Advanced Rehabilitation & Healthcare Of Live Oak

F 0726 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

clinical admission assessment. The DON stated, even if the admitting nurse could not stage the wound, it should have been documented on the admission assessment and orders obtained to at least monitor the area on the date of admission. The DON stated it was important for the initial clinical assessment to be accurate and reveal documentation of any skin concerns, because we need to know what they admitted with so we can document it upon admission, and if a wound or skin issue was not identified upon admission, it could cause a wound infection or cause further skin break down. Record review of the facility's policy titled, Clinical Documentation Guideline, origination date [DATE REDACTED], review date [DATE REDACTED] and revision date [DATE REDACTED] revealed a policy, The patient's clinical record provides a record of the health status, including

observations, measurements, history and prognosis and serves as the primary document describing health care services provided to the patient. The document revealed the fundamental information, The clinical

record is used by healthcare team to record, preserve and communicate the patient's progress and current treatment.

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/18/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Advanced Rehabilitation & Healthcare of Live Oak

8221 Palisades Drive Live Oak, TX 78233

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

and control program designed to provide a safe, sanitary and comfortable environment and to help prevent

the development and transmission of communicable disease and infections as per accepted national standards and guidelines. Record review of a document provided by the facility Administrator as part of the facility EBP program revealed the document was a CMS Memorandum directed to State Survey Agency Directors, dated 03/20/2024, with the subject identified as Enhanced Barrier Precautions in Nursing Homes. The document revealed, Guidance - ‘Enhanced Barrier Precautions' (EBP) refer to an infection control intervention designed to reduce transmission of multidrug-resistant organisms that employs targeted gown and glove use during high contact resident care activities. EBP are used in conjunction with standard precautions and expand the use of PPE to donning gown and gloves during high-contact resident care activities that provide opportunities for transfer of MDROs to staff hands and clothing. EBP are indicated for residents with any of the following: wounds and/or indwelling medical devices even if the resident is not known to be infected or colonized with MDRO. The document revealed, For residents for whom EBP are indicated, EBP is employed when performing the following high contact resident care activities: dressing, bathing/showering, transferring, providing hygiene, changing linen, changing briefs or assisting with toileting, device care or use: central line, urinary catheter, feeding tube, tracheostomy/ventilator, wound care: any skin opening requiring a dressing.

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