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Complaint Investigation

Reunion Plaza Senior Care And Rehabilitation Cente

Inspection Date: September 24, 2025
Total Violations 1
Facility ID 675444
Location TEXARKANA, TX
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Inspection Findings

F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Immediate Jeopardy

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

told not to move a resident if they fall. He said if he was walking down the hall and saw a resident on the floor, he knew not to move them. He said if a resident were to fall on the van, he was to make sure he was

in a safe location and call 911. He would call EMS to pick them up and report to the facility immediately. Van Driver B said it was the general rule of the whole facility if you are not licensed you are not allowed to pick a resident up. He said if a resident fell a nurse had to assess them, before they were moved. He said part of

the job as the van driver, was to take time and make sure the resident was secure prior to transport. During

an interview on 9/24/25 at 12:20 p.m. Resident # 4 said she rode the van to dialysis three times weekly. She said she did not have any issues with Van Driver A or Van Driver B. During an interview on 9/24/25 at 12:21 p.m. Resident # 5 said he rode the van to dialysis three times weekly. He said he did not have any issues with Van Driver A or Van Driver B. During an observation on 9/24/25 at 12:25 p.m. of Van Driver B securing

a resident in a wheelchair in the van. The facility van showed it was just wide enough for one wheelchair.

Observation revealed the back tie downs could be connected on the back of the van. However, to connect

the front wheelchair tiedowns you had to stand on the ground with the door opened and buckle them from

the outside of the van. Observation of Van Driver B showed he connected the resident wheelchair tiedowns

on all four wheels of the wheelchair. He strapped the seat belts over the shoulder and around the waist of

the resident. Once the resident was secured, he released the brakes of the wheelchair and tried to move

the wheelchair from side to side and back and forth. He said that was an extra precaution to check and make sure the resident was secured. He then relocked the breaks. Observation of the right wheel of the wheelchair not tied down showed the wheelchair would only move to the right about 2 to 4 inches when tilted backward. Observations indicated for the wheelchair to fall backward both the right and the left wheelchair tiedowns would need to be unsecured. During an interview on 9/24/25 at 12:50 p.m. the Administrator said he felt they did the right thing by terminating Van Driver A. They had the company coming on 9/29/25 to train the new staff member on driving the van. He said the company was supposed to come on 9/22/25 but they got their times crossed up somehow. He said the new driver, Van Driver B, and himself as a backup driver would be given the training for safe and secure transportation of residents. He said they were already trained on the facility policy for transportation of residents and would be trained again as part of the company training procedures. On 9/24/25 at 3:50 p.m. the Administrator, DON, ADON, and MDS coordinator were informed of the PNC IJ verbally and emailed the IJ template.

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📋 Inspection Summary

REUNION PLAZA SENIOR CARE AND REHABILITATION CENTE in TEXARKANA, TX inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 REUNION PLAZA SENIOR CARE AND REHABILITATION CENTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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