Regency Village
Inspection Findings
F-Tag F0550
F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
catheter was fine. Resident #1 then told LVN S if you don't help me, I'm calling 911. He said LVN S said, That's fine, do whatever you want. Resident #1 said since LVN S was not helping him, he called 911. He said he did not want to be sitting in his urine.In an interview on 12/1/25 at 11:50am, LVN R said when Resident #1 came back from the hospital he was telling her about the problems he had with LVN S not helping him when he was leaking everywhere. She said if the catheter did not get changed it could cause a UTI, obstruction, or a full bladder. LVN R did not report the issue to anyone.In an interview on 12/1/25 at 12:10pm, EMS B said he observed Resident #1 covered in urine from his mid-chest down when he went to
the facility to pick him up. EMS B said the resident told him that his catheter stopped working and he had told LVN S, and she told him not to worry about it. EMS B said the resident told LVN S if she did not help him he was going to call 911 and she told him to do whatever he wanted and walked out.In an interview on 12/1/25 at 1:15pm, the DON said Resident #1 filed a grievance yesterday (11/30/25) regarding LVN S not changing his catheter. The DON said that was the first time she heard about the incident. The DON said if a resident had a leaking foley and had an order for it to be flushed and/or changed, she expected the nurse to flush the foley first to see if that took care of the leaking, and if that did not work, she expected the nurse to change the catheter. She said if the catheter did not get changed it could cause a urinary tract infection or a burst bladder.In an interview on 12/1/25 at 1:20pm, LVN S said she saw Resident #1's foley catheter leaking and saw that he was covered in urine. She said he asked her to change his catheter, but she wanted to call the MD to see what he wanted to do, even though there were orders to change it. She said
she did not clean up Resident #1 or change his catheter because the resident did not want to wait for her to call the doctor and ended up calling 911 himself. She also said she did not irrigate Resident #1's catheter at any time that day.Record review of the facility's policy and procedures on Resident Rights (Revised February 2021) read in part: Employees shall treat all residents with kindness, respect, and dignity. Federal and state laws guarantee certain basic rights to all residents of this facility. These rights include the resident's right to: a dignified existence, be treated with respect, kindness, and dignity, to be free from abuse, neglect.be supported by the facility in exercising his or her rights.
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Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
12/01/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Regency Village
409 W Green Webster, TX 77598
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0690
Federal health inspectors cited REGENCY VILLAGE in WEBSTER, TX for a deficiency under regulatory tag F-F0690 during a complaint investigation conducted on 2025-12-01.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 2 deficiencies cited during this inspection of REGENCY VILLAGE.
Correction Status: Deficient, Provider has no plan of correction.
Regency Village in Webster, 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 Webster, 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 Regency Village or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.