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Complaint Investigation

Dogwood Trails Manor

Inspection Date: November 21, 2025
Total Violations 1
Facility ID 675152
Location Woodville, TX
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Inspection Findings

F-Tag F0655

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0655 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

care plan not initiated within 48 hours of admission was the staff may not be able to see the Kardex (an electronic platform that provides a quick overview of essential patient information for nursing care) and be unaware of the care a resident needed. She said her expectation was all newly admitted residents have a baseline care plan completed within 48 hours of admission. During an interview on 10/06/2025 at 5:19 p.m.,

the Administrator said the charge nurse admitting a resident was responsible for initiating the baseline care plan and the DON and the ADON were the backup to ensure it was initiated. She said Resident #101's baseline care plan was overlooked. The Administrator said the resident risk of a baseline care plan not initiated within 48 hours of admission was the staff may be unaware of the plan of care for staff to follow for

a resident to get his needs met. She said her expectation was that all new admissions have a baseline care plan completed within 48 hours of admission. During an interview on 10/06/2025 at 5:22 p.m., LVN A said

she was responsible for admitting Resident #101 on 09/12/2025. She said she did not know how to initiate

a baseline care plan and thought the RN was responsible for initiating a baseline care plan. LVN A said the resident risk of a baseline care plan not completed within 48 hours of admission was a possibility of the resident not being cared for properly and the staff may be unaware of needed care. Record review of an undated facility policy titled, ‘Base Line Care Plans Indicated Completion and implementation of the baseline care plan within 48 hours of a resident's admission is intended to promote continuity of care and communication among nursing home staff, increase resident safety, and safeguard against adverse events that are most likely to occur right after admission; and to ensure the resident and representative if applicable, are informed of the initial plan for delivery of care and services

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📋 Inspection Summary

Dogwood Trails Manor in Woodville, 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 Woodville, 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 Dogwood Trails Manor or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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