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Complaint Investigation

Pleasanton South Nursing And Rehabilitation

November 14, 2025 · Pleasanton, TX · 905 West Oaklawn Rd
Citations 2
CMS Rating 3/5
Beds 88
Provider ID 675428
Healthcare Facility
Pleasanton South Nursing And Rehabilitation
Pleasanton, TX  ·  View full profile →
Inspection Summary

Pleasanton South Nursing and Rehabilitation in Pleasanton, TX — inspection on November 14, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0580
Resident Rights Deficiencies
Potential for More Than Minimal Harm

During an interview on [DATE] at 12:03 p.m., a hospice representative stated he attended to Resident #6 as an RN but was not present on the date of her death.

He stated hospice coordinated care with the nursing facility. He stated the facility nurse would contact hospice at the time of death. He stated the hospice company would then offer to send a nurse to assist with the death details. He stated the hospice company would never tell a facility not to notify next of kin. He stated he considered it callous not to notify family immediately.

The hospice representative stated he was aware of some dynamics between the family and the facility but was not aware of any directives from hospice not to notify next of kin.

Record review of the facilities policy titled Notification of Changes, last revised [DATE], revealed: The facility must inform the resident, consult with the resident's physician and/or notify the resident's family member or legal representative when there is a change requiring such notification.

Circumstances requiring notification included: 2.

Significant change in the resident's physical, mental or psychosocial condition such as deterioration in health, mental or psychosocial status.

This may include: a.

Life-threatening conditions, or b. clinical complications 4. a transfer or discharge of the resident from the facility.

Record review of the facility's policy titled Coordination of Hospice Services, last revised [DATE], revealed, 10.

The facility will immediately contact and communicate with the hospice staff, attending physician/practitioner and the family resident representative regarding any significant changes in the resident's status, clinical complications or emergent situations.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/14/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Pleasanton South Nursing and Rehabilitation

905 West Oaklawn Rd Pleasanton, TX 78064

SUMMARY STATEMENT OF DEFICIENCIES

During an interview on [DATE] at 5:15 p.m., the DON stated staff were expected to document family, hospice and other notifications.

She stated the staff should clean and make the resident presentable so the family could spend time with them.

She stated the staff should document the decline and the expiration.

They should document vital signs that were assessed, and if appropriate, contact hospice or palliate care or the physician.

She stated they should document how they find the resident, notification of local police, whether the JP responded and pronouncement of death.

The DON stated this documentation was important because it painted the picture of what occurred so anyone could easily review the medical record and see what occurred.

The DON stated the facility did not experience a lot of deaths and she was aware the facility was lacking in documentation.

Record review of the facility's policy titled Documentation in Medical Record, last revised [DATE], revealed: Each resident's medical record shall contain an accurate representation of the actual experiences of the resident and include enough information to provide a picture of the resident's progress through complete, accurate, and timely documentation. 1.

Licensed staff and the interdisciplinary team members shall document all assessments, observations, and services provided in the resident's medical record in accordance with state law and facility policy.

Facility ID:

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 Pleasanton, 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 Pleasanton South Nursing and Rehabilitation or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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