Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0584
D

Failure to Maintain Safe and Homelike Resident Environment

Conroe, Texas Survey Completed on 04-11-2025

Penalty

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to provide a safe and homelike environment for a resident by not ensuring that the bump rail in the resident's room was properly attached to the wall and free of protruding nails, and by not replacing missing wall trim. The resident, a female with muscle weakness, lack of coordination, anxiety disorder, and mild intellectual disabilities, reported the issues to social services and the DON, but no corrective action was taken. She expressed that the room needed improvement and specifically pointed out the missing trim and dislodged bump rail with exposed nails, which she stated had been in this condition since she began living at the facility a year prior. Despite regular rounds and inspections reported by the Administrator and Maintenance Director, the dislodged bump rail and missing trim were not addressed. The Administrator and Maintenance Director both acknowledged that exposed nails from the bump rail posed a safety risk, but claimed the issue was not previously identified during their inspections. The facility's policy required regular monitoring and immediate correction of environmental issues, but the deficiency persisted, as confirmed by the resident's repeated reports and ongoing observations.

An unhandled error has occurred. Reload 🗙