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Complaint Investigation

North Pointe Nursing And Rehabilitation

August 17, 2024 · Watauga, TX · 7804 Virgil Anthony Blvd
Citations 2
CMS Rating 2/5
Beds 126
Provider ID 675963
Healthcare Facility
North Pointe Nursing And Rehabilitation
Watauga, TX  ·  View full profile →
Inspection Summary

North Pointe Nursing and Rehabilitation in Watauga, TX — inspection on August 17, 2024.

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.

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Inspection Findings

FF600
Immediate Compliance Nurse to have a care plan with interventions as of 8/16/24. This resident is not actively suicidal. Few reviewing the diagnosis list upon admission to ensure the diagnosis and appropriate interventions are affected

The facility failed to establish a base line care plan to address Resident #1's diagnosis of suicidal ideation when she admitted to the facility. On 08/15/24, Resident #1 reported to facility that she drank hand sanitizer from a small pocket-sized bottle and wanted to kill herself.

An IJ was identified on 08/15/24.

The IJ template was provided to the facility on [DATE] at 3:48 PM.

While the IJ was removed on 08/16/24, the facility remained out of compliance at a scope of isolated and a severity level of potential for more than minimal harm because all staff had not been trained on the plan of removal.

This failure place residents at risk of not having their needs met, serious physical harm, injury, and/or death.

Findings included:

Review of Resident #1's face sheet printed on 08/17/24 reflected the resident was a [AGE] year-old female admitted to the facility on [DATE].

Her diagnoses included schizoaffective disorder, major depressive disorder, post-traumatic stress disorder, adjustment disorder with anxiety, conversion disorder with sensory symptom (condition where a mental health issue causes physical symptoms), moderate intellectual disabilities, autistic disorder, and suicidal ideation.

Review of Resident #1's New Referral documentation dated 07/30/24, sent from the prior nursing facility where Resident #1 resided at, reflected one of the resident's diagnoses was suicidal ideation.

Further review of Resident #1's referral documentation reflected there was a progress note, dated 07/23/24 reflected: Resident is having suicidal attempts, suicidal thoughts.

Sent to [Hospital] for further treatment.

Notified the Legal Guardian.

Review of Resident #1's baseline care plan initiated on 08/06/24 reflected Resident #1 had attention seeking behaviors as evidenced by not allowing staff to maintain professional boundaries.

Resident would go into multiple staff offices with no regard with what is going on in the office such as meetings with other residents or families and attempt to talk to staff regarding resident's personal life and history for hours at a time.

When staff reinforce professional boundaries resident thinks staff do not like her or are being mean to her and make allegations.

Interventions included to monitor behavior episodes and attempts to determine underlying cause.

Document behavior and potential causes.

Further review of the baseline care plan revealed there was no diagnosis of suicide ideation.

Review of a statement from the facility's Provider Investigation Report for Resident #1, dated 08/15/24, documented by the Administrator in Training reflected the following:

675963

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 675963 B.

Wing 08/17/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

North Pointe Nursing and Rehabilitation 7804 Virgil Anthony Blvd Watauga, TX 76148

F-F655 Baseline Care Plan

675963

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 675963 B.

Wing 08/17/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

North Pointe Nursing and Rehabilitation 7804 Virgil Anthony Blvd Watauga, TX 76148

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 Watauga, 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 North Pointe Nursing and Rehabilitation or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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