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Complaint Investigation

Heritage Oaks Nursing And Rehabilitation Center

Inspection Date: November 15, 2025
Total Violations 1
Facility ID 675346
Location Lubbock, TX
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Inspection Findings

F-Tag F0926

Environmental Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0926 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

stated the potential negative outcome could be a resident starting a fire. During an interview on 11/15/25 at 01:50 pm with MA A, she stated she did not normally supervise residents while smoking but the other staff were busy with resident care. She stated Resident #1 had his cigarettes in his black bag on walker. She stated she had been trained on the smoking policy. She stated Residents were not allowed to keep smoking supplies in room or on person. She stated she did not take smoking supplies from the resident. She stated

she had not reported the incident to the ADM or the charge nurse because she had just come in from supervising the residents. During an interview on 11/15/25 at 02:30 pm with the ADM, he stated per the facility policy residents were not allowed to have smoking supplies in their rooms. He stated, I cannot search their room and keep them from going to the store next door. He stated the smoking policy was changing from the old company to the new company. The ADM looked at the smoking policy provided by

the DON and stated Yes, that is the new one. He stated the convenience store was so close that the residents signed themselves out and got what they wanted. He stated, I cannot police all that. He stated he was not aware of any residents with smoking supplies in their rooms. He stated he was not aware Resident #1 had smoking supplies in his room. He stated Resident #1 was aware of the smoking policy and items not allowed in resident rooms. He stated no one had reported to him seeing smoking supplies in resident's room. He stated SW kept Resident #1 cigarettes in her office locked up because he bought seven cartons at one time. He stated he was not sure if he got a pack from SW or what. He stated residents were told on admission that smoking supplies cannot be kept in room. He stated smoking supplies were kept in a blue tackle box and the box goes from each station based on the smoking time. He stated the majority of the staff had been trained on the smoking policy. He stated the potential negative outcomes could be smoking

in room, starting fires and if there was oxygen in the room the residents could blow themselves up. During

an interview on 11/15/25 at 02:45 pm with the SW, she stated smoking was an issue at the facility because residents went to the store next door and purchased smoking supplies without the facility knowing. She stated they were not allowed to go through residents' belongings. She stated Resident #1 did not go to the store but would have other residents purchase items for him. She stated Resident #1 did a spend down (money spent) of his financial account and bought 14 cartons of cigarettes at one time and she kept them locked in her office. She stated Resident #1 would come by her office and request cigarettes and she would open and pack and print his name on top and place them in the blue smoking box. She stated she was not aware Resident #1 had smoking supplies in his room. She stated she had received training on the smoking policy and residents were not to have smoking supplies in the room. She stated if they saw smoking supplies in a resident room the smoking supplies need to be removed. She stated all current smoking residents had smoking assessments and were safe to smoke alone but it was the facility policy that residents were to be supervised while smoking. She stated the potential negative outcome could be a resident lighting a cigarette in room or causing a fire. Record review of the facility' policy titled Smoking Policy - Resident dated October 2022 reflected the following: Policy Statement - This facility shall establish and maintain safe resident smoking practices.Policy Interpretation and Implementation.14. Residents may not have or keep any smoking articles, including cigarettes, tobacco, etc., except when they are under direct supervision.

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📋 Inspection Summary

Heritage Oaks Nursing and Rehabilitation Center in Lubbock, TX inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 Heritage Oaks Nursing and Rehabilitation Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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