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Complaint Investigation

Yoakum Nursing And Rehabilitation Center

November 18, 2025 · Yoakum, TX · 1300 Carl Ramert Dr
Citations 2
CMS Rating 2/5
Beds 110
Provider ID 675736
Healthcare Facility
Yoakum Nursing And Rehabilitation Center
Yoakum, TX  ·  View full profile →
Inspection Summary

YOAKUM NURSING AND REHABILITATION CENTER in YOAKUM, TX — inspection on November 18, 2025.

Found 2 citations. 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.

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Inspection Findings

FF0585
Resident Rights Deficiencies
Potential for More Than Minimal Harm

During a joint interview on 11/05/2025 at 3:20 PM the Administrator and the DON stated the expectation for grievances was for staff who hear a grievance should assist the complainant to generate a grievance form and submit the grievance form to the Administrator and/ or the DON.

The Administrator and DON stated LVN A had not generated a grievance form for Resident #1's Representative's complaints.

The Administrator and the DON stated the potential negative outcomes for residents was their grievances may go unresolved. A record review of the facility's Resident and Family Grievances policy dated 10/4/2025 revealed, Policy: It is the policy of this facility to support each residents and family members right to voice grievances without discrimination, reprisal or fear of discrimination or reprisal. A resident or family member may voice grievances with respect to care and treatment which has been furnished as well as that which has not been furnished, the behavior of staff and other residents, and other concerns regarding their long term care facility stay.

The staff member receiving the grievance will record the nature and specifics of the grievance on the designated grievance form, or assist the resident or family member to complete the form.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/18/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Yoakum Nursing and Rehabilitation Center

1300 Carl Ramert Dr Yoakum, TX 77995

SUMMARY STATEMENT OF DEFICIENCIES

During an interview on 11/4/2025 at 6:00 PM LVN B stated she was an LVN at the facility and usually worked 6 AM to 6 PM and recalled she received a report from LVN A on the morning of 10/12/2025 where LVN A had a difficult procedure of instilling an indwelling foley catheter for Resident #1 and had received a report from a CNA that Resident #1 had bleeding evidence in his adult brief. LVN B stated she and LVN A assessed Resident #1 with no return urine flow and LVN B re-attempted to instill a fresh indwelling urinary catheter with no success. LVN B stated she could not overcome Resident #1's enlarged prostate to reach the bladder evidenced by no urine return flow. LVN B stated she reported the findings to the physician and received new orders for Resident #1 to be transferred to the hospital for evaluation and treatment. LVN B stated she believed she had documented the details of the incident and upon record review stated she had not documented details to accurately document the chain of events.

During a joint interview on 11/05/2025 at 3:20 PM the Administrator and the DON stated the expectation for accurate records was for staff who provided care would document the care provided to include enough details to effectively document the care.

The Administrator and the DON stated the facility had a policy for documenting indwelling foley catheterization and followed the [NAME] guidance and procedures (a series of evidence-based, step-by-step clinical resources for healthcare professionals, primarily nurses, created by Wolters Kluwer.

These online and print resources provide consistent and safe patient care guidelines at the point of care, offering detailed instructions, skills checklists, and competency assessments for a wide range of procedures and topics, as described on the Wolters Kluwer website.) The Administrator and the DON stated the potential negative outcome for residents could be inaccurate records. A record review of the [NAME] Solutions website https://procedures.lww.com/lnp/view.do?pId=4420096&hits=inserting,urinary,insertion,catheter,catheters,inserted,insert&a= 11/4/2025, titled Procedures: Indwelling urinary catheter (Foley) insertion, assigned male at birth Revised: November 17, 2024, revealed, .

Documentation associated with indwelling urinary catheter insertion includes:assessment findingsindication for catheter usedate and time of insertionsize and type of catheteramount of sterile water used to inflate the balloonintake and output (if ordered)characteristics and amount of urinecomplicationsname of the practitioner you notifieddate and time of notificationprescribed interventionspatient's response to those interventionsteaching provided to the patient and family (if applicable)understanding of that teachingfollow-up teaching needed.

Facility ID:

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 YOAKUM, 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 YOAKUM NURSING AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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