DISCOVERY VILLAGE AT SOUTHLAKE
CMS
Documentation Failure
Immediate Jeopardy
Inadequate Staffing
Infection Control
Medication Error
Penalty
$12,649
Outcome
DISCOVERY VILLAGE AT SOUTHLAKE in SOUTHLAKE, TX was fined $12,649 by CMS following 16 deficiency citations identified during federal surveys.
Details
DISCOVERY VILLAGE AT SOUTHLAKE (SOUTHLAKE, TX) — $12,649 in CMS Fines
Outcome: DISCOVERY VILLAGE AT SOUTHLAKE in SOUTHLAKE, TX was fined $12,649 by CMS following 16 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Keep residents' personal and medical records private and confidential.
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Provide safe and appropriate respiratory care for a resident when needed.
- Dispose of garbage and refuse properly.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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