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Complaint Investigation

Deer Creek Nursing And Rehabilitation

May 5, 2025 · Wimberley, TX · 555 Ranch Rd 3237
Citations 1
CMS Rating 1/5
Beds 122
Provider ID 455917
Healthcare Facility
Deer Creek Nursing And Rehabilitation
Wimberley, TX  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)  ·  20 pages
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Deer Creek Nursing and Rehabilitation in Wimberley, TX — inspection on May 5, 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

FF684
Immediate Few The ADM and DON were notified on 05/02/25 12:46 that the IJ had been removed. While the IJ was affected

Review of an audit, dated 05/02/25 and conducted by the DON, reflected seven residents with skin integrity issues that had treatment orders in place and had no signs or symptoms of infection.

Review of an in-service, dated 05/01/25 - 05/03/25 and conducted by the DON, reflected all staff were in-serviced on their Abuse and Neglect Policy.

Review of In-Service Education Quiz, dated 05/01/25 - 05/03/25, reflected all licensed nurses and agency staff completed a quiz covering skin issues with no concerns.

Review of an in-service, dated 05/01/25 - 05/03/25 and conducted by the DON, reflected all staff were in-serviced on their Change of Condition Policy.

455917

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 455917 B.

Wing 05/05/2025

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

Deer Creek of Wimberley 555 Ranch Rd 3237 Wimberley, TX 78676

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 Wimberley, 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 Deer Creek Nursing and Rehabilitation or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.