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Complaint Investigation

Oakmont Guest Care Center

October 31, 2025 · Hurst, TX · 2712 N Hurstview
Citations 1
CMS Rating 1/5
Beds 161
Provider ID 455626
Healthcare Facility
Oakmont Guest Care Center
Hurst, TX  ·  View full profile →
Inspection Summary

Oakmont Guest Care Center in Hurst, TX — inspection on October 31, 2025.

Found 1 citation. Severity: Standard violations.

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

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Inspection Findings

FF0695
Quality of Life and Care Deficiencies
Immediate Jeopardy

jeopardy to resident health or safety

portable oxygen tanks available and functioning.

Interviews on 10/31/25 at various times from 9:30 AM-3:00 PM, conducted with the Assistant Administrator, DON, ADON A, ADON B, ADON C, nurses, MAs, and CNAs: CNA D (1st shift), LVN E (1st shift), CNA F (1st shift), CNA G (1st shift), MA H (1st shift), CNA I (1st/2nd double weekends), LVN J (2nd shift), CNA K (1st shift), LVN L (1st shift), CNA M (1st shift), CNA N (1st/2nd double weekends), LVN O (1st/2nd double weekends), CNA P (3rd shift), CNA Q (3rd shift), CNA R (2nd shift), LVN S (2nd shift), and CNA T (3rd shift) indicated they all participated in in-service trainings on 10/30/25.

The nurses were able to state they were responsible for ensuring that residents who required oxygen therapy received treatment according to orders, always had adequate oxygen available, and residents who required continuous oxygen therapy had 2 full portable tanks when leaving the facility.

The CNAs were able to state that while providing care to residents with portable oxygen tanks, they were responsible for checking the tanks to ensure there was adequate oxygen and to immediately notify the nurse of any issues.

The Assistant Administrator, DON, and ADONs stated it was their responsibility to ensure the effectiveness of interventions.

Interviews on 10/31/25 at various times from 10:00 AM-3:00 PM with Residents #1, #2, #3, #4, #5, #6, and #7, who all received oxygen therapy, revealed no concerns for respiratory care.

All sampled residents denied ever running out of oxygen at the facility or while out in the community. Resident #1 stated the incident on 10/29/25 was the first time he had ever run out of oxygen since being admitted to the facility.

Observations on 10/31/25 at various times from 10:00 AM-3:00 PM of Residents #1, #2, #3, #4, #5, #6, and #7, who all received oxygen therapy, revealed no s/sx of respiratory distress and they all had clean and working oxygen concentrators and portable oxygen tanks available Record reviews of EHRs for Residents #1, #2, #3, #4, #5, #6, and #7 revealed they all had orders and care plans that included appropriate interventions to address respiratory needs.

Facility ID:

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 Hurst, 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 Oakmont Guest Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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