Mabank Nursing Center

In the surveyor’s words

From the most serious findings on record at Mabank Nursing Center, in the surveyor’s own words.

• Immediate jeopardy, patternF580Jul 30, 2024

  Based on interview and record review the facility failed to immediately inform the resident, consult with the resident's physician and notify, consistent with his or her authority, the resident representative when there was a significant change in the resident's physical, mental, or psychosocial status that was, a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications for 1 of 6 residents (Resident #1) reviewed for notification of changes. 1. The facility failed to notify the physician of Resident #1's change in condition including head leaning heavily to the left, heavy incontinence, confusion, weakness, and need for 2-person assist on 7/15/24. 2. […]

• Immediate jeopardy, patternF684Jul 30, 2024

  Based on interview and record review the facility failed to ensure residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan and the residents' choices for 1 of 6 residents (Resident #1) reviewed for quality of care. 1.The facility failed to recognize Resident #1's head leaning heavily to the left, heavy incontinence, confusion, weakness, and need for 2-person assist on 07/15/24 as a change of condition. 2. The facility failed to ensure fluid intake was encouraged or increased for Resident #1 after receiving lab results on 7/18/24 which indicated Resident #1 was positive for a UTI. 3. The facility failed to follow-up for 2 days regarding Resident #1's lab results which were positive for UTI. 4. […]

• No harm, potential for more than minimal, widespreadF812Feb 14, 2024

  Based on observation, interview and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for food service safety. 1. The facility failed to ensure all food items were labeled and dated in the Freezer #1, Refrigerator #2, Refrigerator #3, Refrigerator #5, Freezer #6, Freezer #7, Freezer #8, Refrigerator #9 and the pantry. 2. The facility failed to ensure the sugar was stored in a bin with a closed lid. 3. The facility failed to ensure the range hood was free of greasy droplets. 4. The facility failed to ensure all kitchen staff wore a hairnet appropriately. […]

• No harm, potential for more than minimal, patternF689May 21, 2026

  Based on observations, interviews and record reviews, the facility failed to ensure that the resident environment remains as free of accident hazards as possible for 6 of 6 residents (Resident's #30, # 70, #81, #40, #58, and #6) reviewed for accidents.1.The facility failed to ensure CNA E and CNA B locked the mechanical lift during a transfer for Resident #30 on 05/19/26.2. The facility failed to ensure the mechanical lift was locked when transferring Resident #70.3.The facility failed to ensure Resident #81 had bilateral landing mats when in bed. 4.The facility did not ensure Alcohol Wipes was not stored in Residents #40 and #58's bathroom.5.The facility failed to ensure Resident #6 did not have bath wash left out in the bathroom sitting on the toilet. […]

• No harm, potential for more than minimal, patternF761May 21, 2026

  Based on observation, interview, and record review the facility failed to ensure all drugs were stored in a locked compartment, only accessible by authorized personnel, and labeled in accordance with currently accepted professional principles and include the appropriate accessory and cautionary instructions and the expiration date when applicable for 4 of 22 residents (Resident #6, Resident #38, Resident #8, and Resident #90) and 2 of 10 medication carts (Hall 500 hall nurse's medication cart and the hall 400 nurse medication cart) observed for medication storage.1. The facility failed to ensure Resident #6 did not have zinc oxide wound care cream in her bathroom left in the caddy by the sink.2. […]