LAMUN-LUSK-SANCHEZ TEXAS STATE VETERANS HOME
CMS
Documentation Failure
Immediate Jeopardy
Infection Control
Medication Error
Resident Neglect
Penalty
$21,252
Outcome
LAMUN-LUSK-SANCHEZ TEXAS STATE VETERANS HOME in BIG SPRING, TX was fined $21,252 by CMS following 24 deficiency citations identified during federal surveys.
Details
LAMUN-LUSK-SANCHEZ TEXAS STATE VETERANS HOME (BIG SPRING, TX) — $21,252 in CMS Fines
Outcome: LAMUN-LUSK-SANCHEZ TEXAS STATE VETERANS HOME in BIG SPRING, TX was fined $21,252 by CMS following 24 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- Ensure that residents are free from significant medication errors.
- Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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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