Lavaca Bay Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Lavaca Bay Nursing and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF578May 3, 2024

  Based on interview and record reviews, the facility failed to comply with the requirements specified in 42 CFR part 489, subpart I (Advance Directives). The facility was not relieved of its obligation to provide this information to the individual once he or she was able to receive such information. Follow-up procedures must be in place to provide the information to the individual directly at the appropriate time for 1 of 1 (Resident #1) reviewed for Advanced Directives, in that: Resident #1's RP wished to have a DNR code status for Resident #1. Resident #1's OOHDNR was not valid, and Resident #1 was administered CPR by LVN A and RN B on [DATE]. This deficient practice could affect residents with an OOH-DNR and could result in residents not getting their Do Not Resuscitate wishes honored. […]

• Immediate jeopardy, isolatedF689Sep 11, 2023

  Based on observation, interview, and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 9 residents (Resident #1) reviewed for accidents and hazards, in that: CNA A did not request assistance from a second staff when providing incontinent care and changing bed linens for Resident #1, resulting in the resident falling out of bed on 09/05/2023 and fracturing her right leg. An Immediate Jeopardy (IJ) was identified on 9/9/23 at 5:05 p.m. […]

• No harm, potential for more than minimal, widespreadF727Mar 27, 2026

  Based on interview and record review the facility failed to use the services of a registered nurse for at least 8 consecutive hours a day, 5 days a week, for 1 of 1 facility reviewed for nurse staffing. The facility failed to have RN coverage for 5 days on 11/08/2025, 11/22/2025, 11/27/2025, 11/30/2025, and 01/31/2026. This failure could place residents at risk of harm by denying residents the advanced critical thinking skills a registered nurse could provide.The findings included: Review of the facility's RN timecards from 10/01/2025 through 03/23/2026, revealed there were no RN hours for 11/08/2025, and 11/30/2025. The review of the RN timecards revealed there were less than eight hours for RN coverage on Saturday,11/22/2025, 11/27/2025, and 01/31/2026. […]

• No harm, potential for more than minimal, widespreadF812Aug 19, 2022

  Based on observation, interviews and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation in that: 1. Food items were not labeled and/or dated and did not contain discard dates. 2. Food items were opened and not refrigerated as recommended by the manufacturer. 3. Unpasteurized eggs were being used to make over easy eggs for a resident. Findings included: 1. Observation and interview on 8/16/2022 at 11:57 a.m. of the freezer behind the food prep table revealed: a. 9 white circular shaped items in a clear cellophane bag with no label or date, identified as crusts by the Cook. b. […]

• No harm, potential for more than minimal, patternF641Mar 27, 2026

  Based on observation, interview, and record review, the facility failed to ensure the resident assessment accurately reflected the resident's status for 3 of 12 residents (Residents #12, #13, and #65) who were reviewed for resident assessments. 1. The facility failed to document Resident #13's use of anxiolytic and hypoglycemic medications on the quarterly MDS (Minimum Data Set) assessment. 2. The facility failed to document Resident #65's diagnosis of schizoaffective disorder as an active diagnosis on the resident's MDS. […]