Lampasas Nursing And Rehabilitation Center
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
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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Lampasas Nursing and Rehabilitation Center in Lampasas, 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 Lampasas, 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 Lampasas Nursing and Rehabilitation Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.