Coral Rehabilitation and Nursing of Austin

In the surveyor’s words

From the most serious findings on record at Coral Rehabilitation and Nursing of Austin, in the surveyor’s own words.

• Immediate jeopardy, patternF695Sep 5, 2025

  Based on observation, interview and record review the facility failed to ensure that a resident who needed respiratory care, including tracheostomy care and tracheal suctioning, was provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for one of three residents (Resident #1) reviewed for tracheal care.1. The facility failed to have orders in place to provide care to Resident #1's tracheostomy (a hole in front of the neck and into the windpipe) since he was admitted to the facility on [DATE].2. […]

• Immediate jeopardy, patternF697Sep 5, 2025

  Based on observation, interview, and record review, the facility failed to ensure that pain management is provided to residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for one (Resident #1) of four residents reviewed for pain. The facility failed to: - Order Resident #1's Hydrocodone before it ran out, causing him to be excruciating pain for two days (08/10/25 - 08/12/25), resulting in him being sent to the ER.- Properly document the ordered PRN Hydrocodone administered to Resident #1 as his August 2025 MAR did not match the narc count sheet for his PRN Hydrocodone.- Assess Resident #1 for the effectiveness of his PRN Hydrocodone (as ordered) after it was… […]

• Immediate jeopardy, patternF726Sep 5, 2025

  Based on observation, interviews and record reviews the facility failed to have sufficient nursing staff with the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care and considering the number, acuity and diagnoses of the facility's resident population in accordance with the facility assessment for one of three Residents (Resident #4) reviewed for competent nursing staff.LVN E failed to provide trach care and suctioning to Resident #4 according to professional standards of practice. An Immediate Jeopardy (IJ) situation was identified on 08/28/2025. […]

• Immediate jeopardy, patternF580May 21, 2025

  Based on interview and record review, the facility failed to immediately consult with the resident's physician; and notify, consistent with his or her authority, the resident representative(s) when there was a significant change in the resident's physical, mental, or psychosocial status (that is, a deterioration in health, mental, or psychosocial status in either life threatening conditions or clinical complications);- for one (Resident #1) of four residents reviewed for quality of care. The facility failed notify Resident #1's NP or RP when he was experiencing a change in condition/decline for an unknown length of time when he stopped getting out of bed, was unable to feed himself, and complained of leg pain during personal care. […]

• Immediate jeopardy, patternF684May 21, 2025

  Based on interview and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (Resident #1) of four residents reviewed for quality of care. The facility failed to ensure staff did not address (and/or document) a change in condition for an unknown length of time when Resident #1 stopped getting out of bed, was unable to feed himself, and complained of leg pain during personal care. […]