Levelland Nursing & Rehabilitation Center
Inspection Findings
F-Tag F0729
F 0729 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
She was told by the DON that CNA A could not be at the facility or working and she (DON) would have to get CNA A's shifts covered. She stated she completed an audit of all CNA's certificates as of [DATE REDACTED] and no one else has expired.During an interview on [DATE REDACTED] at 3:33 PM CNA A stated she was not aware her certification had expired. She stated that around [DATE REDACTED] she provided the previous ADON with a paper about her certificate and the previous ADON told her she would take care of it. She stated then on [DATE REDACTED]
she received an email that her certificate expired. She stated she told the DON, and she told her she would help her to renew it. She stated she has been a CNA for over 30 years and had worked at the facility for over 20 years and never had any issues with getting her certificate renewed. She stated that she worked
the night shift last night [DATE REDACTED] and came to the facility after she woke up to try and get her certificate renewed. She stated she was not told she could not work while waiting to get her certificate renewed.
During an interview on [DATE REDACTED] the ADM stated she was sure CNA A did not work the night shift on [DATE REDACTED] because they told CNA A she could not work until her certificate was renewed. She stated she would check her time punch detail to see, then stated she did clock in and work last night. She stated she told the DON that CNA A worked the night shift on [DATE REDACTED] and the DON told her no, because CNA A was told last week
she could not work. She stated that CNA A was made aware she could not work until her certificate was renewed. Record review of Off Cycle QA Meeting Document dated [DATE REDACTED] reflected Identification of a system in need of immediate attention by QAPI Committee:A system failure was identified: On [DATE REDACTED] it was found that a CNA license had lapsed while still working on the floor.Regional Compliance Nurse/ ADM/ DON initiated a Plan of Correction on [DATE REDACTED]. HR will complete a full audit of license by [DATE REDACTED].DON will keep a binder of all nursing licensures and will review monthly for compliance.DON/ADON will provide notification to nursing staff 60 days prior to licensure expiration.DON/ADON will provide any assistance needed to renew license or certification. ADM will oversee monthly for adherence.If either party determines that the system is not in compliance at any time during monitoring, the system will be discussed with QAAC for immediate change process. Record review of facility policy Credentialing of Nursing Services Personnel dated (Revised [DATE REDACTED]) reflected the following: Policy StatementNursing services personnel who require a license or certification to provide resident care or treatment without direction or supervision within the scope of the individual's license or certification must present verification of such license or certification prior to or upon employment.Policy Interpretation and Implementation2. Nursing personnel requiring a license/certification are not permitted to perform direct resident care services until all licensing/background checks have been completed.8. A copy of annual license renewals/certifications (as applicable) must be presented to the director of nursing services no later than February 1st each year.
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Levelland Nursing & Rehabilitation Center in Levelland, 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 Levelland, 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 Levelland Nursing & Rehabilitation Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.