Deficiency Records for Ussery Roan Texas State Veterans Home
Updated as of April 01, 2024
A list of the most recent deficiencies for Ussery Roan 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? |
---|---|---|---|---|
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-20 | 2023-11-21 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-05 | 2023-07-07 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-07-05 | 2023-07-07 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-05 | 2023-07-07 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-07-05 | 2023-07-07 | Y |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-02-08 | 2023-03-10 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-02-08 | 2023-03-10 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-02-08 | 2023-03-10 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-08 | 2023-03-10 | 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 | 2023-02-08 | 2023-03-10 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-08 | 2023-03-10 | N |
Provide and implement an infection prevention and control program. | Health | 2023-02-08 | 2023-03-10 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-04 | 2022-08-08 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-04-25 | 2022-05-25 | Y |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-11-19 | 2021-12-17 | N |
Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-11-19 | 2021-12-17 | 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 | 2021-11-19 | 2021-12-17 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-19 | 2021-12-17 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-11-18 | 2021-12-17 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2021-11-18 | 2021-12-17 | N |
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2021-11-18 | 2021-12-17 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2021-11-18 | 2021-12-17 | N |
Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2021-11-18 | 2021-12-17 | N |
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2021-11-18 | 2021-12-17 | N |
Provide and implement an infection prevention and control program. | Health | 2021-08-17 | 2021-08-31 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-07-28 | 2021-08-27 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-24 | 2021-07-30 | 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 | 2019-09-13 | 2019-10-15 | 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 | 2019-09-13 | 2019-10-08 | N |
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 | 2019-09-13 | 2019-10-08 | N |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-09-13 | 2019-10-08 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-09-13 | 2019-10-08 | N |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-09-13 | 2019-10-08 | N |
Ensure that residents are free from significant medication errors. | Health | 2019-09-13 | 2019-10-08 | 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 | 2019-09-13 | 2019-10-08 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-13 | 2019-10-08 | N |
Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-09-13 | 2019-10-08 | N |
Provide and implement an infection prevention and control program. | Health | 2019-09-13 | 2019-10-08 | N |
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-09-13 | 2019-10-08 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-09-13 | 2019-10-07 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-13 | 2019-10-06 | N |