Corpus Christi Nursing and Rehabilitation Center

Inspectors wroteBased on record review and interview, the facility failed to maintain clinical records in accordance with accepted professional standards of practice, that were complete and accurately documented, for one (Resident #1) of five residents reviewed for meal percentage logs. The facility failed to document the meal percentages in Resident #1's electronic health record on 02/28/2026, 03/17/2026, and 03/23/2026 as per the facility's Medical Record documentation Policy. This failure could jeopardize residents from receiving adequate nutrition and assessment which could compromise the residents' specific dietary needs. Record review of Resident #1's admission record dated 03/28/2026 revealed Resident #1 was initially admitted on [DATE]. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to provide reasonable accommodation of resident needs and preferences for one (Resident #1) of four residents reviewed for call light placement. The facility failed to ensure Resident #1's call light was within reach. This failure could place residents at risk for needs and accommodation being unmet. [...]

Inspectors wroteBased on interviews and record review, the facility failed to maintain clinical records that were complete and accurately documented in accordance with accepted professional standards and practices for 4 (100 hall glucometer, 200 hall glucometer, 300 hall glucometer, and 400 hall glucometer) of 8 glucometers (device used to measure the amount of glucose in a resident's blood) reviewed for pharmacy services. 1. The facility failed to ensure the 2 glucometers in the 200-hall nurse cart and 2 glucometers in the 400-hall nurse cart were tested for accuracy and recorded in the glucometer logbook on 06/01/25, 06/02/25 and 06/03/25. 2. The facility failed to ensure the 2 glucometers in the 100-hall nurse cart and 2 glucometers in the 300-hall nurse cart were tested for accuracy and recorded in the glucometer logbook on 06/03/25. [...]

Inspectors wroteBased on interview and record review, the facility failed to ensure the comprehensive care plan was developed and implemented within a timely manner for each resident consistent with resident rights to include measurable objectives and timeframes to meet residents medical, nursing, mental, and psychosocial needs identified in the comprehensive assessment for 1 (Resident #39) out of 5 residents reviewed for care plans. The facility failed to review or revise Resident #39's care plan after a significant change in condition when Resident #39's code status changed from full code to DNR on [DATE]. This failure could place resident at risk for receiving inadequate care and services.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan for 1 of 5 residents (Resident #1) reviewed for wound care. The facility failed to ensure the wound care nurse knew the proper technique for cleansing the venous stasis ulcer during wound care in order to prevent cross-contamination and infection. The deficient practice and failure could place residents at risk for cross contamination, infection, and improper wound healing.

Inspectors wroteBased on observation, interviews, and record reviews, the facility failed to ensure that one (Residents #17) of one resident with an indwelling urinary catheter reviewed received the appropriate treatment and services to prevent Urinary Tract Infection (UTI's): The facility failed to ensure Resident #17 ' s urinary drainage tubing and catheter drainage bag were kept from touching and resting on the floor. This failure could affect any resident with an indwelling urinary catheter and place them at risk of developing or increased UTI's.

Inspectors wroteBased on interviews and record reviews, the facility failed to ensure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals to meet the needs of each resident for 9 of 12 residents (Resident #2, Resident #3, Resident #4, Resident #5, Resident #6, Resident #7, Resident #8, Resident #9, and Resident #10) reviewed for pharmacy services. 1) The facility failed to ensure ADON D disposed of one tablet of Hydrocodone-APAP 10-325 mg by properly including a witness signature on the narcotic sheet when destroyed on 02/28/25 for Resident #2. 2) The facility failed to ensure ADON D disposed of one tablet of Hydrocodone-APAP 10-325 mg by properly including a witness signature on the narcotic sheet when destroyed on 03/04/25 for Resident #3. [...]

Inspectors wroteBased on interviews and record review, the facility failed to ensure residents and/or the residents' representatives the right to participate in the development and implementation of his or her person-centered plan of care for 1 (Resident #1) of 5 residents reviewed for care plans. The facility failed to record any documentation showing any care plan meeting involving Resident #1 or their RP occurred during her stay at the facility from her admission date on 05/29/24 through her discharge date of 12/31/24. This failure could place residents at risk for inadequate care, accidents, and injuries.

Inspectors wroteBased on observation, interview, and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment, and to help prevent the development and transmission of communicable diseases and infections for 4 of 5 residents (Residents #1, #2, #3 and #4) reviewed for infection control practices. 1. The facility failed to ensure the ICP, ADON, DON, staff nurses and CNAs knew the proper placement of PPE carts. 2. The facility failed to ensure PPE carts were posted outside of the EBP rooms of Residents #1, #2, #3 and #4. These failures could place residents at risk of cross contamination and/or infection.

Inspectors wroteBased on interview and record review, the facility failed to ensure the resident had the right to be free from abuse, neglect, misappropriations of resident property, and exploitation for one (Resident #1) of five residents reviewed for abuse. The facility failed to ensure that Resident #1 was free from abuse. On 04/30/24, Resident #2 intentionally pinched Resident #1 on the left arm because Resident #1 put her fingers into Resident #2's cup of ice. Resident #1 sustained bruising from the pinches. Resident #2 was transferred to another facility on 05/01/2025. This failure could place residents at risk for abuse and physical, mental, and psychosocial harm.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that licensed nursing staff were able to demonstrate the specific competencies and skill sets necessary to care for resident's needs. The facility failed to ensure LVN-D and LVN-E both were competent in counting their narcotics correctly, as well as competent in keeping control of the narcotic keys appropriately. On 02/26/25 prior to shift change, LVN-D failed to count her narcotics off with LVN-E prior to leaving at the end of her shift, as well as LVN-E failed to secure the narcotic key on her body or person, but left it sitting in a cabinet at the nurses station. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that drugs and biologicals used in the facility were secured and stored in accordance with current accepted professional principles for 2 of 4 medication carts observed for medication storage in that: The facility failed to ensure the 400 hall medication cart and the 100 hall medication cart were locked and/or secured. This failure could place the residents at risk of gaining access to unlocked medications that were not prescribed to them.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure that drugs and biologicals were stored in locked compartments for 2 of 8 medication carts observed for compliance. Two medication carts in the 100 hall were left unlocked and unattended by CMA B. This failure could place residents at risk of access and ingestion of non-narcotic medications. This failure had the potential to affect all 29 residents in the 100 hall.

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 4 Residents ( Resident's #10, #68, #70, and #91) of 9 reviewed for care plans. 1. Resident #10's comprehensive care plan dated 03/23/23 did not reflect he was a smoker nor had a Smoking Safety Screen 2. Resident #68's comprehensive care plan dated 09/28/23 did not reflect she was a smoker nor had a Smoking Safety Screen 3. Resident #70's comprehensive care plan dated 02/27/23 did not reflect he was a smoker nor had a Smoking Safety Screen 4. [...]

Inspectors wroteBased on observation, interviews, and record review, the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice, to include providing and obtaining clinical laboratory services to meet the needs of its 28 residents who receive insulin services. The facility failed to keep a log documenting the control solution testing results for the facility's glucometers. This failure could result in not determining if the glucometers were functioning properly and/or obtaining false glucometer readings.

Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen and 1 of 1 nutrition room reviewed for sanitation in that: 1. The facility failed to ensure a juice dispenser gun was sanitary 2. The facility failed to ensure equipment was clean and sanitized 3. The facility failed to ensure dry goods were dated, labeled, and sealed. 4. The facility failed to ensure spices were not left open to the air 5. The facility failed to ensure items in the nutrition room's refrigerator were labeled, dated, and not expired 6. The facility failed to ensure items in the nutrition room were labeled, dated, and not expired 7. The facility failed to ensure the kitchen was following their policies These failures could place residents at risk of foodborne illnesses.

Inspectors wroteBased on observation, record review, and interview, the facility failed to establish and maintain an infection prevention and control program, designed to provide a safe and sanitary environment to help prevent the development and transmission of communicable diseases and infections, for 3 residents (Resident #13, Resident #29, and Resident #55) of 26 residents that were reviewed for infection control and transmission-based precautions policies and practices, in that: The facility failed to ensure ADON A, HR personnel, and CNA A did not grab resident's' cups and bowls by the rim with bare hands, contaminating the tops of the rims, during the lunch meal serving process. These failures could place residents at risk for infection through cross contamination of pathogens.

Inspectors wroteBased on observation, interview and record review the facility failed to treat residents with respect and dignity for 2 of 6 (Resident #35, and Resident #35)) residents reviewed for resident rights in that: The facility failed to ensure Resident #14, and Resident #35 were treated with dignity in that: Resident #14 and Resident #35's room had a strong odor of urine. Resident #35's floor mat was saturated in urine Resident #35's mattress was saturated in urine, had discoloration, and was stained. Resident #14 and Resident #35's floor was sticky This failure could place residents at risk of feeling uncomfortable, a diminished quality of life, and decline in self-worth.

Inspectors wroteBased on observation, interviews and record review, the facility failed to ensure each resident had a right to a safem clean, comfortable environment for two (Resident #14, and Resident #35) of six residents reviewed for resident rights. -Resident #14 and Resident #35's room had a strong odor of urine. -Resident #35's floor mat was saturated in urine -Resident #35's mattress was saturated in urine, had discoloration, and was stained. -Resident #14 and Resident #35's floor was sticky This failure could place residents at risk of feeling uncomfortable, a diminished quality of life, and decline in self-worth.

Inspectors wroteBased on observation, interview and record review, the facility must dispose of garbage and refuse properly for 3 of 3 dumpsters (dumpsters A, B, and C) reviewed for garbage disposal. The facility failed to ensure the dumpsters A, B, andC's lids and doors were secured. The facility failed to ensure the dumpsters A, B, and C's were not overflowing This failure could place residents at risk of infection from improperly disposed garbage.

Inspectors wroteBased on observations, record reviews and interviews the facility failed follow their own established smoking policy for 1 of 9 residents (Resident #30) reviewed for smoking and compliance in that: The facility failed to ensure Resident #30 was wearing a smoking apron the facility implemented as part of their resident's Smoking Policy assessment. This deficient practice could affect residents who smoke and require a smoking apron byand contributeing to a smoking-related injury, fire, and an unsafe smoking environment.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure each resident was free from abuse for 3 of 8 sampled residents (Residents # 8, #22, and #23) reviewed for abuse, in that: Resident #8 was told by CNA X that she could use the restroom by herself and spoke to her very unprofessionally. Resident #8 was left being fearful of falling, and feared retaliation. Residents #22 and #23 both described CNA X as having left them in wet briefs after asking to be changed Leaving Resident #23 feeling humiliated. This failure placed residents at risk of fear, humiliation, and a diminished quality of life.

Inspectors wroteBased on interview and record review, the facility failed to use the services of a registered nurse for at least 8 consecutive hours a day, 7 days a week for 4 of 74 days reviewed for RN coverage. The facility failed to ensure they had an RN on duty on Sunday, 02/11/24, Sunday, 02/25/24, Saturday, 03/09/24, and Sunday, 03/10/24. This failure could place residents at risk of missed nursing assessments, interventions, and treatment.

Inspectors wroteBased on observations, interviews and record reviews, the facility failed to ensure residents were free of any significant medication errors for 1 (Resident #3) of11 residents reviewed for pharmacy services, in that:. LVN C failed to accurately reconcile Resident #3's heart medications of: Hydralazine 50mg Q8hr, Metoprolol 50mg Q12hr, Isosorbide dinitrate 20mg daily, or Nifedipine 20mg Q8hr was not acquired and administered from 11/16/2023-11/24/2023 (8days). Resident #3 was admitted to the hospital from dialysis with diagnoses including NSTEMI type 2 (heart attack), Atrial fibrillation. The noncompliance was identified as PNC. The IJ began on 11/16/23 and ended on 11/28/23. The facility had corrected the noncompliance before the survey began. [...]

Inspectors wroteBased on interview, and record review, the facility failed to ensure for 1 of 11 residents (Resident #3) was admitted with physician order for their care reviewed for admission orders, in that. LVN C failed to accurately reconcile Resident #3's hospital instructions to resume medications with the physician for her prescribed heart medication of: Hydralazine 50mg Q8hr, Metoprolol 50mg Q12hr, Isosorbide dinitrate 20mg daily, or Nifedipine 20mg Q8hr from 11/16/2023-11/24/2023 (8days). The noncompliance was identified as PNC. The IJ began on 11/16/23 and ended on 11/28/23. The facility had corrected the noncompliance before the survey began. This failure could have jeopardized the well-being of Resident #3 as well as could have led to the demise of Resident #3.

Inspectors wroteBased on observation, and interview, the facility failed to ensure that drugs and biologicals used in the facility were secured properly for one of two nurse medication carts (Hall 300 nurse medication cart) and one of one wound care treatment carts (Hall 300) reviewed for drug storage. -Nurse medication cart on Hall 300 was left unlocked and unattended. -Wound Care Treatment cart on Hall 300 was left unlocked and unattended. These deficient practices could place residents at risk for harm to unauthorized people and place the facility at risk for possible drug diversion.

Inspectors wroteBased on interviews and record review, the facility failed to provide services in the facility with reasonable accommodation of resident needs and preferences, for two residents (Resident #1 and Resident #2) of eight residents reviewed for accommodation of needs. 1. The facility did not comply with Resident's #1 request to no longer permit the wound care nurse in his room, after explicitly requesting she no longer be in his room. 2. The facility staff did not provide Resident #2 with a certified professional sign language interpreter, when one was requested days prior to doctor's appointment. This failure could place residents at risk of not having their needs met.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of disease and infection for one (Resident #3) of five residents reviewed for infection control, in that: CNA A did not remove her contaminated gloves nor performed hand hygiene after touching multiple surfaces prior to initiating Resident #3's perineal care. These failures could place residents at risk for contamination and infection.