Five Points of Pflugerville

In the surveyor’s words

From the most serious findings on record at Five Points of Pflugerville, in the surveyor’s own words.

• Immediate jeopardy, patternF684Dec 31, 2024

  Based on observation, 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 three residents reviewed for quality of care. The facility failed to: - Ensure Resident #1 was transferred per her transfer status (hoyer lift with two-person assistance) on two occasions on [DATE]. On the first occasion, LVN A and CNA B lost their grip and Resident #1 slid to the ground. LVN A, CNA B, and CNA C transferred her from the ground to the bed without a hoyer lift. Approximately 24 hours later her legs were swollen, red, and warm to touch. […]

• Immediate jeopardy, patternF689Dec 31, 2024

  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 one (Resident #1) of three residents reviewed for accidents and hazards. The facility failed to: - Ensure Resident #1 was transferred per her transfer status (hoyer lift with two-person assistance) on two occasions on [DATE]. On the first occasion, LVN A and CNA B lost their grip and Resident #1 slid to the ground. LVN A, CNA B, and CNA C transferred her from the ground to the bed without a hoyer lift. Approximately 24 hours later her legs were swollen, red, and warm to touch. […]

• Immediate jeopardy, patternF600Aug 21, 2023

  Based on observations, interviews, and record reviews, the facility failed to ensure that each resident had a right to be free from neglect for 1 of 65 residents (Resident #2) reviewed for neglect. The facility failed to check the AED device to ensure it had an active status, was cleaned, without visible defects, did not have a low battery, and in operating condition before using it on Resident #2 prior to EMS arrival on [DATE]. Resident #2 passed away at the facility on [DATE]. An IJ was identified on [DATE]. The IJ template was provided to the facility on [DATE] at 9:08 P.M. […]

• Immediate jeopardy, patternF678Aug 21, 2023

  Based on observations, interviews, and record reviews, the facility failed to provide basic emergency life support immediately when needed, including cardiopulmonary resuscitation (CPR), for 1 of 65 residents (Resident #2) reviewed for advance directives. The facility failed to check the AED device to ensure it had an active status, was cleaned, without visible defects, did not have a low battery, and in operating condition before using it on Resident #2 prior to EMS arrival on [DATE]. Resident #2 passed away at the facility on [DATE]. An IJ was identified on [DATE]. The IJ template was provided to the facility on [DATE] at 9:08 PM. […]

• Immediate jeopardy, isolatedF689Mar 9, 2023

  Based on observation, interview and record review, the facility failed to ensure each resident received adequate supervision and failed to ensure the resident remained free of accident hazards as possible for one (Resident #1) of 82 residents. The facility failed to provide an environment free from accidents and hazards over which the facility had control and provided supervision to prevent avoidable accidents. On 02/18/2023, Resident #1 was able to elope from the facility using the 200-hallway emergency alarmed exit door. The 200-hallway door was used temporarily as the facility main entrance and exit from 02/04/2023 until 03/01/2023. After seeing Resident #1's wheelchair empty outside of the 200-hallway exit door, facility staff began looking for Resident #1 within the facility. […]