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Complaint Investigation

Spjst Rest Home 1

June 6, 2024 · Taylor, TX · 1810 Old Granger Road
Citations 2
CMS Rating 2/5
Beds 96
Provider ID 676290
Healthcare Facility
Spjst Rest Home 1
Taylor, TX  ·  View full profile →
Inspection Summary

SPJST REST HOME 1 in TAYLOR, TX — inspection on June 6, 2024.

Found 2 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
Immediate will reeducate all nursing staff on triggers to notice when a resident is in pain and what steps need to be Few hour after treatment is provided to determine if treatment was successful. If current orders do not seem to be affected

The facility failed to assess and document the injuries of Resident #1 after advising staff her hand was tender to touch.

The facility failed to immediately assess Resident #1 after the allegation of physical abuse was made to LVN A.

Action:

On 6/04/2024, the DON designated an LVN to make a referral to Psychological Care, and Resident #1 was evaluated by their psychologist.

The psychologist reported to the DON on 06/04/2024 that resident was doing great.

The psychologist will continue to visit with the resident until she discharges her from psychological services. On 06/04/2024, the DON assessed the resident's hands where injuries occurred during transfer. DON stated that the resident has no more pain and that the injuries are in the final stages of healing. No follow-up will be needed for the bruises on the resident's hands.

Starting 06/04/2024, The DON or designee will in-service and retrain nursing staff on policy and procedures of transfers.

Safe transfers must be performed by all staff who work in patient care areas.

All CNA's and nurses are required to follow transfer procedures.

Education will include stand by, one person assists, 2 person assist, sliding board, sit to stand (Sara lift), Hoyer lift, and the stand and pivot.

Return demonstration will be provided by the trainee to confirm understanding.

The ADON or designee will monitor 4-5 transfers per week for 3 months to verify company policies and procedures are followed thoroughly and report findings to the DON and/or administrator weekly.

Starting 06/04/2024, The DON or designee will in-service and re-educate all nursing staff on when resident physical assessments should be completed, and appropriate documentation made. If a resident makes any type of physical abuse allegation, then a complete head-to-toe physical assessment must be completed by the charge nurse. If injuries are found on assessment, appropriate documentation in observations and progress notes should be made as well as documentation of provider informed.

Progress notes should be made on each shift by the charge nurse stating a detailed update on the injury site.

Staff will be educated on when families should be informed of injuries or findings in a timely manner.

676290

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 676290 B.

Wing 06/06/2024

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

Spjst Rest Home 1 1810 Old Granger Road Taylor, TX 76574

The facility failed to follow their policy when physical abuse was confirmed.

Action:

On 6/04/2024, the DON designated an LVN to make a referral to Psychological Care, and Resident #1 was evaluated by their psychologist.

The psychologist reported to the DON on 6/04/2024 that resident was doing great.

The psychologist will continue to visit with resident until she discharges her from psychological services. On 6/04/2024, the DON assessed the resident's hands where injuries occurred during transfer. DON stated that the resident has no more pain and that the injuries are in the final stages of healing. No follow-up will be needed for the bruises on the resident's hands.

676290

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 676290 B.

Wing 06/06/2024

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

Spjst Rest Home 1 1810 Old Granger Road Taylor, TX 76574

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 TAYLOR, 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 SPJST REST HOME 1 or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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