River Bend Healthcare
Inspection Findings
F-Tag F0580
F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
was the charge nurse for Resident #1 on 10/21/2025 and stated the ADON sent Resident #1 to the hospital and completed the physician notification. LVN C stated she did not call and notify the RP of Resident #1's medication error, change in condition, or transfer to the hospital because she assumed the ADON made
the notification. LVN C stated, usually the nurse who sends them out, does the discharge notification and LVN C stated the shift was changing and they had another emergency going on at the same time. LVN C stated responsible parties should be notified of changes at the time of the incident. LVN C stated it was important to notify the responsible party, because something bad can happen and they need to know that their family member is not in the building and headed out to the hospital. LVN C stated she talked to the RP
on the morning of 10/22/2025 and the responsible party told LVN C that the responsible party had not been notified of the medication error, change in condition, or transfer to the hospital. During an interview 10/24/2025 at 2:07 p.m., the ADON, stated he was notified by LVN C that Resident #1 had a change in condition on 10/21/2025 around 5:00 p.m. The ADON said he contacted the physician and received an order to send Resident #1 to the hospital. The ADON stated normally it was the charge nurse's responsibility to notify the responsible party at the time of a medication errors, change in condition, and transfers to the hospital. The ADON stated we had so much going on right then that there was a mishap and miscommunication and the RP was not contacted at the time of the medication error, change in condition, and transfer to the hospital. The ADON stated Resident #1's RP arrived at the facility on 10/22/2025 and was notified at that time of Resident #1's medication error, change in condition, and transfer to hospital. The ADON stated it was important to notify the responsible party of changes in order to let them know where their family member is and they need to know from us and not from the hospital.
Record review of an undated facility policy titled, Discharge/Transfer of (Voluntary)the Resident, the policy stated, Transfer: 4. Explain transfer and reason to the resident and/or representative or person (s) responsible for care. Record review of a facility document dated 10/22/2025, and titled, In-Service Training: Proper Notification to Responsible Parties Following a Medication Error, stated, Immediate Actions Following Discovery of a Medication Error: 3. Notify the Responsible Party/Resident Representative: a.
Must be done promptly after physician notification, especially if the error resulted in or could result in harm.
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Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
10/24/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Remarkable Healthcare of Seguin
1339 Eastwood Dr Seguin, TX 78155
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0755
F 0755 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
physician orders, notifying the physician and charge nurse if orders do not match prior to administration.
The staff members received training on abuse and neglect and were able to identify when and who to report allegations of abuse or neglect. During an interview with Resident #5, 10/24/2025 at 5:43 p.m., Resident #5 stated she received her Carbidopa-Levodopa three times a day and stated she had been receiving her medication accurately and on time and expressed no concerns with medication administration. During an interview with Resident #6, 10/24/2025 at 5:48 pm, Resident #6 stated he received his Carbidopa-Levodopa four times a day and expressed no concerns with medication administration. During an observation with LVN J, 10/24/2025 at 5:39 p.m., LVN J pulled Resident #5 and #6 Carbidopa-Levodopa 25-100 mg blister pack from the medication administration cart and Resident 5 and Resident #6's blister pack matched the resident's Carbidopa-Levodopa MAR.
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If continuation sheet
River Bend Healthcare in SEGUIN, 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 SEGUIN, 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 River Bend Healthcare or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.