Austin Trace Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Austin Trace Health and Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF757Jun 29, 2021

  Based on record review, interview and review of a medication reference website; the facility failed to ensure an unresponsive resident's blood glucose level was assessed prior to administering insulin, resulting in actual harm when the resident was admitted to the hospital for [CONDITION(S)] and blood sugar monitoring. This affected one (Resident #1) of three residents reviewed for medication administration. The census was 48. Findings include: Review of the medical record for Resident #1 revealed the resident was admitted to the facility on [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF812Jun 11, 2026

  Based on observation, staff interview, review of the facility dishwasher temperature logs, and review of manufacturer's manual, the facility failed to store and label food properly and failed to ensure low temperature dishwasher met proper temperature during the wash cycle. This had the potential to affect all residents in the facility with the exception of 13 facility-identified residents (#7, #9, #10, #26, #38, #44, #50, #67, #87, #90, #98, #102, and #108) who did not receive food from the kitchen. The facility census was 116 residents. Findings include: 1. Observation on 06/08/26 at 8:12 A.M. […]

• No harm, potential for more than minimal, widespreadF880Apr 13, 2022

  Based on medical record review, observation, staff interview, review of information from the Centers for Disease Control (CDC) and policy review, the facility failed to ensure newly admitted residents who were not up-to-date with their Coronavirus Disease 2019 (COVID-19) vaccine were quarantine and failed to ensure staff wore appropriate personal protective equipment (PPE) when entering quarantine residents room, to potentially prevent the spread of COVID-19. This had the potential to affect all 77 residents residing in the facility. Additionally, the facility failed to ensure staff washed their hands or performed hand hygiene appropriately after changing gloves during a dressing change for Resident #32. This affected one (#32) out of three residents sampled for skin breakdown. […]

• No harm, potential for more than minimal, patternF880Jun 11, 2026

  Based on medical record review, observation, staff interview, and review of manufacturer's guidelines the facility failed to ensure sterile equipment was used for tracheostomy care. This affected one (Resident #30) of 14 residents with tracheostomies. Based on medical record review, observation, and staff interview, the facility failed to follow proper infection control protocols during meal service. This affected one (Resident #79) of 10 residents observed for dining. Based on medical record review, observation, staff interview, review of the facility policy, and review of online guidelines per the Centers for Disease Control (CDC) the facility failed to ensure staff donned appropriate personal protective equipment (PPE) and failed to ensure staff could appropriately discard PPE. […]

• No harm, potential for more than minimal, patternF812Nov 17, 2023

  Based on record review, staff interview, and policy review, the facility failed to ensure refrigerator temperature logs in resident's rooms were accurately completed accurately. This affected five (#14, #15, #16, #17, and #18) out of five residents reviewed for having refrigerators in their rooms. The facility census was 97. Findings include: 1) Review of the medical record for Resident #14 revealed he was admitted to the facility on [DATE]. Diagnoses included respiratory failure unspecified with hypercapnia, chronic kidney disease stage three, anemia, major depressive disorder, hyperlipidemia, type two diabetes mellitus with diabetic neuropathic arthropathy, and chronic obstructive pulmonary disease. […]