San Gabriel Rehabilitation And Care Center
Inspection Findings
F-Tag F0755
F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
feeding tube. An interview with the DON on [DATE REDACTED] at 2:15 PM was conducted. The DON stated the orders for Ingrezza 80 mg were written by the Doctor on [DATE REDACTED] with a start date of [DATE REDACTED]. The DON stated, she had placed a verbal order to the pharmacy on [DATE REDACTED] and she was asked by the Pharmacy Technician for a written, signed order. The DON stated, she sent the written, signed order and she didn't find out that the pharmacy did not have the prescription in stock until Monday morning [DATE REDACTED]. The DON stated she placed
a follow up call to the pharmacy on [DATE REDACTED] and she was told the prescription had been ordered from the manufacturer and the expectation was that it would arrive on [DATE REDACTED]. The DON stated she could not preorder the medication because R#1 did not have prescription coverage until [DATE REDACTED].An Interview with the Doctor on [DATE REDACTED] at 4:01 PM was conducted. The Doctor stated he ordered Ingrezza 80 mg. for R#1 on [DATE REDACTED] with a start date of [DATE REDACTED]. The Doctor stated he was working with the Manufacture Representative to try and get samples delivered to the facility as soon as possible. The Doctor stated if R#1 did not get her medication her symptoms from Tarda Dyskinesia would return. The Doctor stated, We have studied this medication, and the patient would not have any escalation of symptoms if she did not get this medication.
The Doctor confirmed he could not prescribe an alternative medication for R#1's condition because this was the only one of its kind that can be administered via a feeding tube.Record review of the Nursing Policies and Procedures Medication Management Program revised [DATE REDACTED], revealed medications are administered no more than one hour before to one hour after the medication pass time.Record Review of PHARMACY SERVICES POLICIES AND PROCEDSECTION 7 - MEDICATION PROCUREMENTSUBJECT: 7.1.0 ACQUISITION OF ROUTINE MEDICATION ORDERSPOLICY:1. The facility must provide or obtain routine medications and biologicals to meet the needs of each resident.PROCEDURES1. New admission / readmission / New OrdersA. For hard-copy medical records, ensure that all medications and biological orders are written, dated and signed by the Physician/Prescriber lawfully authorized to give such an order. B. Fax hard copy physician/prescriber orders to the pharmacy, whenapplicable
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San Gabriel Rehabilitation and Care Center in Round Rock, 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 Round Rock, 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 San Gabriel Rehabilitation and Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.