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Complaint Investigation

Arboretum Nursing And Rehabilitation Center Of Win

August 20, 2025 · Winnie, TX · 1215 Highway 124
Citations 1
CMS Rating 1/5
Beds 120
Provider ID 675798
Healthcare Facility
Arboretum Nursing And Rehabilitation Center Of Win
Winnie, TX  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
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

Arboretum Nursing and Rehabilitation Center of Win in WINNIE, TX — inspection on August 20, 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

FF0689
Quality of Life and Care Deficiencies

Summary safe, effective transfer training with demonstrations.

Interviews with 36 staff

LVN A, CNA B, CNAT C, CNA D, LVN E, RN F, LVN G, RN H, RN J, LVN K, LVN L, LVN M, LVN N, LVN O, LVN P, LVN Q, CNA R, CNA S, CNA T, CNA U, CNA V, CNA W, CNA X, CNA Y, CNA Z, CNA AA, CNA BB, CNA CC, COTA LL, ST MM, OT NN, SNA OO, CNAT PP, CNAT QQ, CNAT RR, CNA SS, and CNA/MA TT confirmed completion of in services/training of incontinent care, always follow the plan of care, care plan and Kardex when providing resident care, look at the Kardex for resident required assistance, transfer training, and if a trainer with the CNA trainees or student do not allow student nurses' aides or trainees to perform direct resident task without supervision.

The staff, CNA trainees and students were able to verbalize understanding and information provided in the in-service/training.

During an observation on 08/19/2025 at 1:30 p.m. SNA OO was observed providing one person transfer with Resident #5 using correct procedure.

During an observation on 08/20/2025 at 9:35 a.m.

CNA/MA TT and CNA AA were observed providing a two person transfer with Resident #6 using correct procedure.

The non-compliance was identified as past non-compliance.

The PNC began on 04/22/2025 and ended on 04/23/2025.

The facility had corrected the non-compliance before the survey began.

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 WINNIE, 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 Arboretum Nursing and Rehabilitation Center of Win or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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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.