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F0844
C

Failure to Notify State Agency of Administrator Change

Breckenridge, Texas Survey Completed on 12-27-2025

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 written notice to the State Agency regarding a change in the facility's administrator. Record review of the TULIP system showed that the administrator listed did not match the current administrator (ADM) of the facility. Observations confirmed that the name posted in the facility as the administrator and abuse coordinator was not the same as the one recorded in TULIP. Interviews with the ADM revealed she had been serving as administrator since March 2023, but her name was not updated in the state system. Staff interviews further confirmed that the ADM was recognized as the administrator and abuse coordinator by employees, and the DON stated that the ADM had been the only administrator during her tenure. The ADM reported that she had completed the necessary form for the change and provided it to the previous owners, but the update was not made in TULIP. Review of the Facility Summary Report also showed a mismatch between the administrator's name and the ADM. No information about residents or their medical conditions was included in the report, and the deficiency centers solely on the failure to notify the State Agency of the change in facility administrator.

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