Lone Star Ranch Rehabilitaion And Healthcare Cente
Inspection Findings
F-Tag F0842
F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
safe in the facility. In a telephone interview on 11/26/25 at 5:10 PM, LVN A stated she did not see the incident happen. She stated she heard something in the hallway, walked toward it, and asked the hospice CNA that was close by what happened. The hospice CNA told her Resident #1 and Resident #2 had a verbal altercation then Resident #2 picked up his walker and smacked Resident #1 in the face with it. LVN A stated she saw a red mark on Resident #1's face. LVN A stated she did put a progress note in, but she did not sign and lock it because she was told the DON needed to see it first. LVN A stated she was off from 10/10/25 to 10/12/25, and on 10/13/25, she went into her progress notes and signed/locked it so it would show up. She did not lock it on 10/08/25 because she was waiting on the DON to read it and approve it.
LVN A stated there were no other issues between Resident #1 and Resident #2. She stated Resident #1 cursed and made inappropriate remarks all the time even with redirection. LVN A stated they automatically did an incident report that showed up in progress notes once it was copy/pasted at the end of the incident report. She stated it was important to document things when they happened so that details would not be forgotten and so that others knew what was going on with the resident. She stated she did not recall the last in-service for documentation.In a telephone interview on 11/26/25 at 5:43 PM, RN C stated she was told by the nurse she relieved (LVN B) to go back and make sure there was documentation of Resident #1's injury assessments from the altercation on 10/08/25. RN C stated she was told there was an altercation between Resident #1 and Resident #2, but was not aware Resident #1 had been hit since he did not have any injuries or any changes in behavior. Resident #1 and Resident #2 had not had any altercations prior to or since that incident and staff made sure they were apart. RN C stated it was important to document things so other staff were aware of what was going on with the resident and could provide appropriate care. In an
interview on 11/26/25 at 6:05 PM the ADON stated it was important to document incidents accurately and timely to ensure the resident got the care/treatment necessary. The ADON stated when nurses were initially hired, she did a skills check off with them which included documentation. She stated nurse skills were also done annually and as needed. The ADON stated LVN A saved the initial progress note on 10/08/25 but she did not sign it, so it did not show up in the progress notes for that day. She stated annual evaluations and skills check offs were done quarterly. In an interview on 11/26/25 at 6:39 PM, the MDS nurse (who was acting DON) stated it was important to document things as they happened for the safety of the residents, to note interventions, and so other staff were aware of what was going on with the resident. She stated nurses had been educated and in-serviced that they were to document for 72 hours for any issues/incidents. The MDS nurse stated if things were not documented, the resident was at risk of not getting the care they needed. She stated nurses were in-serviced on documentation upon hire, annually, and as needed.Record
review of the facility's Policy for Resident Incident and Visitor Accident Report dated 06/05/25 reflected in part: .3. Pertinent documentation must be completed:. d. Nurse Progress Notes. g. Follow up documentation every shift for 72 hours or more frequently if needed.
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Lone Star Ranch Rehabilitaion and Healthcare Cente in Kingsville, 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 Kingsville, 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 Lone Star Ranch Rehabilitaion and Healthcare Cente or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.