Cedar Ridge Rehabilitation And Healthcare Center
Inspection Findings
F-Tag F0695
F 0695 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
she removed the oxygen tubing and placed it on her bed when she went to smoke. She stated the oxygen tubing was usually on the bed when she returned from smoking. Resident #1 stated she usually turned off
the nebulizer machine herself and put the nebulizer mouthpiece on the bedside table. Resident #1 stated
she had not been told to notify staff when she removed the nasal cannula or nebulizer mouthpiece.During
an interview on 09/30/2025 at 11:36 AM, DON A stated the oxygen tubing and respiratory items should have been stored in a bag when not in use. She stated Resident #1 left her oxygen tubing on the bed when
she went to smoke. She stated whoever administered medication should ensure the nebulizer mouthpiece was placed in a bag after the breathing treatment. She stated if left exposed, it should be replaced, and placed in a clean bag. DON A stated if respiratory items were dirty or contaminated, the risk to the resident was infection. She stated the facility would provide in-service training related to monitoring the resident to ensure respiratory items were stored in a bag when not in use. During a telephone interview on 10/02/2025 at 9:58 AM, LVN B stated the nasal cannula, and mouthpiece should have been stored in a bag. She stated Resident #1 had a breathing treatment three times daily. She stated sometimes Resident #1 turned off the nebulizer before completing a treatment, and placed the mouthpiece on the bedside table. LVN B stated it was important to monitor the resident and ensure the items were bagged for infection control. Record
review of the facility's policy Administering Medications through a Small Volume (Handheld) Nebulizer, revised October 2010, reflected store in a plastic bag with the resident's name and date on it.Record review of the facility's policy Oxygen Administration and Oxygen Safety, revised 07/23/2025, did not reflect how to store oxygen tubing when not in use.
Event ID:
Facility ID:
If continuation sheet
CEDAR RIDGE REHABILITATION AND HEALTHCARE CENTER in PILOT POINT, 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 PILOT POINT, 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 CEDAR RIDGE REHABILITATION AND HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.