Caraday of Lampasas

In the surveyor’s words

From the most serious findings on record at Caraday of Lampasas, in the surveyor’s own words.

• Actual harm, patternF600Mar 6, 2024

  Based on observation, interviews and record review the facility failed to ensure residents had the right to be free from abuse for 10 (Resident's # 1-10) of 16 residents on the memory care unit. The facility failed to ensure a safe environment free from verbal abuse for residents on the memory care unit when LVN C was yelling at Residents # 1-10 in the common room on 2/28/2024. This failure could affect all residents in the memory care unit by placing them at risk for physical, mental, and emotional decline, psychosocial harm, and can lead to isolation and withdrawal from activities of enjoyment. This was determined to be a Past Noncompliance (2/28/2024-2/29/2024) due to the facility having to implemented actions that corrected the noncompliance prior to the investigation. […]

• Actual harm, isolatedF692Nov 7, 2024

  Based on observations, interviews, and record reviews, the facility failed to provide nutrition and hydration care and services for two of three residents (Resident # 24 and Resident #18), consistent with the resident's comprehensive care plan. The facility failed to provide sufficient fluids for two of three residents to prevent dehydration and infections. This deficient practice placed the residents at risk for increased confusion, lethargy, increased urinary tract infections, kidney issues, excessive thirst, dry skin, decline in status, pain, illness, hospitalization and affects their psychosocial wellbeing. Findings included: Review of the undated face sheet and undated care plan for Resident #24 reflected a [AGE] year-old male admitted on [DATE]. […]

• Actual harm, isolatedF697Sep 14, 2023

  Based on observation, record review, and interview, the facility failed to ensure that pain management was provided to residents who required such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences, for one of four residents (Resident #39) reviewed for pain management. The facility failed to ensure Resident #39 was assessed, monitored, and received pain medication prior to wound care provided for a stage III pressure ulcer (Full thickness tissue loss. Subcutaneous fat may be visible, but bone, tendon or muscle is not exposed. Slough may be present but does not obscure the depth of tissue loss. May include undermining and tunneling.) his right lateral heel. […]

• No harm, potential for more than minimal, widespreadF727Feb 26, 2026

  Based on interview and record review the facility failed to designate a registered nurse to serve as the director of nursing on a full-time basis for 1 of 1 DON reviewed for DON coverage and failed to use the services of a registered nurse for at least 8 consecutive hours a day, 7 days a week for 1 of 1 facility reviewed for nursing services. The facility failed to have a full-time Director of Nursing on 2/14/2026 and 2/15/2026 as of 02/26/2026. This failure could place residents at risk of lack or nursing oversight and a higher level of care.Findings included: Record review of the facility RN Dayforce Data report indicated on 2/15/2026 there was no RN coverage. Interview on 02/26/26 at 1:50 PM with the Business Office Manager revealed the facility last DON resigned as of 2/17/2026. […]

• No harm, potential for more than minimal, widespreadF812Sep 14, 2023

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute food in accordance with professional standards for food service safety for one of one kitchen reviewed for kitchen sanitation. 1. The facility failed to ensure the [NAME] (one cook) wore a beard net during food service. 2. The facility failed to properly label food in two of four open front refrigerators located in the kitchen and one of one vegetable freezers located in the dry storage room. Findings included: 1. Observation on [DATE] at 8:45 AM revealed the cook was standing in the kitchen between the dietary manager office and the steam table. He did not have on a beard guard. […]