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Complaint Investigation

Cypress Healthcare And Rehabilitation Center

August 2, 2024 · San Marcos, TX · 1351 Sadler
Citations 4
CMS Rating 1/5
Beds 174
Provider ID 676226
Healthcare Facility
Cypress Healthcare And Rehabilitation Center
San Marcos, TX  ·  View full profile →
Inspection Summary

Cypress Healthcare and Rehabilitation Center in San Marcos, TX — inspection on August 2, 2024.

Found 4 citations. 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.

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Inspection Findings

FF600

The facility failed to ensure the safety of Resident #1 during and after she was physically dragged into the shower room by CNA A, sprayed with the shower head in her full clothes to get her to sit down, all the while screaming and crying.

The facility failed to ensure CNA A was suspended/terminated or removed from working with Resident #1 after the incident, causing more emotional distress.

Action:

*Administrator self-reported the incident on 7/30/2024 to HHSC via online portal through TULIP (reporting system), report # 521272.

*Medical Director was informed of the IJ on 7/30/2024 at approx. 4:00pm and an adhoc QAPI meeting was held. In attendance were the MD, Administrator, Regional Administrator, and Regional Nurse.

Discussion included what transpired leading up to the IJ, the content of the allegations and the alleged incident, personnel involved, what possibly lead to the events that caused the IJ, retraining topics, and resident care plan.

676226

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 676226 B.

Wing 08/02/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Cypress Healthcare and Rehabilitation Center 1351 Sadler San Marcos, TX 78666

The facility failed to follow their policies and procedures related to abuse.

The facility failed to ensure CNA A was suspended/terminated or removed from working with Resident #1 after the incident, causing more emotional distress.

Action:

*Administrator self-reported the incident on 7/30/2024 to HHSC via online portal through (reporting system), report # 521272.

676226

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 676226 B.

Wing 08/02/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Cypress Healthcare and Rehabilitation Center 1351 Sadler San Marcos, TX 78666

The facility failed to ensure the safety of Resident #1 during and after she was physically dragged into the shower room by CNA A, sprayed with the shower head in her full clothes to get her to sit down, all the while screaming and crying.

The facility did not self-report this allegation the Administrator.

Action:

*Administrator self-reported the incident on 7/30/2024 to HHSC via online portal through TULIP , report # 521272.

*Medical Director was informed of the IJ on 7/30/2024 at approx. 4:00pm and an adhoc QAPI meeting was held. In attendance were the MD, Administrator, Regional Administrator, and Regional Nurse.

Discussion included what transpired leading up to the IJ, the content of the allegations and the alleged incident, personnel involved, what possibly lead to the events that caused the IJ, retraining topics, and resident care plan.

*The Regional Administrator or Administrator began re-in-servicing all staff on Abuse/Neglect/Exploitation policy and procedures, specifically who to notify (Abuse Coordinator, Administrator) or in their absence (Regional leadership, Corporate Compliance), and to take immediate action to ensure residents are not abused by staff, and actions are followed per policy and procedure once leadership is made aware for the protection of all residents in the facility. If abuse/neglect/exploitation is suspected, it is the witnesses responsibility to report directly to the Abuse Coordinator, or Corporate Compliance should there be a concern.

Resident safety is paramount, and it is expected that all residents are treated with dignity and respect at all times.

Should an unsatisfactory response or action be given by any person regardless of position, it is the reporters responsibility to ensure actions are taken to safeguard the resident.

Additionally, education is provided by Regional Administrator or Administrator for understanding of residents rights, and their right to refuse care.

Should the person receiving report provide an unsatisfactory response, this individual will receive disciplinary action.

676226

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 676226 B.

Wing 08/02/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Cypress Healthcare and Rehabilitation Center 1351 Sadler San Marcos, TX 78666

The facility failed to thoroughly investigate an allegation of abuse after the DON was notified of an incident with CNA A and Resident #1 when she was physically dragged into the shower room by CNA A, sprayed with the shower head in her full clothes to get her to sit down, all the while screaming and crying.

Action:

*Administrator self-reported the incident on 7/30/2024 to HHSC via online portal through TULIP , report # 521272.

*Medical Director was informed of the IJ on 7/30/2024 at approx. 4:00pm and an adhoc QAPI meeting was held. In attendance were the MD, Administrator, Regional Administrator, and Regional Nurse.

Discussion included what transpired leading up to the IJ, the content of the allegations and the alleged incident, personnel involved, what possibly lead to the events that caused the IJ, retraining topics, and resident care plan.

676226

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 676226 B.

Wing 08/02/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Cypress Healthcare and Rehabilitation Center 1351 Sadler San Marcos, TX 78666

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 San Marcos, 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 Cypress Healthcare and Rehabilitation Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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