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Complaint Investigation

Liberty Health Care Center

May 9, 2025 · Liberty, TX · 1206 N Travis St
Citations 1
CMS Rating 1/5
Beds 118
Provider ID 675540
Healthcare Facility
Liberty Health Care Center
Liberty, TX  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)  ·  47 pages
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Liberty Health Care Center in Liberty, TX — inspection on May 9, 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

FF607
25 and no depression was Few affected

During interview conducted on 05/08/25 and 05/09/25, there were no additional incidents of abuse reported by residents.

Residents #1, #2, #3, #4, #5, #6, #7, #8, #9, and #10, indicated they would report to the Administrator or DON immediately.

During interviews conducted on 05/09/25 between 12:50 p.m. and 2:50 p.m. indicated (Administrator L, DON, ADON, SW, CNA D, Receptionist O, BOA S, CMA/CNA T, MR U, CNA BB, CNA CC, DA LL, PTA MM, LS NN, RN OO, CNA PP, RN QQ, LVN RR, HSK SS ) from all shifts (6:00 a.m.-6:00 p.m., 6:00 p.m.-6:00 a. m., 6:00 a.m.-2:00 p.m., 2:00 p.m. -10:00 p.m., and 10:00 p.m.-6:00 a.m., 8:00 a.m.-4:00/5:00 p.m., and 3:00 p.m. -11:00 p.m.) were in-serviced on and could verbalize understanding of in-service on immediate notification of allegations to facility abuse coordinator or designee when not in facility or available, investigating allegations of abuse and neglect, reporting of abuse neglect and misappropriation, and notification of proper local and state entities.

During an interview on 05/09/25 at 2:10 p.m. the DON was able verbalize understanding of in-service on the abuse prevention policy, immediate reporting expectations, and responsibilities of supervisors in escalating concerns.

She indicated the training focused on immediate recognition and escalation of suspected abuse, the mandated timelines for reporting (immediately to the Abuse coordinator), and the proper chain of command.

She said all staff were required to report abuse immediately to the Abuse Coordinator and that supervisors must act if front-line staff do not.

She said this ensured no delay in response, removing the immediacy of the risk.

During an interview on 05/09/25 at 1:51 p.m., Administrator L indicated she was retrained on 05/08/25 on the facility's abuse and reporting policy and the most current provider letter.

She indicated the training focused on immediate recognition and escalation of suspected abuse, the mandated timelines for reporting (immediately to the Abuse coordinator), and the proper chain of command.

The Administrator was notified the Immediate Jeopardy was removed on 05/09/25 at 2:50 p.m., the facility remained out of compliance at a severity level of no actual harm with potential for more than minimal harm with a scope of isolated due to the facility's need to complete in-service training and evaluate the effectiveness of the corrective systems.

675540

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 675540 B.

Wing 05/09/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Liberty Health Care Center 1206 N Travis St Liberty, TX 77575

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 Liberty, 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 Liberty Health Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

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.