Sabine Heights Nursing And Rehabilitation Center
Sabine Heights Nursing and Rehabilitation Center in Port Arthur, TX — inspection on August 16, 2025.
Found 1 citation. 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.
Inspection Findings
and neglect, signs and symptoms on how to identify inappropriate sexual behaviors, how to redirect
jeopardy to resident health or Police were called and she was interviewed along with ADON, CNA B and the two residents safety involved.
During an interview on 08/16/2025 at 4:08 p.m., the ADON said she was in the conference room and CNA B came and got her.
The ADON said she did not see the actual act, but she was headed
wheelchair and Resident #2 was asking what's wrong saying he didn't do nothing wrong; we were two consenting adults.
The ADON said Residents #1 and #2 were immediately separated. Resident #2 was taken to hall 100 to do 1:1 and she interviewed Resident #1 along with LVN A and CNA B.
The ADON said when she saw Resident #1, she did not seem afraid and was not crying and said she did not give consent, he (Resident #2) came into her room and told her to lay back.
The ADON said Resident #1 said she grabbed her baby which was a bear and put it on her lap and then he (Resident #2) asked her (Resident #1) to lay back again, and Resident #2 started touching her vaginal area.
The ADON said Resident #1 said she wasn't OK with that, when Resident #2 first started touching her vaginal area and she didn't enjoy it at first but then later she said she did start to enjoy it.
The ADON said Resident #1 also told her they were friends, and she was not OK at first with him digging in her brief.
The ADON she said she interviewed Resident #2 within 10 minutes of the incident.
She said Resident #2 told her Resident #1 was fine with him touching her vaginal area and Resident #1 didn't tell him to stop, he didn't ask her if he could touch her, they were two consenting adults, Resident #1 didn't stop me, he figured it was OK because she never told him no and Resident #2 said Resident #1 was his friend.
The ADON said the assessment of the resident, the female resident, was done by LVN A and CNA B washed Resident #2's hands.
The 1:1 sitter said Resident #1 said she wasn't hurt and didn't want to go to the hospital.
They called the RP and at first they had to leave a message but then he showed up the next day and he was notified and didn't want to send Resident #1 to the hospital.
The ADON said she called the doctor, and new orders were to send Resident #2 to the behavior hospital.
The ADON said the Police were called and she was interviewed along with LVN A, CNA B and the two Residents involved.
The facility implemented the following interventions prior to the state surveyors entrance:Interviews conducted on 08/16/2025 from 3:30 p.m. through 08/16/2025 at 5:30 p.m., with the following staff through various shifts (6a-6p, 6p-6a, 6a-2p, 2p-10p, and 10p-6a) the DON, the ADON, LVN A, CNA B, Dietary O, CNA C, CNA D, Admissions, BOM, HR, CNA E, Dietary F, CNA G, CNA H, laundry I, CNA J, Rehab K, CNA L, LVN M, Dietary N, Dietary P, LVN Q, CNA R, LVN S, CNA T, Laundry U, LVN V, CNA W, LVN Y, CNA Z, Rehab AA, LVN X, CNA BB, LVN CC, CNA DD, Housekeeper EE, CS FF, Housekeeper GG, and LVN HH the staff said they were trained on abuse/neglect, abuse reporting, resident rights on hire and at least annually.
The staff said they were retrained following the incidents that occurred on 08/14/2025.
They were able to voice what to do first such as separate the residents and get help as needed.
They said they would report to the Administrator who was the abuse coordinator.
They were able to identify different types of abuse (examples of verbal, sexual and physical).
Staff said they were trained to be alert to intimate acts between residents and to report to the nurse or management immediately.
Staff understood residents had rights to sexual expression if it was consensual and identify those with capacity to consent and to report all acts of sexual expressions to nursing management for review for safety of both residents.
Record review indicated on 08/14/2025, the DON held an in-service on the following with 54 employees in attendance:-resident rights,-abuse, neglect, and abuse reporting, -alert to intimate acts between residents, - resident safety and both residents able to give consent, recognizing concerns and,-identifying sexual abuse and capacity to consent.Attendees included 15 licensed nurses, 18 CNAs, 3 rehabilitation staff, 7 dietary staff, 4 housekeepers, 1 SW, 1 laundry, and 5 office personnel.The noncompliance was identified as PNC.
The IJ began on 08/14/2025 at 12:08 p.m. and ended on 08/14/2025 at 6:34 p.m.
The facility had corrected the noncompliance before the survey began.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.