issue may have been eliminated, and she may have known about CR#1's injury sooner. Admin stated the process now is to send residents out immediately if there is a suspected injury, communication forms to unit manager, DON and herself. She stated there are now systems in place to eliminate these issues in the future. An Immediate Jeopardy (IJ) was identified on 11/13/2025 at 4:34 p.m. While the IJ was removed on 11/15/2025 at 1:00am, the facility remained out of compliance at the severity level of no actual harm with potential for more than minimal harm that is not immediate jeopardy with a pattern identified as isolated due to the facility's need to evaluate the effectiveness of the corrective systems.

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/17/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

The Lev at Town Park

8820 Town Park Dr Houston, TX 77036

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0684

Quality of Life and Care Deficiencies
Harm Level: Immediate Jeopardy

F 0684 Level of Harm - Immediate jeopardy to resident health or safety

anticoagulants and if there is a break in the limbs. Each staff member relayed the importance and process for accurate documentation. The CAN's and CMA were able to explain the Stop N Watch procedure, completing their documentation in POC (plan of care) as well. Both are to immediately notify charge nurses when a resident appears different than normal. All staff were able to identify three types of Neglect and give

an example of Neglect. 11/15/25 at 1:00am IJ Lowered Administrator and DON notified.

Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

📋 Inspection Summary

The Lev At town Park in Houston, TX inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 Houston, 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 The Lev At town Park or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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