Navasota Nursing & Rehabilitation
Inspection Findings
F-Tag F0686
F 0686 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
the facility and at readmission. TN stated if she is not available the assessments will be completed by the charge nurse. TN provided examples of braces/splint checks and pressure ulcer prevention treatment.Interviews conducted on 9/18/2025 with nurses on shift between 2:11 PM -2:35PM [LVN E, MDS Nurse, LVN C] indicated they participated in the mandatory in service training about Pressure ulcer and treatment, Braces/Splints, Initial Skin Assessments, Weekly Skin Assessments, Abuse and Neglect, and new process in Point Click Care weekly skin assessments will include assessment questions related to braces and other devices. The nurses summarized the topics of discussion in their own words of procedures to follow. Nurses stated they would notify the treatment nurse, DON, and physician immediately of resident change in condition.Interviews conducted on 9/18/2025 with CNAs on shift between 2:43 PM-3:04 PM [CNA G, CNA H] indicated they participated in an in-service training about reporting refusal of care, abuse and neglect, resident rights, pressure ulcer prevention, braces/splints, showers, and notification of change in condition. The CNAs summarized the topic of discussion - stating understanding regarding concerns about resident skin, identifying, reporting altered skin integrity, and change in condition. Each CNA stated in their own words the protocol was to notify the charge nurse about refusals, a resident change in condition or discovered skin issues.Interviews conducted on 9/18/2025 with night nurses and night CNAs scheduled for night shift between 3:19 PM-4:35 PM [RN K, LVN J, LVN L, LVN M, CNA B, CNA F] indicated they participated in the mandatory in-services. The LVN nurses indicated they received training via phone with RNC about Pressure ulcer and treatment, Braces/Splints, Initial Skin Assessments, Weekly Skin Assessments, Abuse and Neglect, and new process in Point Click Care weekly skin assessments will include assessment questions related to braces and other devices. RN K stated she received her training through the facility's electronic notification system, she summarized the topic of discussions and stated she will sign off before working her next shift. The CNAs stated they received their in-service training prior to starting their shift on 9/17/2025. The night CNAs both summarized the topic of discussion - stating understanding regarding concerns about resident skin, identifying, reporting altered skin integrity, and change in condition. Each CNA stated in their own words the protocol was to notify the charge nurse about refusals, a resident change in condition or discovered skin issues.Interviews attempted via outbound calls to LVN D, RN N, and RN P, the calls were unanswered and forwarded to an automated service that prompted to leave a voicemail. A return call was not received prior to exit on 9/18/2025.Record Review on 9/18/2025 of the In-Service Training Sheets reflected all facility staff had been in-serviced on all training topics listed on the plan of removal. About 5 percent of signatures were still needed as those employees had not worked a shift, those employees will reconfirm understanding of the training and sign off prior to working their shift. Record Review on 9/18/2025 of skin assessments completed, reflected all 56 residents
in the facility had been completed.Record Review of care plans on 9/18/2025 for Resident #2 and Resident #3 reflected they were updated to include removal of braces/splints for skin assessments and showers.The Administrator was informed the Immediate Jeopardy was removed on 09/18/25 at 5:50 PM. The facility remained out of compliance at a severity level of potential for more than minimal harm that is not immediate jeopardy and scope of isolated.
Event ID:
Facility ID:
If continuation sheet
Navasota Nursing & Rehabilitation in Navasota, 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 Navasota, 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 Navasota Nursing & Rehabilitation or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.