Focused Care At Odessa
Inspection Findings
F-Tag F0695
F 0695 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
Resident #8 was in bed watching television, with nasal cannula on, and oxygen set at 3.5 liters per minute.
No Oxygen Sign was placed outside of Resident #8's room. Resident #9Record review of Resident #9's admission record dated 10/10/25, revealed an admission on [DATE REDACTED] to the facility. The admission record revealed, an [AGE] year-old female diagnosed with heart failure, pulmonary fibrosis (a lung disease that causes scarring and thickening of lung tissue) and respiratory failure. Record review of Resident #9's MDS dated [DATE REDACTED], revealed a BIMS score of 13, indicating the resident had relatively good cognitive function.
The MDS was marked for oxygen therapy. Record review of Resident #9's order summary dated 10/10/25, revealed oxygen via nasal cannula at 2 liters per minute to maintain SpO2 greater than 90% as needed for shortness of breath. Record review of Resident #9's care plan dated 10/08/25, revealed oxygen therapy via nasal cannula at 2 liters per minute to maintain SpO2 greater than 90%, due to poor oxygen absorption.
Observation on 10/07/25 at 1:40 PM, Resident #9 was in bed, with nasal cannula on, and oxygen set at 2 liters per minute. No Oxygen Sign was placed outside of Resident #9's room. Resident #10Record review of Resident #10's admission record dated 10/09/25, revealed an admission on [DATE REDACTED] to the facility. The admission record revealed, an [AGE] year-old male diagnosed with COPD, pulmonary fibrosis and respiratory failure. Record review of Resident #10's MDS dated [DATE REDACTED], revealed a BIMS score of 7, indicating the resident had severely impaired cognition. The MDS was marked for oxygen therapy. Record
review of Resident #10's order summary dated 10/09/25, revealed oxygen via nasal cannula at 2-6 liters per minute to maintain SpO2 greater than 90% as needed for pulmonary fibrosis. Record review of Resident #10's care plan dated 10/08/25, revealed oxygen therapy via nasal cannula at 2-6 liters per minute to maintain SpO2 greater than 90%. Observation on 10/07/25 at 1:44 PM, revealed Resident #10 was asleep in bed, with nasal cannula on, and oxygen set at 2 liters per minute. No Oxygen Sign was placed outside of Resident #10's room. Resident #11Record review of Resident #11's admission record dated 10/09/25, revealed an admission on [DATE REDACTED] and re-admission on [DATE REDACTED] to the facility. The admission
record revealed, a [AGE] year-old female diagnosed with heart disease and COPD.Record review of Resident #11's MDS dated [DATE REDACTED], revealed a BIMS score of 14, indicating the resident had relatively good cognitive function. The MDS was marked for oxygen therapy. Record review of Resident #11's order summary dated 10/09/25, revealed oxygen via nasal cannula at 2-4 liters per minute to maintain SpO2 greater than 90% as needed for COPD. Record review of Resident #11's care plan dated 08/06/25, revealed oxygen therapy via nasal cannula at 2-4 liters per minute to maintain SpO2 greater than 90%.
Observation on 10/07/25 at 1:47 PM, revealed Resident #11 was in bed, with nasal cannula on, and oxygen set at 2 liters per minute. No Oxygen Sign was placed outside of Resident #11's room. During an interview
on 10/10/25 at 12:45 PM with the DON, she said there was not a designated staff member responsible for placing the oxygen signs on the doors when a resident was on oxygen. The DON said that the lack of oxygen signs on the appropriate doors could cause injury to the residents and the staff. During an interview
on 10/10/25 at 1:10 PM with the administrator, she said she was under the impression that signs on individual resident doors was not required because the facility has a sign at the front entrance. Regarding
the facility oxygen policy, the administrator said she was not aware that the policy said a sign needs to be placed outside the rooms of residents using oxygen. Record review of the facility Oxygen Therapy policy dated 04/2021, revealed, Post NO SMOKING sign on the outside of door to resident's room.
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Focused Care at Odessa in Odessa, 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 Odessa, 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 Focused Care at Odessa or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.