Pleasant Springs Healthcare Center
Inspection Findings
F-Tag F0727
F 0727 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many
FORM CMS-2567 (02/99) Previous Versions Obsolete
October she only had to work as a charge nurse for two hours until someone came in on 10/28/25 but she could not recall the other times. The DON stated if she works a shift as an aide or nurse, she did not work
the next day as a DON, but she was available by phone if needed. The DON stated she has an ADON that was RN that would oversee staff that day. The DON stated if her duties as a DON were not completed, she would report to her RNC that staff have called in, and she had to work on the floor. The DON stated it was important for her to work as the DON and not work the floor as a charge nurse or CNA to ensure the systems were in place and things were being done.During a telephone interview on 11/05/25 at 9:45 a.m.,
the RNC stated she was aware the DON was working on the floor as a charge nurse or CNA. The RNC stated it was ok for the DON to work as a charge nurse or CNA if needed if the census was over 60. The RNC stated she could still take care of other residents while working as the DON.During an interview on 11/05/25 at 9:55 a.m., the Administrator stated he was aware that the DON was working on the floor as a charge nurse and CNA if there was a call in. The Administrator stated he was not aware there was a regulation stating the DON could not work the floor as a charge nurse or CNA if the census was over 60.
The Administrator stated the DON came in later that day if she worked the day before as a charge nurse or CNA. The Administrator stated he did not know why the DON did not have to work the floor but if the DON knew her patients, she could be bad for the facility.Record review of document titled Job Description-Director or Nursing revised 05/15/24 reflected, . manage nursing staff through appropriate hiring, training, evaluation, assignment, and delegation of duties, within budget and resident census guidelines. Augment floor staffing if needed.
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Pleasant Springs Healthcare Center in Mount Pleasant, 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 Mount Pleasant, 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 Pleasant Springs Healthcare Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.