Heritage Plaza Nursing Center
Inspection Findings
F-Tag F0755
F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
an interview on 08/18/2025 at 12:05 AM, CNA B stated on 07/18/2025 Resident #1 was hard to arouse, and she was unable to get her dressed. CNA B stated she was concerned because Resident #1 was always chipper and ready to get dressed in the mornings. CNA B stated after several attempts to wake up Resident #1 to no avail, she notified the DON.During an interview on 08/18/2025 at 12:31 PM, LVN A said
she had given Acetaminophen/Tylenol to Resident #1 for pain around 10:30 PM on 07/17/2025. LVN A said
she had a standing order for the prn medication and had not contacted the doctor. LVN A said someone had told her that Resident #1 was in pain and was waiting on the prn medication to be administered. LVN A said she could not recall why she did not document her assessment of Resident #1's pain on the required pain scale rating in the electronic medication administration record. LVN A said she guessed she was busy and forgot. LVN A said she it was important to document and complete pain assessments before and after giving pain medications to measure the need and effectiveness. LVN A said it was important to document
the medication, dosage and time to prevent over medicating a resident which could result in toxicity. LVN A stated she was not aware that Resident #1 or the roommate thought she had given the roommate's Seroquel to Resident #1 on 7/17/2025. LVN A stated she first become aware on 07/18/2025 when the DON had contacted her by telephone. LVN A stated she did not tell Resident #1 she would monitor her throughout the night. 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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HERITAGE PLAZA NURSING CENTER in TEXARKANA, 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 TEXARKANA, 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 HERITAGE PLAZA NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.