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Complaint Investigation

Providence Park Rehabilitation And Skilled Nursing

November 24, 2025 · Tyler, TX · 5505 New Copeland Rd
Citations 1
CMS Rating 3/5
Beds 125
Provider ID 676184
Healthcare Facility
Providence Park Rehabilitation And Skilled Nursing
Tyler, TX  ·  View full profile →
Inspection Summary

Providence Park Rehabilitation and Skilled Nursing in Tyler, TX — inspection on November 24, 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.

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Inspection Findings

FF0695
Quality of Life and Care Deficiencies
Immediate Jeopardy

jeopardy to resident health or safety

until education is completed.

The education provided is the Policy and Procedure Titled Applying An O2 Delivery Device.

The DON and ADONs will provide this education.

Education was provided to the clinical staff that worked on [DATE] which included 1:1 Education to the staff directly involved in the incident.

This education, provided by the DON and ADONs, included the same education provided to remaining clinical staff on [DATE].

Additionally, there was also education in the form of a Mock Code provided to the clinical staff on [DATE] as well as the staff directly involved in the incident.

This education was provided by the DON and ADONs which included the following:Standard of Practice: Staff will apply O2 delivery devices in accordance with standard practice guidelines. If resident experiences respiratory distress staff is to notify charge nurse.S Procedure: Identify the resident Validate the physician orders Observe respiratory function and note the behavioral changes and patency of airway as appropriate Validate peripheral capillary o2 saturation through pulse oximetry if needed Perform hand hygiene Provide comfort for resident Attach 02 delivery device as required Attach humidified o2 source if required o Nasal cannula S Place tips of cannula into the resident's nares S Loop tubing over the residents' ears S Adjust lanyard o Mask device S Apply mask over the resident's mouth and nose S Bring straps over the head Maintain sufficient slack on o2 tubing Observe for proper function of o2 delivery device Verify setting on flowmeter and o2 source and the prescribed flow rate Dispose of gloves properly Perform hand hygiene Record the procedure in the record Report abnormal findings to the nurse in charge or the healthcare provider S Addendum to policy: CNA will notify Licensed Nurse to remove resident o2 device as needed while providing resident care.S Mock code steps include initial assessment of unresponsive and abnormal breathing, calling for help and starting high-quality CPR.

Next steps are to attach the defibrillator, analyze the rhythm, deliver a shock if needed and resume compressions.

Finally administer medications as indicated and continue rounds of CPR and rhythm checks.1.

Assessment and Activation a.

Assess the patient: check for unresponsiveness by shaking the person's shoulder and calling their name. b.

Check breathing and pulse: look for abnormal breathing and check f[TRUNCATED]

Facility ID:

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 Providence Park Rehabilitation and Skilled Nursing or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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