White Settlement Nursing Center
WHITE SETTLEMENT NURSING CENTER in WHITE SETTLEMENT, TX — inspection on February 15, 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.
Inspection Findings
The facility failed to follow protocols for abnormal vital signs when MA C did not notify the nurse after Resident #1's blood pressure was 216/114 and there was no re-check to ensure accuracy to determine if further treatment was needed.
An Immediate Jeopardy (IJ) was identified on 02/14/25.
The Administrator was notified of the Immediate Jeopardy and provided with the IJ Template on 2/14/25 at 05:04 PM.
While the Administrator and DON were notified that the IJ was removed on 02/15/25 at 02:34 PM, the facility remained out of compliance at a scope of isolated and a severity level of no actual harm with potential for more than minimal harm that was not immediate jeopardy due to the facility's need to evaluate the effectiveness of the corrective systems.
This failure placed all residents at risk of a delay in medical evaluation and treatment.
Findings included:
Record review of Resident #1's face sheet, dated, 02/04/25, revealed the resident was a [AGE] year-old male admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses that included: pneumonia (infection of lungs), hypertension (high blood pressure), type II diabetes (body's inability to regulate blood sugar), muscle weakness, chronic kidney disease, morbidly obese, mild dementia (brain disorder that affects memory, thinking, and behavior).
Record review of Resident #1's Quarterly MDS assessment, dated 02/03/25, revealed the resident had a BIMS score of 12 which suggested he was moderately cognitively impaired.
The Quarterly MDS assessment reflected Resident #1 could usually make himself understood and could usually understand others.
Further review reflected Resident #1 was dependent on staff for most ADLs.
Record review of Resident #1's care plan initiated on 07/12/24 reflected the resident was diagnosed with hypertension and was at risk for fluctuations in blood pressure.
Interventions included administer antihypertensive medications as ordered.
Monitor for side effects such as orthostatic hypotension (sudden drop in blood pressure when standing from a seated or prone position), headache, vertigo, chest pain, and decreased heart rate.
Avoid taking blood pressure readings after physical activity or emotional distress.
Monitor for edema (swelling caused by excess fluid buildup in the body's tissue) and document when present.
Notify physician of changes in severity of edema as needed.
Weigh at least monthly Diet as ordered.
Record review of Resident #1's order summary report, dated 02/04/25, reflected the following:
-Furosemide oral tablet 40 mg- give one tablet by mouth two times a day related to hypertension (active)
455475
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 455475 B.
Wing 02/15/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
White Settlement Nursing Center 7820 Skyline Park Dr White Settlement, TX 76108