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Complaint Investigation

Port Arthur Nursing And Rehabilitation Center

February 21, 2026 · Port Arthur, TX · 8825 Lamplighter Ln
Citations 2
CMS Rating 2/5
Beds 199
Provider ID 675541
Healthcare Facility
Port Arthur Nursing And Rehabilitation Center
Port Arthur, TX  ·  View full profile →
Inspection Summary

Port Arthur Nursing and Rehabilitation Center in Port Arthur, TX — inspection on February 21, 2026.

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

FF0690
Quality of Life and Care Deficiencies

During an interview with the DON on [DATE] at 12:30 p.m., she said she was not aware Resident #1's suprapubic catheter was unsecured nor that she had not had a statlock (leg securement device) in place.

She said she educated staff on making sure residents had statlocks (leg securement device) if they had a catheter.

The DON said she was not aware Resident #1 had an 18 FR catheter instead of the ordered 16 FR catheter.

She said Resident #1 should have had the 16 FR placed.

The DON said the nurses were responsible for verifying physician orders and implanting the orders correctly.

She said it was her expectation for the nurses to insert the correct size catheter and then secure the catheter to prevent the potential of dislodgement.

The DON said it was important for the catheters to be secured because if they were not, it could potentially pull out and hurt the residents.

The DON said she expected the nurses to follow policy and procedures regarding catheter securement. An interview with the Administrator was not obtained.

The Administrator was out of town, the DON was the designee at the time.

Record review of the facility's policy, revised [DATE], titled, Catheter Care, Urinary, indicated: Purpose-The purpose of this procedure is to prevent urinary catheter-associated complications, including urinary tract infections.General Guidelines:4.

Ensure that the catheter remains secured with a securement device to reduce friction and movement at the insertion site.

675541 02/21/2026

Cascades at Senior Rehab 8825 Lamplighter LN Port Arthur, TX 77642

During an interview with LVN E on

were for CNAs to wash or sanitize their hands before, between, and after glove changes. LVN E said CNA D should have sanitized Resident #2's catheter bag then made her aware so she could have gotten him a clean catheter bag.

She said CNA D should have worn a gown while she was caring for Resident #2 to prevent the potential for cross contamination.

During an interview with the DON on 02/21/2026 at 11:45 a.m., she said her expectations were for all staff to wash or sanitize their hands before, between, and after glove changes.

She said the catheter bags should never be left on the floor but be placed on a fixed structure to prevent any pulling or potential trauma.

The DON said all staff should wear gowns and gloves when carrying out tasks for residents on enhanced barrier precautions to ensure there was no cross contamination.

She said hand hygiene should be done before and after resident care and gloves should be changed after incontinent care.

She said she educated staff on enhanced barrier precautions, hand hygiene, and catheter care.An interview with the Administrator was not obtained.

The Administrator was out of town, the DON was the designee at the time.

Record review of the facility's policy, revised August 2022, titled, Catheter Care, Urinary, indicated: Purpose-The purpose of this procedure is to prevent urinary catheter-associated complications, including urinary tract infections.Infection Control1.

Use aseptic technique when handling or manipulating the drainage system.2. Be sure the catheter tubing and drainage bag are kept off the floor.Changing Catheters2.

Change catheters and drainage bags based on clinical indications such as infection, obstruction, or when the closed system is compromised.Cleaning and Disinfecting Drainage Bags1.

Disconnect the drainage bag from the catheter; replace with a clean bag.

Record review of the facility's policy, dated December 2023, titled Infection Prevention and Control Program, indicated: Policy StatementAn infection prevention and control program (IPCP) is established and maintained to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections.7.

Prevention of Infectiona.

Important facets of infection prevention include:(1) identifying possible infections or potential complications of existing infections;(2) instituting measures to avoid complications or dissemination;(3) educating staff and ensuring that they adhere to proper techniques and procedures;(4) communicating the importance of standard precautions and respiratory hygiene to visitors and family members;(5) screening for possible significant pathogens;(6) immunizing residents and staff to try to prevent illness;(7) implementing appropriate enhanced barrier and transmission-based precautions when necessary; and(8) following established general and disease-specific guidelines such as those of the Centers forDisease Control (CDC).

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


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