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Focused Care At Mount Pleasant

📍 1606 Memorial Ave, Mount-pleasant, TX 75455 📞 (903) 572-3618 🛏️ 122 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 1 penalties totaling $983

$983
Jan 10, 2022

Fine

2021 3 penalties totaling $30,193

$650
Dec 20, 2021

Fine

$29,543
Dec 16, 2021

Fine

$0
Dec 16, 2021

Payment Denial

2018 1 penalties totaling $7,803

$7,803
Aug 14, 2018

Fine

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Health Violations by Year

2025 2 violations

Tag 0755 D Apr 17, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Apr 22, 2025
Tag 0600 E Feb 13, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Mar 10, 2025

2024 33 violations

Tag 0550 D May 24, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Jun 25, 2024
Tag 0552 E May 24, 2024

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: Jun 25, 2024
Tag 0573 D May 24, 2024

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

✓ Corrected: Jun 25, 2024
Tag 0578 D May 24, 2024

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Jun 25, 2024
Tag 0583 J May 24, 2024

Keep residents' personal and medical records private and confidential.

✓ Corrected: May 25, 2024
Tag 0584 D May 24, 2024

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Jun 25, 2024
Tag 0657 E May 24, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Jun 25, 2024
Tag 0678 J May 24, 2024

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

✓ Corrected: May 25, 2024
Tag 0688 D May 24, 2024

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Jun 25, 2024
Tag 0690 D May 24, 2024

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Jun 25, 2024
Tag 0695 D May 24, 2024

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Jun 25, 2024
Tag 0698 D May 24, 2024

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Jun 25, 2024
Tag 0699 D May 24, 2024

Provide care or services that was trauma informed and/or culturally competent.

✓ Corrected: Jun 25, 2024
Tag 0759 E May 24, 2024

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Jun 25, 2024
Tag 0760 D May 24, 2024

Ensure that residents are free from significant medication errors.

✓ Corrected: Jun 25, 2024
Tag 0802 E May 24, 2024

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

✓ Corrected: Jun 25, 2024
Tag 0803 D May 24, 2024

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

✓ Corrected: Jun 25, 2024
Tag 0812 E May 24, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jun 25, 2024
Tag 0847 D May 24, 2024

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

✓ Corrected: Jun 25, 2024
Tag 0849 D May 24, 2024

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

✓ Corrected: Jun 25, 2024
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2023 33 violations

Tag 0689 D Oct 9, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Nov 10, 2023
Tag 0761 D Oct 9, 2023

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Nov 2, 2023
Tag 0880 L Oct 9, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 30, 2023
Tag 0585 D Mar 25, 2023

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

✓ Corrected: Mar 25, 2023
Tag 0607 D Mar 25, 2023

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Mar 25, 2023
Tag 0609 D Mar 25, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Mar 25, 2023
Tag 0550 E Mar 9, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Mar 10, 2023
Tag 0552 D Mar 9, 2023

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: Mar 10, 2023
Tag 0582 D Mar 9, 2023

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Mar 10, 2023
Tag 0584 D Mar 9, 2023

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Mar 10, 2023
Tag 0585 D Mar 9, 2023

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

✓ Corrected: Mar 10, 2023
Tag 0610 E Mar 9, 2023

Respond appropriately to all alleged violations.

✓ Corrected: Mar 10, 2023
Tag 0636 E Mar 9, 2023

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: Mar 10, 2023
Tag 0641 D Mar 9, 2023

Ensure each resident receives an accurate assessment.

✓ Corrected: Mar 10, 2023
Tag 0655 D Mar 9, 2023

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Mar 10, 2023
Tag 0656 E Mar 9, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Mar 10, 2023
Tag 0676 D Mar 9, 2023

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

✓ Corrected: Mar 10, 2023
Tag 0677 E Mar 9, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Mar 10, 2023
Tag 0688 E Mar 9, 2023

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Mar 10, 2023
Tag 0689 D Mar 9, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Mar 10, 2023

2022 6 violations

Tag 0656 D Dec 28, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Feb 16, 2023
Tag 0677 D Dec 28, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Feb 16, 2023
Tag 0698 D Dec 28, 2022

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Feb 16, 2023
Tag 0745 D Dec 9, 2022

Provide medically-related social services to help each resident achieve the highest possible quality of life.

✓ Corrected: Dec 12, 2022
Tag 0790 D Dec 9, 2022

Provide routine and 24-hour emergency dental care for each resident.

✓ Corrected: Dec 12, 2022
Tag 0850 E Dec 9, 2022

Hire a qualified full-time social worker in a facility with more than 120 beds.

✓ Corrected: Dec 12, 2022
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2021 10 violations

Tag 0565 E Dec 16, 2021

Honor the resident's right to organize and participate in resident/family groups in the facility.

✓ Corrected: Dec 17, 2021
Tag 0580 J Dec 16, 2021

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Dec 17, 2021
Tag 0677 E Dec 16, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Dec 17, 2021
Tag 0684 J Dec 16, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Dec 17, 2021
Tag 0688 D Dec 16, 2021

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Dec 17, 2021
Tag 0770 D Dec 16, 2021

Provide timely, quality laboratory services/tests to meet the needs of residents.

✓ Corrected: Dec 17, 2021
Tag 0758 D Aug 26, 2021

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Aug 27, 2021
Tag 0842 D Aug 26, 2021

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Aug 27, 2021
Tag 0656 E Mar 22, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Tag 0880 E Mar 22, 2021

Provide and implement an infection prevention and control program.

2020 12 violations

Tag 0886 F Dec 11, 2020

Perform COVID19 testing on residents and staff.

Tag 0656 E Oct 14, 2020

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Nov 11, 2020
Tag 0677 E Oct 14, 2020

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Nov 11, 2020
Tag 0688 D Oct 14, 2020

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Nov 11, 2020
Tag 0689 D Oct 14, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Nov 11, 2020
Tag 0804 E Oct 14, 2020

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Nov 11, 2020
Tag 0812 F Oct 14, 2020

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Nov 11, 2020
Tag 0880 E Oct 14, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 11, 2020
Tag 0921 E Oct 14, 2020

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Nov 11, 2020
Tag 0836 D Jul 21, 2020

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

✓ Corrected: Jul 22, 2020
Tag 0622 D Feb 27, 2020

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

✓ Corrected: Feb 28, 2020
Tag 0623 D Jan 23, 2020

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Feb 10, 2020
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2019 11 violations

Tag 0755 D Dec 12, 2019

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Jan 8, 2020
Tag 0758 E Dec 12, 2019

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Jan 8, 2020
Tag 0602 D Nov 25, 2019

Protect each resident from the wrongful use of the resident's belongings or money.

✓ Corrected: Dec 25, 2019
Tag 0580 D Mar 6, 2019

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Apr 6, 2019
Tag 0641 D Mar 6, 2019

Ensure each resident receives an accurate assessment.

✓ Corrected: Apr 6, 2019
Tag 0656 E Mar 6, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Apr 6, 2019
Tag 0679 E Mar 6, 2019

Provide activities to meet all resident's needs.

✓ Corrected: Apr 6, 2019
Tag 0726 D Mar 6, 2019

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Apr 6, 2019
Tag 0744 E Mar 6, 2019

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

✓ Corrected: Apr 6, 2019
Tag 0755 D Mar 6, 2019

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Apr 6, 2019
Tag 0880 D Mar 6, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 6, 2019

2018 10 violations

Tag 0726 G Aug 14, 2018

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Sep 12, 2018
Tag 0565 E Apr 11, 2018

Honor the resident's right to organize and participate in resident/family groups in the facility.

✓ Corrected: May 18, 2018
Tag 0582 E Apr 11, 2018

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: May 18, 2018
Tag 0656 E Apr 11, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: May 18, 2018
Tag 0677 D Apr 11, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: May 18, 2018
Tag 0679 E Apr 11, 2018

Provide activities to meet all resident's needs.

✓ Corrected: May 18, 2018
Tag 0689 E Apr 11, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: May 18, 2018
Tag 0726 E Apr 11, 2018

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: May 18, 2018
Tag 0812 F Apr 11, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: May 18, 2018
Tag 0914 E Apr 11, 2018

Provide bedrooms that don't allow residents to see each other when privacy is needed.

✓ Corrected: May 18, 2018
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2017 10 violations

Tag 0156 E Apr 26, 2017

Give residents a notice of rights, rules, services and charges.

✓ Corrected: Jun 12, 2017
Tag 0164 E Apr 26, 2017

Keep residents' personal and medical records private and confidential.

✓ Corrected: Jun 12, 2017
Tag 0226 E Apr 26, 2017

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

✓ Corrected: Jun 12, 2017
Tag 0243 E Apr 26, 2017

Provide resident groups or resident family groups with private space to meet.

✓ Corrected: Jun 12, 2017
Tag 0246 E Apr 26, 2017

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Jun 12, 2017
Tag 0248 E Apr 26, 2017

Provide activities to meet the interests and needs of each resident.

✓ Corrected: Jun 12, 2017
Tag 0285 E Apr 26, 2017

Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients.

✓ Corrected: Jun 12, 2017
Tag 0309 E Apr 26, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Jun 12, 2017
Tag 0366 E Apr 26, 2017

Offer other nutritional food to each resident who will not eat the food served.

✓ Corrected: Jun 12, 2017
Tag 0371 F Apr 26, 2017

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Jun 12, 2017
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