Sabine Retirement and Rehab Center

In the surveyor’s words

From the most serious findings on record at Sabine Retirement and Rehab Center, in the surveyor’s own words.

• Actual harm, isolatedF689Sep 13, 2023

  Based on interview and record review the facility failed to ensure each resident received adequate supervision to prevent incidents and accidents for 1 of 1 sampled resident (#230) reviewed for accidents. The deficient practice resulted in an actual harm situation for Resident # 230 that began on 10/31/2022 at 10:00 p.m., when Resident #230 was not provided 1:1 supervision on the 10:00 p.m. to 6:00 a.m. shift. Resident #230, who was on Fall Precautions, fell 4 times on the day shift on 10/31/2022, and was ordered 1:1 supervision on 10/31/2022 at 12:31 p.m. after the 3rd fall. The CNA who provided care to Resident #230 on the 10:00 p.m. to 6:00 a.m. shift on 10/31/2022, did not provide 1:1 supervision of Resident #230 as ordered, and Resident #230 was found at 11:45 p.m. […]

• Actual harm, isolatedF600Mar 22, 2023

  Based on interview and record review the facility failed to ensure residents' rights to be free from sexual abuse for 1 (Resident #3) of 5 (Resident #1, Resident #2, Resident #3, Resident #4 and Resident #5) sampled residents. The facility failed to protect Resident #3 from non-consensual, inappropriate sexual contact by Resident #1. This deficient practice resulted in an Actual Harm for Resident #3 that occurred on 02/15/2023, when Resident #3, a cognitively impaired resident, was sitting at the dining room table and Resident #1 was observed with his hand in Resident #3's blouse with her breast exposed. Resident #1 did not remove his hand until staff repeatedly told him to stop. […]

• No harm, potential for more than minimal, patternF658Aug 12, 2026

  Based on interview and record review the facility failed to ensure all care and services were provided according to accepted professional standards of clinical practice for 1 (Resident #2) of 4 sampled residents. The facility failed to follow physician orders and obtain vital signs prior to medication administration for Resident #2. Findings:Review of an undated facility policy on 08/12/2026 at 8:51 a.m. titled, Medications-Administering revealed the following in part.Medications shall be administered in a safe and timely manner, and as prescribed. 8. The following information must be checked/verified for each resident prior to administering medications: B. Vital signs, if necessary. […]

• No harm, potential for more than minimal, patternF761Jan 14, 2026

  Based on observation and interview, the facility failed to ensure drugs and biologicals used in the facility were stored in accordance with currently accepted professional principles. This deficient practice had the potential to affect all 106 residents who resided in the facility. The facility failed to:Ensure expired and unlabeled medications were not available for administration to residents in 1 (Med Room B) of 2 medication rooms; andEnsure expired medications and supplies were not available for administration to residents in 2 (Med Cart B and Med Cart E) of 5 medication carts. Findings:Review of a facility policy on 01/13/2026 at 10:40 a.m. […]

• No harm, potential for more than minimal, patternF814Oct 9, 2024

  Based on observation and interview the facility failed to ensure garbage was disposed properly. Findings: Review of the non-dated facility policy titled Trash read in part .All waste must be placed in sealed containers .All garbage and trash will be placed in a dumpster in a convenient area near the facility . Observation on 10/07/2024 at 8:54 a.m. accompanied by S2 Dietary Manager revealed 5 large trash bags on the ground next to the facility dumpsters. Interview on 10/07/2024 at the time of the observations with S2 Dietary Manager, confirmed that the trash bags should have been placed in the dumpsters and not left on the ground.