Cambridge Health And Rehabilitation Center
Cambridge Health and Rehabilitation Center in Richmond, TX — inspection on December 23, 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 12/23/25 at 12:43PM, Physical Therapy (PT)[KS6] , said he did not recommend any devices for Resident #1 when he attended the PASRR meeting on 8/4/25. He said Resident #1 was receiving speech therapy, physical therapy and occupational therapy for 30 minutes each 3 times a day. He said he would be careful to review PCSP recommendations with PASRR positive residents[KS7] .
During an interview on 12/23/25 at 3:57PM, the facility Administrator said MDS Coordinator A[KS8] was responsible for doing PASRR.
She said Resident #1's PCSP was an honest mistake[KS9] .
She had called and sent an email to the PASRR local office but there was no response, and she would follow up after the holidays.
She said failure to submit NFSS as required may prevent residents from receiving services needed for their wellbeing.
During an interview with RN on 12/23/25 at 4:30PM, he said Resident #1's NFSS was not submitted because at the time of the meeting, he was not aware of the recommendation of a prosthetic device for Resident #1. He said the local PASRR office new workers checked the wrong recommendation.
He said failure to submit an NFSS as required may prevent residents from receiving services needed for their wellbeing.
Record review of facility Policy on PASRR dated 07/2007 reflected: It is the policy of this facility to ensure that each resident is properly screened using the PASRR specified by the State.PURPOSE: This facility shall not admit on or after January 1, 1989 any new residents with: I.
Mental illness as defined in paragraph (m)(2)(i), 42 CFR 483.20 of the SOM unless the State mental health authority has determined , based on an independent physical and mental evaluation performed by a person or entity other than the State mental health authority prior to admission: A.
That because of the physical and mental condition of the individual, the individual requires the level of services provided by a nursing facility and;B. If the individual requires such level of services, whether the individual requires specialized services for mental retardation[KS10] . 2.
Mental retardation, as defined in paragraph (m)(2)(ii), 42 CFR 483.20 of the SOM unless the State mental retardation or developmental disability authority has determined prior to admission: A.
That because of the physical and mental condition of the individual, the individual requires the level of services provided by a nursing facility, and;B. If the individual requires such level of services, whether the individual requires specialized services for mental retardation. PROCEDURES: 1. A PASRR shall be completed on every resident upon admission. 2.
Based upon the assessment, the facility will ensure proper referral to appropriate state agencies for the provision of specialized services to residents with MI/MR. 3.
Social Services shall contact the appropriate State Agency for referral of specialized care and services the residents may require.
Cambridge Health & Rehab (5333)Exit: 12/23/25
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