Copperas Cove Nursing & Rehabilitation

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Jul 30, 2025

  Based on interview and record review, the facility failed to ensure the residents environment remained as free of accident hazards as is possible and ensure each resident received adequate supervision for one (Resident #1) of three residents reviewed for accidents and hazards. The facility failed to ensure CNA A did not provide personal care for Resident #1 without another staff member (which he required) on 07/27/25. She yanked on his right arm when attempting to roll him to his side, and he heard a pop. He was in excruciating pain and was subsequently diagnosed with a shoulder sprain at the hospital. The noncompliance was identified as PNC. The IJ began on 07/27/25 and ended on 07/29/25. The facility had corrected the noncompliance before the survey began. […]

• Immediate jeopardy, isolatedF684Oct 16, 2024

  Based on interviews and record review, the facility failed to provide the necessary care and service to attain or maintain the highest practicable physical, mental, and psychosocial wellbeing for 1 (Resident # 1) of 6 (Resident's 2.3.4.5.amd 6) residents reviewed for following hospital discharge orders. The facility failed to follow hospital discharge orders for follow up with Urology secondary to a urethral stent (a thin tube placed between the kidney and bladder to help urine flow) placement on 4/26/2024. On 10/12/24 at 5:10 PM an Immediate Jeopardy (IJ) was identified. […]

• Immediate jeopardy, isolatedF684Dec 20, 2021

  Based on observation, interviews, and record reviews, the facility failed to provide treatment and care in accordance with professional standard of practice, the comprehensive person-centered care plan, and the residents' choices for one (Resident #1) of three residents reviewed for quality of care in that: LVN A and LVN B failed to assess, monitor, and provide Resident #1 with appropriate medical intervention after she sustained unwitnessed falls on [DATE] and [DATE] and had a change in her condition. An Immediate Jeopardy (IJ) was identified on [DATE] at 7:07 p.m. […]

• No harm, potential for more than minimal, widespreadF812Jul 19, 2023

  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 for one of one kitchen reviewed for sanitation. The DM failed to ensure all items were dated when they were opened. The DM failed to properly store beverages. CK B failed to reheat food to the temperature required for serving. These failures placed residents at risk of foodborne illness. Findings included: During an interview and observation of the kitchen on 7/17/2023 at 8:22 a.m., the reach-in refrigerator contained an opened container of mayonnaise dated 6/30/2023, an opened container of sweet and sour sauce dated 6//09/2023, an opened container of tartar sauce dated 5/19/2023, and an opened container of… […]

• No harm, potential for more than minimal, patternF686Apr 13, 2026

  Based on observation, interview and record review, the facility failed to ensure residents received care consistent with professional standards of practice to prevent pressure ulcers and did not develop pressure ulcers unless the individual's clinical condition demonstrates they were unavoidable, and a resident with pressure ulcers received necessary treatment and services to promote healing, prevent infection, and prevent new ulcers from developing for 1 of 5 Residents (Resident #1) reviewed for quality of care. The facility failed to complete wound care treatment for Resident #1 on 01/03/2026, 01/30/2026, 02/05/2026, 02/07/2026, 02/08/2026. […]