Emmanuel Care Center - Travis

In the surveyor’s words

From the most serious findings on record at Emmanuel Care Center - Travis, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF755Aug 25, 2026

  Based on interview and record review, the facility failed to administer three seizure (a sudden, uncontrolled electrical disturbance in the brain which can cause uncontrolled jerking, blank stares, and loss of consciousness) medications as per physician's orders to one resident (Resident 1) out of a census of 68, when Resident 1 did not receive his scheduled seizure medications on 8/22/26 and 8/23/26.This failure decreased the facility's potential to prepare, dispense, and administer Resident 1's medications as per physician's orders.Findings:A review of Resident 1's admission Record, indicated Resident 1 was admitted to the facility in August 2026 with a diagnosis of epilepsy (a chronic brain disorder characterized by recurring, unprovoked seizures caused by sudden bursts of abnormal… […]

• No harm, potential for more than minimal, patternF658Dec 4, 2025

  Based on observation, interview and record review, the facility failed to ensure professional standards of practice were followed for two of eight sampled residents (Resident 1 and Resident 8) when:Resident 1's blood pressure medication was administered without parameters (specific thresholds set by a doctor indicating when to administer or hold medications);Resident 3's hazardous medication (medication that can cause serious health problems requiring special handling to protect healthcare workers, residents, and the environment) was not handled safely during administration;Resident 8's vital signs (measurements of the body's most basic functions) were not taken before administration of blood pressure (BP) medications;Resident 8's blood pressure medication was administered outside the… […]

• No harm, potential for more than minimal, patternF692Dec 4, 2025

  Based on observation, interview, and record review, the facility failed to ensure adequate hydration and nutrition was provided for two of eight sampled residents (Resident 1 and Resident 4) when:Resident 1's fluid restriction (FR- limiting daily intake of all liquids often due to kidney or heart conditions) order was not followed; andResident 4's weight refusals were not documented. These failures increased the potential for Resident 1 to experience fluid overload and for Resident 4 to have significant weight changes. […]

• No harm, potential for more than minimal, patternF755Dec 4, 2025

  Based on observation, interview, and record review, the facility failed to develop a system to ensure the safe and secure disposal and reconciliation for controlled substances (medications with a high potential for abuse and addiction) in accordance with federal and state regulations when:1. The consultant pharmacist was not present on site to witness the disposal of controlled substances for the month of [DATE].2. Controlled substance medications were not accurately accounted for on the Medication Administration Record (MAR) and the Controlled Drug Record (CDR, an accountability record) for one of two randomly selected residents (Resident 4).These failures resulted in an increased risk for controlled substance medication loss, misuse, and potential harm to residents.1. […]

• No harm, potential for more than minimal, patternF812Dec 4, 2025

  Based on observation, interview and record review, the facility failed to store and prepare food in accordance with industry standards when:Food was labeled inconsistently,The can opener tip was chipped but still in use, and The blue cutting board was deeply gouged. These failures had the potential of leading to cross contamination of the 6 residents eating facility prepared meals. 1. During the initial kitchen tour on 12/2/25 at 8:50 a.m. in the dry storage area, containers of bulk food items were stored in large plastic containers. One such container held long grain rice that lacked a received date or an opened date, but indicated a use by date of 5/22/35. Another container which held barley, also lacked a received date or an opened date, but indicated a use-by date of 12-6-35. […]