Hansford County Hospital District Dba Lakeridge Nu
Inspection Findings
F-Tag F0880
F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
his wheelchair and removed her gloves. CNA A then used hand sanitizer to cleanse her hands. CNA A did not change her gloves and perform hand hygiene before going from dirty to clean during the procedure.
Resident #3 Record review of the admission record for Resident #3, dated 09/05/25 revealed a [AGE] year-old male who was admitted to the facility on [DATE REDACTED] and readmitted on [DATE REDACTED] with the following diagnoses: cerebral palsy (a group of permanent movement disorders that affect brain-controlled muscle functions), strabismus (crossed eyes or squint), and mild intellectual disabilities. Record review of the comprehensive MDS assessment for Resident #3, dated 07/30/25, revealed Resident #3 was frequently incontinent of bladder and always incontinent of bowels. Record review of the current care plan for Resident #3, last reviewed on 09/04/25, revealed there was a focus area: [Resident #3] has bowel and bladder incontinence. During an observation on 09/05/25 at 11:45 AM, CNA A provided incontinence care for Resident #3 with the help of CNA B. CNA A and CNA B washed their hands with soap and water and put
on clean gloves. CNA A pulled down Resident #3's shorts and then unfastened Resident #3's brief. CNA A then cleansed Resident #3's groin with wipes. CNA A then removed Resident #3's old brief and then wiped his buttocks with wipes. CNA A placed a clean brief under Resident #3. CNA A secured Resident #3's brief and pulled up Resident #3's shorts. CNA A then transferred Resident #3 to his wheelchair. CNA A then removed her gloves and used hand sanitizer to cleanse her hands. CNA A did not change her gloves and perform hand hygiene before going from dirty to clean during the procedure. During an interview on 09/05/25 at 11:53 AM, CNA A stated she had received training regarding changing her gloves and performing hand hygiene when going from dirty to clean during a procedure. CNA A stated she could not remember the last time she was trained for incontinence care and infection control. CNA A stated she did not change her gloves and perform hand hygiene when going from dirty to clean because she did not think about it. CNA A stated the residents had an increased risk for UTI's and germs. During an interview on 09/05/25 at 11:54 AM, the DON stated she expected the staff to change their gloves and perform hand hygiene when going from dirty to clean when providing care to a resident. The DON stated she did not remember when the last training was for incontinence care/infection control and stated the staff were scheduled to be trained that month regarding infection control. The DON stated CNA A usually did transport for the facility but would get pulled to the floor if a CNA called in. The DON stated a potential negative outcome to the residents was possible infections or UTI's. During an interview on 09/05/25 at 2:35 PM, the Admin stated she expected the staff to change their gloves when going from dirty to clean when providing care. The Admin stated CNA A probably was not paying attention or was nervous and that was why she forgot to change her gloves and perform hand hygiene when going from dirty to clean. The Admin stated CNA A was usually the van driver for the facility, but she was pulled to the floor because someone call in that day. The Admin stated CNA A was trained to change her gloves when going from dirty to clean. The Admin stated the residents had a potential negative outcome for spreading infection. Record review of the facility policy titled, Policies and Practices - Infection Control, with a revised date of October 2018 reflected
the following: Policy Statement: This facility's infection control policies and practices are intended to facilitate maintaining a safe, sanitary and comfortable environment and to help prevent and manage transmission of diseases and infections.
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If continuation sheet
HANSFORD COUNTY HOSPITAL DISTRICT DBA LAKERIDGE NU in LUBBOCK, 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 LUBBOCK, 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 HANSFORD COUNTY HOSPITAL DISTRICT DBA LAKERIDGE NU or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.