A list of the most recent deficiencies for Lbj Medical Center. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-22 | 2023-12-07 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-06-19 | 2023-08-07 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-06-19 | 2023-08-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-09 | 2023-05-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-13 | 2023-02-06 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-01-13 | 2023-02-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-13 | 2023-02-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-13 | 2023-02-06 | N |
| Respond appropriately to all alleged violations. | Health | 2022-10-17 | 2022-10-18 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-18 | 2022-08-19 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-18 | 2022-08-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-19 | 2022-05-20 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-05-19 | 2022-05-20 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-10 | 2022-01-04 | 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 | 2021-12-10 | 2021-12-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-12-10 | 2021-12-13 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2021-11-19 | 2021-11-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-27 | 2021-11-17 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-10-27 | 2021-11-17 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-10-27 | 2021-11-17 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-10-27 | 2021-11-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-27 | 2021-11-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-27 | 2021-11-17 | N |
| Respond appropriately to all alleged violations. | Health | 2021-10-27 | 2021-11-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-27 | 2021-11-17 | N |
| Provide activities to meet all resident's needs. | Health | 2021-10-27 | 2021-11-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-27 | 2021-11-17 | N |
| Post nurse staffing information every day. | Health | 2021-10-27 | 2021-11-17 | 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 | 2021-10-27 | 2021-11-17 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-10-27 | 2021-11-17 | N |
| 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 | 2021-10-27 | 2021-11-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-10-27 | 2021-11-17 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-10-27 | 2021-11-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-27 | 2021-11-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-27 | 2021-11-17 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-10-27 | 2021-11-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-10-27 | 2021-11-17 | N |
| Keep all essential equipment working safely. | Health | 2021-10-27 | 2021-11-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-10-27 | 2021-11-17 | Y |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2021-10-27 | 2021-11-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-27 | 2021-11-17 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-10-27 | 2021-11-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-06 | 2021-08-27 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-07-02 | 2021-07-19 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2019-09-26 | 2019-10-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-24 | 2019-10-10 | N |
| Keep all essential equipment working safely. | Health | 2019-09-26 | 2019-10-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-26 | 2019-10-02 | N |
