FOCUSED CARE AT ORANGE in ORANGE, TX was fined $193,434 by CMS across 3 separate penalties following 29 deficiency citations identified during federal surveys.

FOCUSED CARE AT ORANGE (ORANGE, TX) — $193,434 in CMS Fines

Outcome: FOCUSED CARE AT ORANGE in ORANGE, TX was fined $193,434 by CMS across 3 separate penalties following 29 deficiency citations identified during federal surveys.

Deficiency areas cited:

• Ensure that residents are free from significant medication errors.


• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.


• Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.


• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.


• 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.


• 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.


• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.


• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.