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Deficiency Records for Lavaca Bay Nursing and Rehabilitation Center
View the most recent health deficiencies and inspection results for Lavaca Bay Nursing and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lavaca Bay Nursing and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-11-25 | 2025-11-26 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-12-19 | 2024-12-20 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-12-19 | 2024-12-20 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-12-19 | 2024-12-20 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2024-12-19 | 2024-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-19 | 2024-12-20 | N |
| 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 | 2024-12-19 | 2024-12-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-12-19 | 2024-12-20 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-12-19 | 2024-12-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-12-19 | 2024-12-20 | 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 | 2024-12-19 | 2024-12-20 | 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 | 2024-12-19 | 2024-12-20 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-12-19 | 2024-12-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-12-19 | 2024-12-20 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-12-19 | 2024-12-20 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-12-19 | 2024-12-20 | 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 | 2024-12-19 | 2024-12-20 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-19 | 2024-12-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-12-19 | 2024-12-19 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-12-19 | 2024-12-19 | N |
| Post nurse staffing information every day. | Health | 2024-11-22 | 2024-12-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-11-22 | 2024-12-12 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-02 | 2024-08-16 | 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 | 2024-05-03 | 2024-04-26 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-27 | 2023-11-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-27 | 2023-11-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-27 | 2023-11-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-27 | 2023-11-15 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-10-27 | 2023-11-15 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-10-27 | 2023-11-15 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-27 | 2023-11-15 | 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 | 2023-10-12 | 2023-10-25 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-12 | 2023-10-25 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-10-12 | 2023-10-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-11 | 2023-10-10 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-19 | 2022-09-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-19 | 2022-09-08 | N |