Lampasas Nursing And Rehabilitation Center
Lampasas Nursing and Rehabilitation Center in Lampasas, TX — inspection on November 23, 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.
Inspection Findings
jeopardy to resident health or safety
medications and ileostomy care which could have resulted in the resident not receiving adequate nutrition, experiencing unnecessary pain, and not receiving appropriate care.A record review of the Enteral Feeding in-service dated 11/20/2025 reflected the charge nurses were required to notify the MD and DON immediately if orders were not implemented and a resident missed a scheduled feeding. A record review of the Pain Management in-service dated 11/20/2025 reflected how to assess new onset or worsening pain, and to recognize verbal and non-verbal signs of pain, which included verbal expressions of pain, crying, groaning, facial expression, grimacing, frowning, protecting body movements, and guarding and clutching. It also included timely administration of pain medication upon admission and/or readmission.A record review of the Admissions in-service dated 11/20/2025 reflected a required review and implementation of physician orders such as enteral feeding, pain medication and supplied needed. admission referrals should be reviewed prior to admission with the coordination of prescriptions, supplies, and equipment to facilitate continuity of care.A record review of the Medication Administration in-service dated 11/20/2025 reflected a review of the Five Rights of Medication Administration: Right Patient, Right Dose, Right Route, Right Drug and Right Time. It also included the requirement to document all administered medication in PCC.A record review of the Medication Reconciliation in-service dated 11/20/2025 reflected the requirement for the charge nurses and nurse management to conduct medication reconciliation every time a resident is admitted or readmitted to the facility.
Record
Review of the ADHOC QAPI Meeting agenda dated 11/20/2025, reflected a review of the immediate jeopardy citations and subsequent plan of removal.
During an interview on 11/22/2025 at 1:05 PM, CNA/CMA - G stated she received Abuse and Neglect, Enteral Feeding, Change of Condition, Pain Management, Medication Administration, and Medication Reconciliation training on 11/21/2025.
She cited examples of ANE as yelling at a resid[TRUNCATED]
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.