Sabine Heights Nursing And Rehabilitation Center
Sabine Heights Nursing and Rehabilitation Center in Port Arthur, TX — inspection on November 20, 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
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.
Facility ID: