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Complaint Investigation

Valley Grande Manor

Inspection Date: November 20, 2025
Total Violations 1
Facility ID 455621
Location Weslaco, TX
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Inspection Findings

F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

said that was the way to prevent infections for residents.In an interview on 11/19/25 at 2:15 pm CNA B said

they always had in-services on peri-care and infection control. CNA B said they received training at every meeting. CNA B said they were not supposed to reuse a wipe. CNA B said they just used a wipe once, disposed and used another wipe. CNA B said she saw CNA A use one wipe per swipe. CNA B then said CNA A did use the same wipe, but he turned it around. CNA B said sometimes they did that with washcloths. CNA B said she had never been instructed to fold over disposable wipes and reused them.

CNA B said they swiped once with a wipe and threw it away. She said in-services and trainings enforce this was best way for infection control. In an interview on 11/19/25 at 3:34 pm LPN C said they went over infection control during monthly meetings. This investigator asked LPN C if during incontinent care, CNAs wiped with a disposable wipe, folded over the wipe, then reused the wipe. LPN C said she hoped they did not. LPN C said CNAs should not reuse or fold used disposable wipes and use again. LPN C said CNAs should wipe once and throw the disposable wipe away. She said it would be against infection control. In an

interview on 11/20/25 at 2:20 pm ADON D said they went over infection prevention and control information with staff monthly to quarterly and upon hire. ADON D said they checked off skills upon hire and quarterly.

ADON D said she believed infection prevention and control training was required once a year, but she also liked to complete if she saw any trends. ADON D said disposable wipes use was a gray area. ADON D said

it depended on the condition of the wipe, during incontinent care CNAs could wipe once with a disposable wipe then dispose of the wipe or they could wipe, fold over the wipe, and use a clean area of the wipe to wipe again. ADON D said if wipe was visibly soiled, staff should dispose of it. ADON D said that common practice was to throw the wipe away after one use. ADON D said when she trained or in-serviced, she instructed CNAs to wipe once then throw the wipe away because that was best practice. ADON D said the use of one wipe per swipe left no room for error for cross contamination. Record review of Competency Assessment Perineal Care dated 7/10/25 indicated CNA A was checked off as met on the following: A) PurposeThe purposes of this procedure are to provide cleanliness and comfort to the resident, to prevent infections and skin irritation, and to observe the resident's skin condition.D) Steps in the Procedure.For a male resident:.a. Wet washcloth and apply soap or skin cleansing agent.b. Wash perineal area starting with urethra and working outward. 9. Discard disposable items into designated containers.Record review of facility's Perineal Care policy revised February 2018, reflected, PurposeThe purposes of this procedure are to provide cleanliness and comfort to the resident, to prevent infections and skin irritation, and to observe

the resident's skin condition.Equipment and SuppliesDisposable wipes.Steps in the Procedure.For a male resident:e. Cleanse perineal area starting with urethra and working outward.j. Thoroughly rinse perineal area in same order, using disposable wipes.8. Discard disposable items into designated containers. Record

review of FDA guidance on Disposable Wipes, reflected, Disposable wipes are made for baby care, hand washing, feminine and other personal cleansing.Who Regulates Wipes, and How?This depends on their intended use:Wipes intended for cleansing or moisturizing the skin, such as those for baby care, hand washing, makeup removal, washing the body when bathing is not practical, or feminine or other personal cleansing, are regulated as cosmetics.But cosmetics must be safe when people use them as directed on

the label, or in the customary or usual way.The information below is about wipes that are regulated as cosmetics:Using Wipes Safely: Tips for ConsumersHow consumers use and store wipes can affect their safety. Here are some safety tips: . Discard used wipes immediately to prevent cross contamination, and as directed on the label.

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📋 Inspection Summary

Valley Grande Manor in Weslaco, TX inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 Weslaco, 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 Valley Grande Manor or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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