Whisperwood Nursing & Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Aug 15, 2025

  Based on interview, and record review, the facility failed to ensure the residents had the right to be free from verbal abuse and neglect for 2 (Resident #1 and #2) of 7 residents reviewed for abuse. The facility staff failed to protect Resident #1 from verbal abuse from Resident #2 on 7/11/25 between 7:00 PM and 7:30 PM.The noncompliance was identified as PNC. The IJ began on 07/11/25 and ended on 7/25/25. The facility had corrected the noncompliance before the survey began.This failure could place residents at risk of abuse, neglect, trauma, injury and psychosocial harm. […]

• Immediate jeopardy, isolatedF607Aug 15, 2025

  Based on interviews and record review, the facility failed to implement written policies and procedures that prohibit and prevent abuse and neglect for 2 of 7 residents (Resident #1, and #2) reviewed for abuse. CNA A failed to follow the facility's abuse policy by not reporting the incident (verbal abuse) to the facility's Abuse Coordinator involving Resident #1and Resident #2 that occurred on 7/11/25 between 7:00 PM and 7:30 PM.LVN B failed to follow the facility's abuse policy by not reporting the incident (verbal abuse) to the facility's Abuse Coordinator involving Resident #1and Resident #2 that occurred on 7/11/25 between 7:00 PM and 7:30 PM.The ADM failed to follow the facility's abuse policy by not reporting the incident (verbal abuse) to HHSC involving Resident #1 and Resident #2… […]

• Immediate jeopardy, isolatedF609Aug 15, 2025

  Based on interviews and record review, the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, were reported immediately, but not later than 2 hours if the alleged violation involved abuse or neglect and resulted in bodily injury, to other officials (including the State Agency) and the Abuse Coordinator for 2 of 7 residents (Resident #1, and #2) reviewed for abuse. […]

• Immediate jeopardy, isolatedF610Aug 15, 2025

  Based on interviews and record reviews the facility failed to prevent further potential abuse, neglect, exploitation, or mistreatment for 2 of 7 residents (Resident #1, #2) reviewed for abuse.The facility failed to immediately implement protective measures to protect Resident #1 from Resident #2 after a verbal abuse incident occurred on 7/11/25 between 7:00 PM and 7:30 PM.The noncompliance was identified as PNC. The IJ began on 07/11/25 and ended on 7/14/25. The facility had corrected the noncompliance before the survey began.These failures could place residents as risk for further abuse to include emotional and physical.Findings Included: Resident #1 Record review of Resident #1's face sheet, 8/14/25, revealed an [AGE] year-old-female was admitted to the facility on [DATE] with diagnoses… […]

• Immediate jeopardy, isolatedF692Jul 3, 2025

  Based on observations, interviews, and record review, the facility failed to ensure that 1 of 8 residents (Resident #1) reviewed for quality of care was offered a therapeutic diet when there is a nutritional problem, and the health care provider ordered a therapeutic diet.On 6/27/25 the facility did not ensure Resident #1 received her physician ordered NPO diet Enteral Feed diet (a method of providing nutrition directly into the gastrointestinal tract) when CNA provided Resident #1 with a plate of puree food (chili dog on a bun, sauerkraut, tater tots, diced onions, assorted gelatin; pureed). An IJ was identified on 07/02/25 at 2:50 PM. The IJ template was provided to the facility on [DATE] at 2:50 PM. […]