Brownwood Nursing & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Brownwood Nursing & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF686Feb 23, 2023

  Based on observation, interview and record review the facility failed to ensure a resident with pressure ulcers received the necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for 1 of 4 residents (Resident #1) reviewed for pressure ulcers. The facility failed to ensure unnecessary pressure wasn't caused by Resident #1's knee immobilizer to Resident #1's left posterior ankle/calf and left lateral leg which caused an unstageable pressure injury and left lateral leg unstageable pressure injury from a medical device. An Immediate Jeopardy (IJ) situation was identified on 2/22/2023 at 5:21 PM. […]

• No harm, potential for more than minimal, widespreadF812Nov 8, 2022

  Based on observations, interviews, and record reviews, the facility failed to Store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen's reviewed for food service. The facility failed to label items in refrigerators and freezers with a received and/or opened date. The facility failed to discard items in refrigerators and freezers after expired and/or use by dates. The facility failed to seal items in refrigerators and freezers. The facility staff failed to perform hand hygiene when switching tasks while preparing and serving food. These failures placed all residents at risk of food borne illnesses. […]

• No harm, potential for more than minimal, widespreadF812Sep 9, 2021

  Based 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 in 1 of 1 kitchen reviewed. 1. The facility failed to ensure food containers were dated when opened. 2. The facility failed to ensure opened items were stored in sealed containers or bags 3. The facility failed to ensure items stored as individual servings were labeled with contents and dated. 4. The facility failed to ensure items were disposed of after expiration date. These failures could place residents at risk for food-borne illness, weight loss due to decreased palatability, or adverse reaction to due to receiving unlabeled items. […]

• No harm, potential for more than minimal, patternF689Apr 15, 2026

  Based on observation, interview and record review the facility failed to ensure the resident environment remained as free of accident hazards as was possible and each resident received adequate supervision and assistance devices to prevent accidents for of 3 residents 18 (Resident #13, Resident #1, and Resident #25) reviewed for accidents. 1. The facility failed to ensure Resident #13 wore a smoking apron when smoking as per her safe smoking assessment. 2. The facility failed to ensure Resident #1 had a safe smoking assessment completed prior to allowing him to smoke.3. The facility failed to ensure Resident#25 had a safe smoking assessment completed prior to allowing him to smoke. These failures could place residents at risk of injury and serious bodily harm.Findings include: 1. […]

• No harm, potential for more than minimal, patternF880Apr 15, 2026

  Based on observations, interviews and record reviews, the facility failed to 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 1 of 5 (LVN D) staff and 2 of 18 (Resident #22 and Resident #64) reviewed for infection control procedures.The facility failed to ensure LVN D followed EBP while managing Resident #68's central line (a long, flexible catheter inserted into a large vein near the heart to deliver medications, fluids, or monitor blood flow over an extended period) on 4/13/26. […]