Deficiency Records for Frank M Tejeda Texas State Veterans Home
Updated as of August 01, 2023
This is not the most recent data for Frank M Tejeda Texas State Veterans Home. For the most recent information, click here.
A list of the most recent deficiencies for Frank M Tejeda Texas State Veterans Home. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2023-02-08 | 2023-02-15 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-02-08 | 2023-02-15 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-28 | 2022-11-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-10-28 | 2022-11-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-28 | 2022-11-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-28 | 2022-11-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-28 | 2022-11-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-28 | 2022-11-28 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-10-28 | 2022-11-28 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-10-28 | 2022-11-28 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-27 | 2022-11-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-20 | 2022-06-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-20 | 2022-06-20 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-01-29 | 2022-02-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-29 | 2022-02-28 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-08-06 | 2021-09-06 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-08-06 | 2021-09-06 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-08-06 | 2021-09-06 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-08-06 | 2021-09-06 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-06 | 2021-09-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-06 | 2021-09-06 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-06 | 2021-09-06 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-08-06 | 2021-09-06 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-08-06 | 2021-09-06 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-08-06 | 2021-09-06 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-08-06 | 2021-09-06 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-06 | 2021-09-06 | Y |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-08-06 | 2021-09-06 | Y |
| Dispose of garbage and refuse properly. | Health | 2021-08-06 | 2021-09-06 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-08-06 | 2021-09-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-06 | 2021-09-06 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-08-06 | 2021-09-06 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2021-08-04 | 2021-09-06 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-08-04 | 2021-09-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-04 | 2021-09-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-04 | 2021-09-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-04 | 2021-09-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-05-04 | 2021-05-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-02-23 | 2021-03-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-02-23 | 2021-03-31 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-02-12 | 2021-03-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-02-12 | 2021-03-31 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2020-11-13 | 2020-11-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-09-18 | 2020-10-09 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-11 | 2020-01-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-13 | 2020-01-17 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-12-13 | 2020-01-17 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-12-13 | 2020-01-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-13 | 2020-01-17 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2019-12-13 | 2020-01-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-13 | 2020-01-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-13 | 2020-01-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-13 | 2020-01-17 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-12-13 | 2020-01-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-13 | 2020-01-17 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-12-13 | 2020-01-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-13 | 2020-01-17 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-12-13 | 2020-01-17 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-12-13 | 2020-01-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-13 | 2020-01-17 | N |
| Dispose of garbage and refuse properly. | Health | 2019-12-13 | 2020-01-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-12-13 | 2020-01-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-13 | 2020-01-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-12-13 | 2020-01-17 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-12-13 | 2020-01-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-11 | 2020-01-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-11 | 2020-01-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-12-11 | 2020-01-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-11 | 2020-01-17 | N |
