Permian Residential Care Center

In the surveyor’s words

From the most serious findings on record at Permian Residential Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Mar 7, 2024

  Based on observation, interview, record review, the facility failed to ensure each resident received adequate supervision and assistive devices to prevent accidents for 1 of 5 resident (Resident #1) reviewed for accidents. The facility failed to use the appropriate transfer for Resident #1 which resulted in a positive fracture to the lower left extremity (ankle). The noncompliance was identified as past non compliance. The Immediate Jeopardy began on 02/21/24 and ended on 02/27/24. This failure could place residents at risk for harm and further injuries. The findings included: Review of Resident #1's face sheet (dated 03/01/24) indicated Resident #1 was an [AGE] year-old female admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, widespreadF640Jun 15, 2022

  Based on interview and record review the facility failed to ensure an encoded, accurate, and complete MDS quarterly assessment was electronically transmitted to the CMS System for 8 of 8 residents records reviewed for MDS assessments. (Resident #1, #2, #3, #4, #5, #6, #10 and #47) The facility did not ensure the Quarterly MDS assessment were transmitted as required for Resident #1, #2, #3, #4, #5, #6, #10 and #47. This failure could place the residents at risk for MDS assessments not being transmitted and not receiving care and services as needed. Findings included: Resident #1 Record review of admission record for Resident #1 dated 06/15/22 revealed a [AGE] year-old female admitted to the facility on [DATE] with diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF812Dec 12, 2025

  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 dietary services.1. The facility failed to ensure cleaning supplies were stored in a separate area from food items.2. The facility failed to ensure the microwave was cleaned.3. The facility failed to ensure no expired food items were in the kitchen. 4. The facility failed to ensure all food items in the freezer were properly labeled or stored in airtight containers. These failures could place residents at risk for food contamination and foodborne illness. […]

• No harm, potential for more than minimal, patternF812Sep 26, 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 dining rooms reviewed for dietary services. LVN A failed to properly serve a beverage to Resident #39 during the noon meal service. LVN B failed to properly serve beverages to Resident #3 and Resident #61 during the noon meal service. LVN C failed to properly serve a beverage to Resident #8 during the noon meal service. These failures could place residents at risk for food contamination and foodborne illness. […]

• No harm, potential for more than minimal, patternF693Mar 10, 2021

  Based on observation, interview, and record review, the facility failed to provide care and services to prevent complications for one of one (Resident #28) resident reviewed with a gastrostomy tube (feeding tube) ([DEVICE]). 1. LVN B did not flush the [DEVICE] with water prior to medication administration. 2. LVN B did not allow the medication to flow by gravity and instead plunged the medication into the [DEVICE] via syringe. This failure to provide care and services could affect residents with [DEVICE]s at risk for complications including aspiration, and pneumonia. Findings included: Resident #28 Record review on 03/10/2021 of Resident #28's face sheet revealed a [AGE] year-old female admitted to the facility on [DATE] with some of the following Diagnoses: [REDACTED]. […]