Goldthwaite Health & Rehab Center

In the surveyor’s words

From the most serious findings on record at Goldthwaite Health & Rehab Center, in the surveyor’s own words.

• Immediate jeopardy, patternF600May 25, 2024

  Based on observation, interview, and record review, the facility failed to ensure residents had the right to be free from abuse, neglect, misappropriation of resident property, and exploitation for 5 of 9 residents (Residents #1, #2, #3, #4, and #5) reviewed for abuse. 1. The facility failed to prevent COTA D from sexually abusing Resident #1 when COTA D had intercourse with the resident in the resident's room after the resident was on the therapist's caseload. 2. The facility failed to protect Resident #2 when COTA D removed the resident's pants for therapy treatment. 3. The facility failed to prevent COTA D from touching Resident #4 and Resident #5's buttocks while rubbing their back during their therapy session. 4. […]

• Immediate jeopardy, patternF607May 25, 2024

  Based on observation, interview, and record review, the facility failed to follow their policies and procedures to prevent mistreatment, abuse, neglect, and exploitation of a resident, and misappropriatoions of residents property for 4 of 9 residents (Residents #1, #2, #3, #4, and #5) reviewed for abuse. 1. The facility failed to follow their plocies and procedures to investigate and report to state office when they received allegations that COTA D was having a relationship Relationship with COTA D. COTA D had intercourse with Resident #1 in the resident's room after the resident was on the therapist's caseload. 2. The facility failed to protect Resident #2 when CNA A witnessed COTA D was in the resident's room and she was not wearing pants for her therapy treatment. […]

• Immediate jeopardy, patternF835May 25, 2024

  Based on observation, interview and record review the facility failed to administer in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practical physical, mental, and psychological well-being of each resident in that: The facility failed to ensure that residents were free from abuse for 5 (Residents #1, 2, 3, 4, 5)) of 9 residents reviewed for abuse. The facility failed to follow their policy and procedure for investigating allegations of abuse. […]

• No harm, potential for more than minimal, widespreadF812May 14, 2026

  Based on observation, interview, and record review the facility failed to store, distribute, and serve food in accordance with professional standards for food safety in the facility's only kitchen. 1.The facility failed to dispose of 3 expired cereal containers located on the dry goods storage shelves.2.The facility failed to dispose of 1 expired chocolate topping located in the kitchen's walk-in refrigerator.3.The facility failed to dispose of used cooking oil.4.The facility failed to label and date all food items located in the designated resident refrigerator located in the dining room. […]

• No harm, potential for more than minimal, widespreadF812Jan 31, 2024

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with the professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation. 1. The facility failed to ensure foods were properly stored, labeled, and dated. 2. The facility failed to ensure general cleanliness was maintained in the kitchen. 3. The facility failed to ensure hairnets were worn. 4. The facility failed to ensure staff did not use hands when serving food. These failures could place residents who ate food served by the kitchen at risk of food-borne illness. Findings include: Observation of the freezer on [DATE] @ 9:05 AM revealed the following: 1. (3) bags of tater tots, no label or date, not in the original box. […]