Schleicher County Medical Center

In the surveyor’s words

From the most serious findings on record at Schleicher County Medical Center, in the surveyor’s own words.

• Actual harm, isolatedF689Oct 2, 2023

  Based on interview, and record review, the facility failed to ensure the resident environment remained as free from accident hazards was possible and each resident received adequate supervision and assistive devices to prevent accidents for 1 of 4 residents (Resident #1) reviewed for accidents and supervision . 1. HA A failed to ensure Resident #1 was properly transferred by two persons using a Hoyer lift. 2. The facility failed to ensure HA A was properly trained before transferring Resident #1 by Hoyer lift . The noncompliance was identified as PNC. The noncompliance began on 8/29/23 and ended on 9/4/23. The facility had corrected the noncompliance before the investigation began. This failure could place residents at risk of severe injury. […]

• Actual harm, isolatedF726Oct 2, 2023

  Based on interview, and record review, the facility failed to ensure staff had the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being for 1 of 4 residents (Resident #1) reviewed for accidents and supervision . 1. HA A failed to ensure Resident #1 was properly transferred by two persons using a Hoyer lift. 2. The facility failed to ensure HA A was properly trained and able to demonstrate compentency in skills and techniques before transferring Resident #1 by Hoyer lift . The noncompliance was identified as PNC. The noncompliance began on 8/29/23 and ended on 9/4/23. […]

• No harm, potential for more than minimal, widespreadF812Apr 28, 2022

  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 the facility's only kitchen. The facility failed to ensure the dishwasher machine dispensed the correct amount of chlorine sanitizer. This failure could place residents at risk for food-borne illness and cross contamination. Findings include: During an observation and interview on 04/26/2022 at 10:32 AM, Dietary Aide A was seen washing the dishes with the automatic dishwasher. The aide said she first rinsed the pots and dishes and then ran them through the dishwasher. […]

• No harm, potential for more than minimal, patternF602Aug 4, 2026

  Based on observation, interview, and record review the facility failed to ensure residents were free from misappropriation of property from 6 (Resident #1, Resident #7, Resident #8, Resident #9, Resident #11, Resident #12) of 8 residents reviewed. The facility failed to prevent LVN H from taking narcotics from Resident #1, Resident #7, Resident #8, Resident #9, Resident #11, and Resident #12.This failure could place residents at risk of continued misappropriation of property, increased pain, and lost trust in facility staff.Findings included:Resident #1Record review of Resident #1's face sheet dated 8/4/2026, revealed an [AGE] year-old female admitted to facility on 8/16/2023. […]

• No harm, potential for more than minimal, patternF578Dec 8, 2025

  Based on interviews and record review, the facility failed to ensure all residents had the right to formulate an advance directive for 3 of 9 residents (Residents #1, #8, and #33) reviewed for advance directives. The facility failed to ensure Resident's #1, #8, and #33 Out-of-Hospital Do-Not-Resuscitate (OOH-DNR) forms were completed correctly. This failure could place residents at risk of having their end of life wishes dishonored, and of having CPR performed against their wishes. […]