The Brazos Of Waco
The Brazos of Waco in Waco, TX — inspection on August 28, 2025.
Found 2 citations. 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
Inservice with LVN D regarding reporting incident/change of condition to the DON/Designee.
Documentation of the Personnel action was present and reflected the signature of LVN D.
Record Review of in-service dated 08/11/2025 reflected 20 staff had been in-serviced on notification of resident change.
Our ability to ensure trust is paramount in what we do daily, and by keeping lines of communication open and involving the resident and their responsible party/emergency contact in the care we are providing; we build that foundation. It is REQUIRED to notify residents, responsible parties, or an emergency contact of any changes that occur with our residents.
Responsible Party (RP) or an emergency contact if resident is their own RP will be notified of any changes at the time of occurrence and be DOCUMENTED in the progress notes.Record Review of in-service dated 08/11/2025 reflected 14 staff had been in-serviced on notification to the director of nursing but there was no mention of notification of the physician.
Communication is crucial for proper management of nursing facilities and notification of the Director of nursing is imperative.
You are required to notify the Director of Nursing and or designee for the following immediately: Incidents and Accidents with C/O Pain or Observed Injury BurnsSafety Hazards / Equipment Malfunction Record Review of in-service dated 08/12/2025 reflected 22 staff had been in-serviced on burns.
Burns are a major incident in nursing homes and can cause serious negative out comes.
Any burn injuries are required to have the provider assigned, DON, RP, and administrator notified immediately no matter the severity of the burn.
Record Review of facility wound care policies and procedures revision date 06/01/2015 reflected all burns and scalds will be seen by a physician or a nurse as soon as possible for appropriate treatment.
The purpose is to provide immediate first aid when injury occurs in the facility.
Record review of the policy entitled: Care of a Burn Injury dated 06/01/2025 states Notify the physician and supervisor as soon as possible.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/28/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
The Brazos of Waco
2430 Market Place Drive Waco, TX 76711
SUMMARY STATEMENT OF DEFICIENCIES
Review of evaluations completed for all residents.
Their criteria were all the same for the evaluations.
Residents were screened for cognition, mobility, dexterity, and behaviors to see if they were safe with hot beverages.
Record Review of facility daily monitor log for appropriate hot beverage cup/lids reflected 08/11/25 through 08/15/25 no concerns. On 08/28/25 at 3:00 PM conducted Interview the DON stated she had worked at the facility for four months.She stated she had been trained on abuse, neglect, resident rights, and hot beverages.
She stated the electric urn was discontinued immediately.
She stated coffee is being served from an urn.
She stated the dietary manager, DON, and Administrator were reeducated on coffee service for the r[TRUNCATED]
Facility ID: