Heritage Plaza Nursing Center
HERITAGE PLAZA NURSING CENTER in TEXARKANA, TX — inspection on August 18, 2025.
Found 1 citation. 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.
Inspection Findings
During an interview on 0n 08/18/2025 at 02:02 PM, the Director of Rehabilitation stated Resident #1 was not acting her normal self.
The Director of Rehabilitation stated Resident #1 was drowsy and unable to hold a conversation.
The Director of Rehabilitation stated she notified the DON of the change and stated she did not take Resident #1 for therapy that AM.
The Director of Rehabilitation stated the DON came to Resident #1's room and was able to arouse her and continued to get Resident #1 dressed.
During an interview on 08/10/2025 at 01:10 PM, the DON said she was not aware LVN A had not completed the required pain assessment documentation on Resident #1 until today.
The DON said when a prn medication was administered, the medication was entered on the electronic medication administration record.
Then, the assessment record for pain would open for further documentation by the administering nurse to complete.
The DON said it was important for coordination of care between staff and to monitor the proper effectiveness or lack of effectiveness that the Resident had experienced after taking the medication.
The DON said if the medications were not documented after being administered, the resident was at risk of having too much or too little which could result in harm.
The DON said she expected the staff to follow the protocol for medication administration.
Record review of the facility's policy titled, Medication Administration General Guidelines, Pharmacy Policy & Procedure Manual Section 7.1 dated 01/24, indicated, .2.
Facility staff administering medication shall comply with the following.1.
The individual who administers the medication dose, records the administration on the resident's MAR immediately following the medication being given.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.