The Heights Of Atascosa
Inspection Findings
F-Tag F0609
F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
and off and would refer to her rapist [unknown male]. She revealed Resident #1 would say people were transforming into [unknown male]. She revealed there was no one with this name that came into the facility.
She revealed she reported this allegation to the DON and the DON told her to document everything in order to record Resident #1's delusions as Resident #1 had a history of delusion. LVN A further revealed if there was an allegation of abuse or neglect, she would report to ADM immediately. She revealed she should have called the Administrator to report this allegation. Interview on 10/16/25 at 10:01 AM, CNA B revealed Resident #1 had schizophrenia and would always mention she was raped. She revealed Resident #1 would say all kinds of statements and she would make sure to report these allegations to her nurse who would report to DON. She revealed there were no residents or staff members with this name. Interview on 10/16/25 at 10:13 AM, CNA C revealed Resident #1 hallucinated and had schizophrenia. She revealed she would say she was being raped in the facility. CNA C revealed she would report this allegation to her nurse.
She revealed the DON knew about these allegations and would speak with Resident #1. Interview on 10/16/25 at 11:59 AM, LVN D revealed Resident #1 would have delusions at times but not every day. She revealed Resident #1 would say she had a rapist in the past and her roommate would change gender and become her rapist. She reported this to the DON about behaviors and delusions. Interview on 10/16/25 at 12:08 PM, LVN E revealed Resident #1 did make allegations of abuse, but Resident #1 had this issue prior.
She revealed she reported this to her DON and the ADM immediately. Interview on 10/16/25 at 12:42PM,
the DON and current ADM revealed they were aware of these allegations, but Resident #1 had these delusions due to her diagnoses to include schizophrenia, personality disorder, and bipolar disorder. They revealed the allegations were unsubstantiated because Resident #1 would make claims like her roommate transformed into her rapist, so they switched Resident #1's room and then she was fine. The DON revealed Resident #1 would also say [unknown male] was a rapist from another facility. The DON revealed this was not reported to state because it was a part of delusions and there were no concerns Resident #1 was being raped in the facility. The DON revealed there was no one with this name in the facility. The DON was also at another facility with this resident and Resident #1 made these allegations and it was not reported at the other facility when this happened. Interview on 10/16/25 at 01:09 PM, the current ADM revealed she was not at this facility when Resident #1 was a resident. She revealed she spoke with the DON and the facility had done an investigation where the facility found these allegations were hallucinations. She revealed if she had completed an internal investigation and found the allegations were hallucinations the harm was not present so she would not report this to the state. Interview on 10/16/25 at 01:16PM, the former ADM revealed Resident #1 would make some comments about someone transforming into different, not realistic things so they deemed these comments as hallucinations. She revealed there were no team members, health care providers, or vendors named [unknown male]. She revealed they did not report to the state because it was not suspicious and it was not a realistic allegation based on her comments. Record review of facility's policy Abuse Guidance: Preventing, Identifying, and Reporting, dated February 2017, reflected Report alleged or suspicions of abuse to [Health and Human Services Commission] by email reporting or via TULIP reporting within designated time frames in accordance with HHSC's PL 19-17. Are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury.
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The Heights of Atascosa in PLEASANTON, 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 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 The Heights of Atascosa or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.