Park Place Nursing & Rehabilitation Center
Inspection Findings
F-Tag F0656
F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
review of an undated face sheet revealed Resident #3 was a [AGE] year-old male admitted on [DATE REDACTED] with
the diagnoses of fractured femur (a break in the thighbone, the body's longest and strongest bone, typically caused by severe trauma like car accidents or falls), hypertension (high blood pressure), obesity (a complex disease defined as having excessive body fat). Record review of an admission MDS assessment dated [DATE REDACTED] revealed Resident #3 had a BIMS of 07, which indicated moderate cognitive impairment. Resident #3 required supervision and set up for ADLs. The MDS revealed the triggered care areas of cognitive loss/dementia, ADLs function/rehab potential, urinary incontinence/indwelling catheter, psychological well-being, falls, nutritional status, pressure ulcer, pain, and return to community. Record review of the EHR
on 12/30/2025 at 10:30 a.m. revealed no care plan was implemented for Resident #2. During an interview
on 12/30/2025 at 1:00 p.m., the MDS Coordinator stated about 3 weeks prior there were two MDS nurses.
One MDS nurse was responsible for the residents on the bottom floor and the skilled residents. He was responsible for the rest of the residents. He stated he was unsure why the previous MDS nurse had not completed the care plans for Resident #1, Resident #2, and Resident # 3. He stated the guidelines in the RAI manual stated 14 calendar days to complete the admission MDS and 21 calendar days to complete the comprehensive care plan. He stated the care plan was important because if it were read by everyone, they would have a blueprint to resident centered care. During an interview on 12/30/2025 at 2:00 p.m., the DON stated it was important for all residents to have a care plan. She stated the care plan provided an individualized guide to resident care. She stated that without the care plan everyone received generalized care. Record review of an undated facility policy titled ‘Comprehensive Care Planning revealed The facility will develop and implement a comprehensive person-centered care plan for each resident, consistent with
the resident rights that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment.services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being. The facility will establish, document, and implement the care and services to be provided for each resident to assist in attaining or maintaining his or her highest practical quality of life.
Event ID:
Facility ID:
If continuation sheet
PARK PLACE NURSING & REHABILITATION CENTER in TYLER, 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 TYLER, 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 PARK PLACE NURSING & REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.