Paradigm At The Oak
Inspection Findings
F-Tag F0880
F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
bed would be last. It's always dirty to clean. She explained that Infection can spread if staff does not wash their hands after changing gloves or after providing care.In an interview with the DON on 12/11/2025 at 2:56 PM, he stated I expect them to change their gloves and do hand hygiene between wounds. He stated that they should follow the rule of clean to dirty. He stated staff should perform hand hygiene before and
after changing gloves. He explained there are not sinks in every room. There are only two rooms in the long hall with sinks and one of them is an isolation room. The shorter hall does not have any sinks in the rooms.
He stated that the staff should still use hand sanitizer gel. He stated that they should wash their hands as much as they can and reported that there is a lot of access to portable alcohol-based hand gel pumps.
Record review of the facility's Hand Hygiene policy with a revision date of 6/2019 reflected 1. Hand hygiene/hand washing is done. After: A. After contact with soiled or contaminated articles, such as articles that are contaminated with body fluids. B. After patient/resident contact. C. After contact with a contaminated object or source where there is a concentration of microorganisms, such as, mucous membranes, non-intact skin, body fluids or wounds. H. After removal of medical/surgical or utility gloves.
NOTE: Wash hands at end of procedures where glove changes are not required. For procedures in which change of gloves, e.g., clean gloves to sterile gloves, is indicated follow the specific standard of practice.
However, hand washing may not be necessary until completion of the procedure. If glove hands become contaminated as gloves are changed hands can be washed. Contact with a patient's/resident's intact skin (e.g. taking a pulse or blood pressure, performing physical examinations, lifting the patient/resident in bed.
Further review of page 4 of the Hand Hygiene policy procedures reflected 2. Wash Hands. C. Before putting
on gloves, when changing into a fresh pair of gloves, and immediately after removing gloves. Record review of the facility's Infection Control Program policy with a revision date of 6/2019 reflected the Major activities of the Infection Control Program: Surveillance of Infections with Implementation of Control Measures and Prevention of Infections.Prevention of spread of infections is accomplished by use of hand hygiene, standard precaution, transmission-based precautions and other barriers.
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Paradigm at the Oak in Schulenburg, 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 Schulenburg, 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 Paradigm at the Oak or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.