Advanced Rehabilitation & Healthcare of Burleson

In the surveyor’s words

From the most serious findings on record at Advanced Rehabilitation & Healthcare of Burleson, in the surveyor’s own words.

• Immediate jeopardy, patternF755May 31, 2024

  Based on interview and record review the facility failed to provide pharmaceutical services to include the acquiring and administering of medications to meet the needs of each resident for 1 of 6 residents (Resident #1) reviewed for pharmacy services. The facility failed to ensure Resident #1 received his prescribed anti-convulsant medications (medications to prevent seizures) for eight days (16 doses) from 5/17/2024 until 5/25/2024. Resident #1 had a seizure on 5/25/2024 and was sent to the ED for emergent care, returned to the facility on [DATE] and had another seizure on 5/27/2024 and was sent back to the ED. The noncompliance was identified as PNC. The IJ began on 5/28/2024 and ended on 5/29/2024. […]

• Immediate jeopardy, isolatedF698Sep 11, 2025

  Based on interviews and record review, the facility failed to ensure that residents who required dialysis received such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for one (Resident #101) of three residents reviewed for Dialysis Care. The facility failed to transport Resident #101 to her dialysis appointment on 09/05/2025 at 6:00am due to not having a driver. On 09/09/2025 at 4:45p.m., an Immediate Jeopardy (IJ) was identified. […]

• No harm, potential for more than minimal, widespreadF725Sep 11, 2025

  Based on observations, interviews, and record review, the facility failed to ensure that the facility had sufficient staffing to meet the needs of five Residents (Residents #6, #15, #1, #85 and #97) of 20 residents reviewed for nursing services. The facility failed to ensure that the facility had sufficient staffing to meet the needs of Residents #6, #15, #1, #85 and #97.This failure could affect and diminish the resident's quality of life by potentially placing the residents at risk of not receiving timely care or receiving nursing interventions to meet the resident's needs, risk of injury, risk of safety, and/or it can make the resident feel neglected affecting their mental health and overall psychosocial well-being not being met by facility staff. […]

• No harm, potential for more than minimal, patternF692Jan 30, 2026

  Based on interview and record review the facility failed to maintain acceptable parameters of nutritional status, such as usual body weight or desirable body weight range and electrolyte balance, unless the resident's clinical condition demonstrated that this was not possible or resident preferences indicated otherwise for 1 (Resident #1) of 6 residents reviewed for nutrition status maintenance.The facility failed to Accurately and consistently assess a resident's weight status on admission and weekly for 4 weeks for Resident #1.These failures could place residents at risk of further weight loss, malnutrition, and a decreased quality of life. […]

• No harm, potential for more than minimal, patternF550Sep 11, 2025

  Based on observation, interview, and record review, the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life for 3 of 10 residents (Resident #9, Resident #53, and Resident #101) reviewed for resident rights. The facility failed to ensure CNA H knocked on Resident #9's and Resident #101's doors before entering the residents' rooms. The facility failed to ensure CNA A closed Resident #53's door during peri-care (cleaning of the private areas). These failures could place residents at risk of feeling like their privacy was invaded or cause psychosocial harm and emotional distress. […]