Windsor Las Palmas Nursing And Rehabilitation Cent
Inspection Findings
F-Tag F0880
F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
both staff and residents. An interview on 09/06/25 at 10:08 a.m., the ADON/LVN said while she did her monthly audits the morning of 09/06/25 (6:00 am) and she discovered Resident #1 did not have an order for EBP due to her having a permcath for dialysis. She said the order for EBP should have been requested upon re-admission [DATE REDACTED]). The ADON/LVN said it was her responsibility to ensure an EBP sign was posted by Resident #1's door as soon as she received the order for EBP. She said the sign would advise staff to wear proper PPE. She said she forgot to place an EBP sign on her door. She said the negative outcome for Resident #1 not having an EBP sign would be the risk of infection for residents and staff. In an
observation and interview on 09/06/25 at 10:18 a.m., the DON said Resident #1 was under EBP due to having a permcath for dialysis. The DON was observed in front of Resident #1's door and said, there's no sign. The DON said an EBP sign should have gone up as soon as the order was received. She said the negative outcome for Resident #1 not having an EBP sign in front of her door could be the spread of infection for her and staff. In interview on 09/06/25 at 11:45 am, LVN B said he was the nurse who re-admitted Resident #1 on 09/02/25. He said the protocol when residents were re/admitted was to conduct
a total head-to-toe assessment (skin and pain). He said if the resident had a foley, wounds, permcaths, and/or g-tubes they were required to be under EBP. He said Resident #1 had a permcath on her chest for dialysis. He said it was his responsibility to ensure an EBP order was obtained, and proper signage was placed on her door effective the date of re-admission [DATE REDACTED]). LVN B said a negative outcome for Resident #1 not having an EBP sign on her door would be infection precautions would not be taken. Record review of
the facility's Enhanced Barrier Precautions dated 04/05/24 reflected:Policy: It is the policy of this facility to implement enhanced barrier precautions for the prevention of transmission of multidrug-resistance organisms. Definitions: Enhanced barrier precautions (EBP) refer to an infection control intervention designed to reduce transition of multidrug-resistant organisms that employs targeted gown and gloved use
during high contact resident care activities. Policy Explanation and Compliance Guidelines: 2. Initiation of Enhanced Barrier Precautions: b. An order for Enhanced Barrier Precautions will be obtained for resident with any of the following: 3.Implementation of Enhanced Barrier Precautions:d. position a trash care inside
the resident room for discarding PPE after removal, prior to exit of room or before providing care for another resident in the same room.
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WINDSOR LAS PALMAS NURSING AND REHABILITATION CENT in MCALLEN, 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 MCALLEN, 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 WINDSOR LAS PALMAS NURSING AND REHABILITATION CENT or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.