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Complaint Investigation

White Settlement Nursing Center

Inspection Date: August 11, 2025
Total Violations 1
Facility ID 455475
Location WHITE SETTLEMENT, TX
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Inspection Findings

F-Tag F0584

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

wasted, caked on food that had dried along with food from today's lunch. CNA B stated not taking the time to ensure Resident #1's wheelchair was clean placed her at risk of infections. Attempts to contact CNA C, CNA D, CNA E, LVN F on the overnight (10:00 PM - 6:00AM) shift were unsuccessful. Interview on 08/11/25 at 2:58 PM with the DON revealed the facility had ordered a new wheelchair for Resident #1; however, it was a custom wheelchair, so it was unknown how long it would take to deliver. The DON stated

she had scrubbed the resident's wheelchair the first couple of weeks of her employment at the facility, but

she could not find anything who would clean it. She stated it was hard to get into the smaller spaces. The DON stated the overnight shift had a wheelchair cleaning schedule they were supposed to go by. The DON stated aides would check-off when the task was completed; however, they did not indicate which resident chairs were cleaned. The DON stated she knew the arm pads on Resident #1's wheelchair were torn, but there were no injuries on the resident's arms. She stated although it was torn the padding was still intact.

The DON stated not ensuring resident's wheelchairs were cleaned and safe placed residents at risk of a build-up of debris and created a dignity issue for residents. Interview on 08/11/25 at 3:24 PM with the Administrator revealed CNAs on the overnight shift were responsible for ensuring all wheelchairs were cleaned according to the schedule. The Administrator stated obviously the CNAs were not doing so, and the overnight nurses were responsible to ensure all the overnight tasks were being completed. The Administrator revealed when residents wheelchairs were not properly cleaned and maintained it placed them at risk of having an issue with dignity and safety. Record review of the facility's Homelike Environment policy, dated 04/24/25, reflected: This policy aims to provide a comprehensive framework for creating and maintaining a homelike environment in long-term care facilities. A homelike environment is essential for promoting the comfort, dignity, and quality of life of residents.Privacy and Dignity: Ensure that residents have privacy and that their dignity is maintained at all times.Creating a homelike environment in long-term care facilities is essential for promoting the well-being and quality of life of residents. By implementing the principles and guidelines outlined in this policy, facilities can create a supportive and nurturing environment that respects residents' individuality, fosters social connections, and enhances their overall experience of care.The facility policy provided did not include anything about resident equipment.

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📋 Inspection Summary

WHITE SETTLEMENT NURSING CENTER in WHITE SETTLEMENT, 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 WHITE SETTLEMENT, 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 WHITE SETTLEMENT NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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