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Health Inspection Summary

Homestead Nursing and Rehabilitation of Hillsboro

411 Old Brandon Rd

Hillsboro, TX 76645

(254) 582-8416

Deficiency Category	Inspection Date: 9/26/24 Complaint Reporting Period: 4/1/24 - 3/31/25	Inspection Date: 8/16/23 Complaint Reporting Period: 4/1/23 - 3/31/24	Inspection Date: 5/26/22 Complaint Reporting Period: 4/1/22 - 3/31/23
Freedom from Abuse, Neglect, and Exploitation Deficiencies	3	0	0
Quality of Life and Care Deficiencies	4	1	3
Infection Control Deficiencies	1	0	1
Resident Assessment and Care Planning Deficiencies	0	1	1
Nursing and Physician Services Deficiencies	0	1	0
Resident Rights Deficiencies	1	3	0
Nutrition and Dietary Deficiencies	2	0	1
Pharmacy Service Deficiencies	2	0	2
Environmental Deficiencies	1	0	0
Administration Deficiencies	0	0	0

Detailed result for inspection on 9/26/24

Date of last standard health inspection:	9/26/24Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/24 - 3/31/25	11/19/24Read the full report (PDF) 4/19/24Read the full report (PDF)
Date(s) of infection control inspection(s) between 4/1/24 - 3/31/25	No infection control inspections
Total number of Health Deficiencies for this nursing home:	14
Average number of Health Deficiencies in Texas:	8.8
Average number of Health Deficiencies in the United States:	9.6

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Develop and implement policies and procedures to prevent abuse, neglect, and theft.	4/19/24	4/20/24	4 - Immediate jeopardy to resident health or safety	Few
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	4/19/24	4/20/24	2 - Minimal harm or potential for actual harm	Few
Respond appropriately to all alleged violations.	4/19/24	4/20/24	4 - Immediate jeopardy to resident health or safety	Few

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	4/19/24	4/20/24	4 - Immediate jeopardy to resident health or safety	Few
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.	9/26/24	9/27/24	2 - Minimal harm or potential for actual harm	Few
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	9/26/24	9/28/24	2 - Minimal harm or potential for actual harm	Some
Provide appropriate treatment and care according to orders, resident’s preferences and goals.	11/19/24	11/20/24	2 - Minimal harm or potential for actual harm	Few

Infection Control Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide and implement an infection prevention and control program.	9/26/24	9/28/24	2 - Minimal harm or potential for actual harm	Some

Resident Assessment and Care Planning Deficiencies
No Resident Assessment and Care Planning Deficiencies were found during this inspection period.

Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.

Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	9/26/24	9/28/24	2 - Minimal harm or potential for actual harm	Few

Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	9/26/24	9/28/24	2 - Minimal harm or potential for actual harm	Some
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	9/26/24	9/28/24	2 - Minimal harm or potential for actual harm	Few

Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	9/26/24	9/28/24	2 - Minimal harm or potential for actual harm	Some
Ensure medication error rates are not 5 percent or greater.	9/26/24	9/28/24	2 - Minimal harm or potential for actual harm	Some

Environmental Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	9/26/24	9/28/24	2 - Minimal harm or potential for actual harm	Some

Administration Deficiencies
No Administration Deficiencies were found during this inspection period.

Detailed result for inspection on 8/16/23

Date of last standard health inspection:	8/16/23Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/23 - 3/31/24	10/17/23Read the full report (PDF) 9/18/23Read the full report (PDF)
Date(s) of infection control inspection(s) between 4/1/23 - 3/31/24	2/2/24Read the full report (PDF) 6/21/23Read the full report (PDF)
Total number of Health Deficiencies for this nursing home:	6
Average number of Health Deficiencies in Texas:	8.7
Average number of Health Deficiencies in the United States:	9.4

Freedom from Abuse, Neglect, and Exploitation Deficiencies
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period.

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide safe and appropriate respiratory care for a resident when needed.	8/16/23	8/18/23	2 - Minimal harm or potential for actual harm	Few

Infection Control Deficiencies
No Infection Control Deficiencies were found during this inspection period.

Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	8/16/23	8/18/23	2 - Minimal harm or potential for actual harm	Few

Nursing and Physician Services Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	8/16/23	8/21/23	2 - Minimal harm or potential for actual harm	Some

Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	8/16/23	8/18/23	2 - Minimal harm or potential for actual harm	Some
Reasonably accommodate the needs and preferences of each resident.	10/17/23	10/20/23	2 - Minimal harm or potential for actual harm	Some
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	9/18/23	9/20/23	2 - Minimal harm or potential for actual harm	Few

Nutrition and Dietary Deficiencies
No Nutrition and Dietary Deficiencies were found during this inspection period.

Pharmacy Service Deficiencies
No Pharmacy Service Deficiencies were found during this inspection period.

Environmental Deficiencies
No Environmental Deficiencies were found during this inspection period.

Administration Deficiencies
No Administration Deficiencies were found during this inspection period.

Detailed result for inspection on 5/26/22

Date of last standard health inspection:	5/26/22Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/22 - 3/31/23	12/5/22Read the full report (PDF) 11/22/22Read the full report (PDF) 4/13/22Read the full report (PDF)
Date(s) of infection control inspection(s) between 4/1/22 - 3/31/23	11/22/22Read the full report (PDF) 9/15/22Read the full report (PDF) 6/27/22Read the full report (PDF) 4/13/22Read the full report (PDF)
Total number of Health Deficiencies for this nursing home:	8
Average number of Health Deficiencies in Texas:	6.4
Average number of Health Deficiencies in the United States:	8.7

Freedom from Abuse, Neglect, and Exploitation Deficiencies
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period.

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	4/13/22	5/4/22	2 - Minimal harm or potential for actual harm	Some
Provide appropriate pressure ulcer care and prevent new ulcers from developing.	12/5/22	12/28/22	2 - Minimal harm or potential for actual harm	Few
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	5/26/22	6/20/22	2 - Minimal harm or potential for actual harm	Few

Infection Control Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide and implement an infection prevention and control program.	5/26/22	6/20/22	2 - Minimal harm or potential for actual harm	Few

Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	5/26/22	6/20/22	2 - Minimal harm or potential for actual harm	Few

Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.

Resident Rights Deficiencies
No Resident Rights Deficiencies were found during this inspection period.

Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	11/22/22	12/18/22	2 - Minimal harm or potential for actual harm	Some

Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
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.	4/13/22	5/4/22	2 - Minimal harm or potential for actual harm	Few
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.	12/5/22	12/28/22	2 - Minimal harm or potential for actual harm	Some

Environmental Deficiencies
No Environmental Deficiencies were found during this inspection period.

Administration Deficiencies
No Administration Deficiencies were found during this inspection period.

Complaints and facility-reported incidents in the past 3 years
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Develop and implement policies and procedures to prevent abuse, neglect, and theft.	4/19/24	4/20/24	4 - Immediate jeopardy to resident health or safety	Few
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	4/19/24	4/20/24	2 - Minimal harm or potential for actual harm	Few
Respond appropriately to all alleged violations.	4/19/24	4/20/24	4 - Immediate jeopardy to resident health or safety	Few
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	4/19/24	4/20/24	4 - Immediate jeopardy to resident health or safety	Few
Provide appropriate treatment and care according to orders, resident’s preferences and goals.	11/19/24	11/20/24	2 - Minimal harm or potential for actual harm	Few
Reasonably accommodate the needs and preferences of each resident.	10/17/23	10/20/23	2 - Minimal harm or potential for actual harm	Some
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	9/18/23	9/20/23	2 - Minimal harm or potential for actual harm	Few
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	4/13/22	5/4/22	2 - Minimal harm or potential for actual harm	Some
Provide appropriate pressure ulcer care and prevent new ulcers from developing.	12/5/22	12/28/22	2 - Minimal harm or potential for actual harm	Few
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	11/22/22	12/18/22	2 - Minimal harm or potential for actual harm	Some
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.	4/13/22	5/4/22	2 - Minimal harm or potential for actual harm	Few
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.	12/5/22	12/28/22	2 - Minimal harm or potential for actual harm	Some

Infection control inspection deficiencies in the past 3 years
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	4/13/22	5/4/22	2 - Minimal harm or potential for actual harm	Some
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	11/22/22	12/18/22	2 - Minimal harm or potential for actual harm	Some
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.	4/13/22	5/4/22	2 - Minimal harm or potential for actual harm	Few

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