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F0727
E

Failure to Provide Required RN Coverage

Gonzales, Texas Survey Completed on 07-25-2025

Penalty

No penalty information released
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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 the services of a registered nurse (RN) for at least 8 consecutive hours a day, 7 days a week, as required. Review of RN staffing records showed that there was no RN coverage on thirteen specific dates between March and July 2025. During interviews, the Administrator confirmed the lack of RN coverage on these dates and attributed the issue to difficulties in hiring enough RNs, particularly for weekend shifts in a rural setting. The Director of Nursing (DON) also confirmed that there was no facility policy addressing the requirement for 8-hour daily RN coverage, stating that this was a CMS standard.

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