Inspection Reports for
Bangs Nursing Home and Rehabilitation Center
TX, 76823
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
3.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
6% better than Texas average
Texas average: 3.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Aug 7, 2025
Visit Reason
The inspection was conducted to assess the facility's compliance with regulatory requirements related to comprehensive, person-centered care plans for residents.
Findings
The facility failed to develop and implement comprehensive care plans with measurable objectives and time frames for 6 of 6 residents reviewed, potentially placing residents at risk of not receiving individualized care and services to achieve their goals.
Deficiencies (1)
Failed to develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Report Facts
Residents reviewed for care plans: 6
BIMS score: 3
BIMS score: 0
BIMS score: 0
BIMS score: 15
BIMS score: 15
BIMS score: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LVN A | Licensed Vocational Nurse | Stated leadership was responsible for care plans and described care plan meeting process |
| ADON | Assistant Director of Nursing | Runs care plan meetings and responsible for creating baseline care plans |
| DON | Director of Nursing | Responsible for care plans and described monitoring and training related to care plans |
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Jul 2, 2024
Visit Reason
The inspection was conducted to investigate complaints regarding failure to provide appropriate pressure ulcer care and respiratory care to residents, including failure to follow physician orders and infection control practices.
Complaint Details
The complaint investigation found substantiated failures related to pressure ulcer prevention and respiratory care, including noncompliance with physician orders and infection control policies.
Findings
The facility failed to ensure that Resident #28 wore physician-ordered pressure relief boots, placing residents at risk for pressure ulcers. Additionally, the facility failed to ensure proper respiratory care for Residents #85 and #19, including oxygen equipment not being properly stored or used, increasing risk for respiratory illnesses.
Deficiencies (3)
Failure to provide appropriate pressure ulcer care by not placing pressure relief boots on Resident #28's feet as ordered.
Failure to provide safe and appropriate respiratory care by allowing Resident #85's oxygen nasal cannula and tubing to lie on the floor.
Failure to ensure Resident #19's nebulizer mask and tubing were stored in a clear plastic bag when not in use.
Report Facts
Residents reviewed for quality of care: 14
Residents reviewed for respiratory care: 5
Residents affected: 1
Residents affected: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| ADMN | Stated clinical questions would be referred to DON and staff should follow facility policies | |
| DON | Stated expectation that orders should be followed and identified missing pressure relief boots and improper respiratory equipment storage | |
| RN A | Registered Nurse | Stated proper storage and replacement procedures for oxygen tubing and nebulizer equipment |
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Jul 2, 2024
Visit Reason
The inspection was conducted to investigate complaints regarding the facility's failure to provide appropriate pressure ulcer care and respiratory care consistent with professional standards for certain residents.
Complaint Details
The complaint investigation found substantiated failures related to pressure ulcer prevention for Resident #28 and respiratory care for Residents #85 and #19, with risks identified for skin breakdown and respiratory infections.
Findings
The facility failed to ensure that Resident #28 wore physician-ordered pressure relief boots to prevent pressure ulcers, and failed to provide safe respiratory care for Residents #85 and #19, including improper handling of oxygen equipment and nebulizer supplies, placing residents at risk of harm.
Deficiencies (3)
Failure to ensure Resident #28 wore pressure relief boots as ordered to prevent pressure ulcers.
Failure to ensure Resident #85's oxygen nasal cannula and tubing were not lying on the floor.
Failure to ensure Resident #19's nebulizer mask and tubing were stored in a clear plastic bag when not in use.
Report Facts
Residents reviewed for quality of care: 14
Residents reviewed for respiratory care: 5
BIMS score: 0
BIMS score: 10
BIMS score: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| ADMN | Stated clinical questions would be referred to DON and staff should follow policies | |
| DON | Stated expectation that pressure relief boots should be worn and oxygen equipment stored properly; acknowledged lack of policy for following physician orders | |
| RN A | Registered Nurse | Stated nebulizer tubing and mask should be stored in plastic bag and replaced if found on floor; identified responsibility of Sunday night shift nurse |
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: May 24, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding failure to timely report suspected abuse, neglect, or injuries of unknown source involving Resident #27, and concerns about medication labeling, storage, and infection control practices.
Complaint Details
The complaint investigation focused on allegations that the facility failed to report suspected abuse involving bruising on Resident #27 within 24 hours. The investigation found that bruises were observed but not reported timely, and staff were unaware or failed to communicate about the bruises. The Administrator admitted to not investigating the bruises properly.
Findings
The facility failed to timely report suspected abuse involving bruising on Resident #27, failed to label multi-use medication vials with open dates and secure medication carts, and failed to maintain proper infection control practices including hand hygiene and glove use during resident care.
Deficiencies (3)
Failure to timely report suspected abuse involving bruising on Resident #27 within 24 hours to the administrator and other officials.
Failure to label multi-use vials of tuberculin and influenza vaccine with open dates and failure to secure treatment cart #1 when unattended.
Failure to maintain an infection prevention and control program, including failure of PT B to perform hand hygiene between glove changes and failure of CNA C to perform hand hygiene or change gloves during incontinent care.
Report Facts
Deficiencies cited: 3
Bruise measurement: 2.5
Bruise measurement: 3
Bruise measurement: 1
Bruise measurement: 1.5
Bruise measurement: 1.5
Bruise measurement: 1.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LVN A | Licensed Vocational Nurse | Measured bruises on Resident #27's arm and reported incident |
| CNA C | Certified Nursing Assistant | Reported bruising on Resident #27's arm and failed to perform hand hygiene during incontinent care of Resident #25 |
| LVN D | Licensed Vocational Nurse | Completed incident report on bruises and observed unlocked medication cart |
| PT B | Physical Therapist | Failed to perform hand hygiene between glove changes during wound and incontinent care |
| ADON | Assistant Director of Nursing | Interviewed regarding bruising investigation, medication cart security, and infection control practices |
| Administrator | Facility Administrator | Admitted failure to investigate bruising and acknowledged concerns about infection control and medication storage |
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