Windsor Nursing And Rehabilitation Center Of Raymo
Inspection Findings
F-Tag F0609
F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
LVN B if he could go look at Resident #1 and see how she was tucked in. The Administrator stated LVN B went to assess Resident #1, did not see any signs or symptoms of abuse or anything, and as per his clinical judgement, felt it was nothing to be concerned about. The Administrator stated the DON notified her,
she did not remember at what date or time she was notified ,but it was later that same morning. The Administrator stated they did not do anything else in response and did not report it because based on the information provided to them from LVN B, Resident was stable, there was nothing to report, and had not been reported as abuse. The Administrator stated CNA A could have reported to her, but he felt safe with LVN B so he reported to him, the Administrator stated LVN B did not report to her and could have so that
she could have been aware as to what was going on. The Administrator stated If LVN B had found something then he should have reported to it to her. The Administrator stated she was the abuse coordinator and was responsible for reporting any allegation of abuse to HHSC. The Administrator stated herself and staff had been trained over reporting abuse at least monthly, and staff should report to her as soon as possible because she only had 2 hours to report. The Administrator stated she considered restraints as abuse, but with being tucked in, it depended. The Administrator stated their facility's policy stated if staff saw, suspected, or even if they were not sure of it, they had to report any abuse to her. She stated, in this situation, she felt her and the staff followed that policy. The Administrator stated they monitored facility incidents to ensure they identified reportables and their appropriate time frame by reviewing documentation, rounding, and providing in-services to staff on what should be reported. The Administrator stated not reporting allegations of abuse to the Administrator and HHSC within a 2-hour time frame could negatively impact the residents because they would not be investigating or following protocols, and if they were not aware, then they were not doing interventions. Record review of the facility's in-service dated 02/13/25 that was provided by the Administrator covered abuse and neglect, and the 3 R's (recognize, remove, report) revealed CNA A, LVN B and the DON had received the training. Record review of the facility's policy with an implemented date of 07/11/25 and titled, Abuse, Neglect and Exploitation included a section titled, V. Investigation of Alleged Abuse, Neglect, and Exploitation that included verbiage stating, An immediate investigation is warranted when suspicion of abuse, neglect or exploitation, or reports of abuse, neglect or exploitation occur. VII. Reporting/Response.1.Reporting of all alleged violation to the Administrator, state agency, adult protective services and to all other required agencies (e.g., law enforcement when applicable) within specified timeframes: a. Immediately, but not later than 2 hour after
the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or b. 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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WINDSOR NURSING AND REHABILITATION CENTER OF RAYMO in RAYMONDVILLE, 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 RAYMONDVILLE, 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 WINDSOR NURSING AND REHABILITATION CENTER OF RAYMO or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.