Cascades At Port Arthur
Inspection Findings
F-Tag F0656
F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
indicated Resident #1 presented in an anxious state. Resident #1 endorsed current symptoms of excessive worry, restlessness, irritability/agitation and impaired concentration During an interview on 11/19/25 at 1:55 p.m., Resident #1 said she doesn't remember all of the names of her medications. She said the medications help her. She said the medications do not make her feel bad. She said if she needed medication for anxiety or depression she would take it. She said she enjoyed talking with LPC J and PMHNP O. During an interview on 11/19/25 at 3:36 p.m., PMHNP O indicated Resident #1 presented with increased anxiety during her psychological visits. She said she prescribed the Buspar on10/16/25 to assist with anxiety management. She said LVN P reported the medication appeared to be effective. She said the medication was discontinued on 11/12/25 at the request of Resident #1's family member. During an
interview on 11/20/25 at 8:10 a.m., the DON said she did not know why Resident #1's care plan did not include generalized anxiety or the medication Buspar to address the anxiety. She said normally the MDS Coordinator would update the care plans. She said the MDS Coordinator was not informed of the changes.
She said it was just missed. She said typically acute care plans were done by the nurses. She said LVN P should have completed a care plan for Resident #1's Buspar. She said she (the DON) and the ADON reviewed resident charts and the dashboard in the electronic record to ensure the care plans were updated and current. She said it was her expectations the care plans were completed as required. She said residents were at risk of not receiving required services if the care plans were not completed. During an
interview on 11/20/25 at 9:10 a.m., the ADON said said she did not know why Resident #1's care plan did not include her anxiety diagnosis or the Buspar. She said the nurse who received the order, LVN P, should have completed the care plan and the IDT should have reviewed it to ensure it was completed. She said residents were at risk of not receiving required services if the care plans were not completed. The surveyor attempted to contact LVN P on 11/19/25 at 2:13 p.m. LVN P did not respond as of the investigation survey exit. Record review of the facility's policy Using the Care Plan dated 2001 (revised 2006) indicated . 5.
Changes in the resident's condition must be reported to the MDS Assessment Coordinator so that a review of the resident's assessment and care plan can be made. Record review of the facility's undated Facility Care plan Process Overview-From New Admit to Long-term Resident indicated Continual Care Planning Process from New Admit to Longterm Resident: .Days 21-100, and on-going for duration of resident's stayDaily Clinical MeetingsReview Order changes, new diagnoses, new or altered conditions, behaviors, etc., for care plan needsUnit managers, wound nurse, IP nurse, dietitian, and DON are to complete thosecare plan updates during those meetings and with changes in condition.Weekly Clinical Meetings/Sub-Committee Meetings to update care plans per each focus area of the meeting .psychotropic/ Anti-psychotic: new meds, interventions, behaviors, etc.
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Cascades at Port Arthur in Port Arthur, 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 Port Arthur, 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 Cascades at Port Arthur or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.