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Complaint Investigation

Heritage House At Keller Rehab & Nursing

Inspection Date: November 19, 2025
Total Violations 1
Facility ID 675153
Location KELLER, TX
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Inspection Findings

F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Immediate Jeopardy

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few

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

dates of 11/10/25 - 11/14/25 reflected that the ADONs audited 23 gait belt gate belt transfers. Staff were able to demonstrate and perform safe gait belt transfers. Record review of a facility in-service, Preventing, recognizing, and reporting abuse, neglect, exploitation/misappropriation, completed on 11/10/25 revealed

the following, 1. When suspecting abuse, neglect, exploitation/misappropriation, you must report to the abuse coordinator immediately. 2. The abuse coordinator is [The Administrator]. 45 staff signatures were present from various departments.Record review of a facility in-service record, dated 11/10/25, reflected 24 staff members from the nursing department attended the in-service which covered the following: In the event when a resident falls, a CNA may NOT move the resident or any part of the resident's body until the resident is evaluated by the nurse. When a resident had an incident that requires medical care (fall, code blue, etc), the first responder may NOT leave the resident alone. The first responder calls (shouts) for help and stays with the resident until help arrives. Record review of a facility in-service record, dated 11/10/25, reflected 26 staff members from the nursing department received training on the facility's Fall Management System Policy.Record review of an individual in-service completed on 11/10/25 with CNA A reflected the following: Safe Transfer. CNA must use gait belt for all transfers. CNA must ensure that they are familiar with each resident's Kardex to learn how to care for them. If resident declines use of gait belt or declines assistance, change nurse must be notified immediately. Record review of an individual in-service completed

on 11/10/25 with CNA A revealed the following, Falls and Safety. CNA may not move any part of the resident's body after a fall unless instructed by the nurse after assessment. CNA must remain with the resident until the nurse arrives to assess the resident.Record review of a Quality Assurance Agreement Patient Questionnaire with 6 residents on 11/10/25 revealed none of the 6 residents had concerns.Observation on 11/19/25 at 10:56 AM with CNA C and Resident #2 revealed the resident being transferred from her wheelchair to the bathroom. A gait belt was noted to have been stored on the back of

the bedroom door and another in the bathroom. The gait belt was used appropriately throughout the

observation, and no concerns were noted with the transfer. Observation on 11/19/25 at 11:10 AM with CNA J and Resident #3 revealed the resident being transferred from his wheelchair to the toilet. A gait belt was stored on the back of the bedroom door and used throughout the transfer. No concerns were noted with the transfer, and the gait belt was properly used. Observation on 11/19/25 at 11:52 AM with CNA K and Resident #4 revealed the resident being transferred from her wheelchair to the bathroom. The gait belt was stored on the back of the door, and another was present in the bathroom. Resident #4 was safely transferred by CNA K using the gait belt. No issues were noted with the transfer. Observation on 11/19/25 at 4:47 PM with CNA L and Resident #5 revealed the resident being transferred from her bed to the wheelchair. The gait belt was used properly, and no concerns were noted with the transfer. Another gait belt was noted in bathroom.

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📋 Inspection Summary

HERITAGE HOUSE AT KELLER REHAB & NURSING in KELLER, 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 KELLER, 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 HERITAGE HOUSE AT KELLER REHAB & NURSING or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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