Inspection visit
Health inspection
9 citations recorded
Inspector’s narrative
What the inspector wrote
This survey cited 9 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.
F 0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Level of Harm - Potential for
minimal harm
Based on observation, interview, and record review, the facility failed to post in a place readily accessible to
residents, and family members and legal representative of residents, the results of the most recent survey
of the facility including any plans of correction without identifying information about complainants or
residents reviewed for resident rights.
Residents Affected - Many
The facility failed to ensure the three preceding years of any surveys, certifications, and complaint
investigations with plan of correction were posted for residents, family members, and visitors to review
without identifying information about complainants or residents.
The failure placed residents and their family members and representatives at risk for violation of the right to
review the findings from State surveys and investigations conducted in the facility without asking to review
the reports.
Findings included:
During an observation on 09/03/2024 at 2:03 PM, the last survey results dated 07/27/2023 were in a binder
outside of ADMN's office. No plan of corrections was observed with survey, certifications, and
investigations. Form 4060 Resident Identifier/Facility had been included in binder which identified residents
to their resident identifier number listed in citations.
During an interview on 09/03/2024 at 2:21 PM, the ADMN stated he was responsible for placing the results
from the most recent surveys, certification, and investigations in binder outside his office. He stated that
during the weekend, a resident had gotten the binder and proceeded to rip out all but 10 of the pages in the
binder. He stated he was hurried in placing information back into the binder and reached out to his
corporate who provided the information to him to put in the binder. He did not review the information prior to
placing in binder and outside of his office. He stated the plan of correction information should have been in
the binder with the citations. He stated he monitored that all items were included in binder for residents and
their families or responsible parties to review. He stated resident identifiers should have not been included
in the binder. He stated that no negative effect happened from plan of corrections not being included due to
it had only been several days since the binder had been destroyed. He stated that including resident
identifiers could violate resident's right of privacy.
Review of the facility's provided document titled Survey Results, Examination of dated October 2021
revealed Copies of survey results are maintained in an accessible location. (Note: Survey results mean the
Statement of Deficiencies, CMS Form 2567.) .Copies of previous survey reports and state approved plans
of correction are available upon request to the public, residents or their legal
(continued on next page)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the
date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 17
Event ID:
675058
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675058
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
09/04/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Homeplace Manor Healthcare Center
425 SW Ave F
Hamlin, TX 79520
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0577
representatives (sponsors), designated ombudsman representative, and staff members. The location of the
survey reports will be posted in a public area of the center as required by state regulations.
Level of Harm - Potential for
minimal harm
Residents Affected - Many
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675058
If continuation sheet
Page 2 of 17
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675058
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
09/04/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Homeplace Manor Healthcare Center
425 SW Ave F
Hamlin, TX 79520
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0655
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being
admitted
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
interview and record review, the facility failed to develop a baseline care plan within 48 hours of a resident's
admission that included the instructions needed to provide effective and person-centered care plan and
provide a summary of their baseline care plan to residents for 1 (Resident #24) of 14 residents reviewed for
care plan completion.
1. The facility failed to complete Resident #24's baseline care plan within the required 48-hour timeframe.
2. The facility failed to provide Resident #24 a summary of their baseline care plan after completion.
This failure could place residents who were newly admitted at risk for not receiving necessary care and
services or having important care needs identified.
Findings included:
Record review of Resident #24's electronic face sheet dated 09/04/2024 revealed the resident was a [AGE]
year-old male admitted on [DATE].
Record review of Resident #24's quarterly MDS dated [DATE] revealed: BIMS score of 09 which indicated
moderate cognitive impairment.
Record review of Resident #24's electronic medical record on 09/04/2024 revealed no evidence that
baseline care plan had been performed and no evidence that summary of baseline care plan was given to
Resident #24 or his representative.
During an observation on 09/02/2024 at 9:55 a.m., Resident #24 was in his room lying in bed. Had walker
in form and wearing glasses. He stated that he participated in therapy and does go to care plan meetings.
Not able to answer if he had baseline care plan meeting.
During an interview on 09/04/2024 at 10:08 a.m., the CRN stated she was unable to find that the baseline
care plan was completed or that a conversation had been done with Resident #24. She stated that she was
only able to find a discussion about DNR after the resident had been admitted .
During a follow up interview on 09/04/2024 at 1:26 p.m., the RCN stated her expectation would be for
baseline care plans to be completed within 48 hours of admission and discussed with the resident or their
representative. She stated the DON, weekend supervisor or RN should complete the baseline care plan.
She stated the facility's IDT monitors that baseline care plans were completed during morning clinical
meeting. The RCN stated IDT members included the DON, ADON and ADMN. She stated she did not know
why baseline care plan had not been performed. She stated the effect on not completing could disrupt
continuity of care.
Review of the DON's personnel file on 09/04/2024 revealed the was hired on 06/03/2024. The DON was not
present on 09/04/2024 in facility for interview.
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675058
If continuation sheet
Page 3 of 17
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675058
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
09/04/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Homeplace Manor Healthcare Center
425 SW Ave F
Hamlin, TX 79520
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0655
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Record review of the facility policy titled Care Plans - Baseline dated July 2024 revealed: 1. Completion and
implantation of the comprehensive care plan within forty-eight (48) hours of a resident's admission is
intended to promote continuity of care and communication among nursing home staff, increase resident
safety, and safeguard against adverse events that are most likely to occur right after admission; and to
ensure the resident and representative, if applicable, are informed of the initial plan of delivery of care and
services by receiving a written summary of the baseline care plan. 2. To assure that the resident's
immediate care needs are met and maintained, a baseline care plan will be developed within forty-eight
(48) hours of the resident's admission. 3. The Director of Nursing, RN Weekend Supervisor or a registered
nurse on duty will complete the baseline care plan.
Event ID:
Facility ID:
675058
If continuation sheet
Page 4 of 17
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675058
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
09/04/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Homeplace Manor Healthcare Center
425 SW Ave F
Hamlin, TX 79520
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0730
Observe each nurse aide's job performance and give regular training.
Level of Harm - Minimal harm
or potential for actual harm
Based on interview and record review the facility failed to complete a performance review of each CNA at
least once every 12 months, for 1 of 3 (CNA C) reviewed for annual competency evaluations.
Residents Affected - Few
The facility failed to complete annual CNA competency evaluations for CNA C, based on the personnel file
review results.
This failure could affect residents by placing them at risk of not receiving consistent, appropriate
interventions necessary to meet the residents' needs.
Findings included:
Record review of the Personnel File Review completed on 09/04/2024, indicated CNA B, did not have a
competency evaluation on file. The Personnel File Review indicated CNA B's date of hire was 03/27/2023.
During an interview on 09/04/2024 at 2:25 p.m., the CRN stated the DON was responsible for conducting
and documenting nursing training and staff performance reviews. She stated the effect on residents would
depend the topic of the review and impact on the quality of care and life for the resident. The CRN
explained the facility had recently changed from paper records to electronic records and had a nursing
leadership change as the reasons the documents were not available. She stated the DON was out of state
and not available for an interview.
During an interview on 09/04/2024 at 2:40 p.m., the AD stated she was hired as the Business Office
Manager and served as the Human Resources Director. She stated she did not know where to locate
missing the records and understood reviews were a requirement.
Record review of the facility's Staff Development Program, dated June 2021, revealed 6. In addition to the
in-service training requirements outlined above, nurse aides (CNAs) are required to complete no less than
12 hours annually of in-service training that is sufficient to ensure the continuing competency of nurse aides
and address any specific areas of weakness identified in performance and through the Center assessment.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675058
If continuation sheet
Page 5 of 17
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675058
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
09/04/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Homeplace Manor Healthcare Center
425 SW Ave F
Hamlin, TX 79520
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0803
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Many
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be
updated, be reviewed by dietician, and meet the needs of the resident.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, and record review the facility failed to provide each resident with a nourishing,
palatable, well-balanced diet that met his or her daily nutritional and special dietary needs, taking into
consideration the preferences of each resident for 1 of 1 lunch meal reviewed.
This facility failed to follow the menu when preparing lunch meal on 09/02/2024.
This failure could place residents at risk for a decline in health status due to inadequate or inappropriate
nutritional intake.
The findings include:
Record review of Resident #5's Face Sheet revealed an [AGE] year-old female who was admitted on
[DATE] with Diagnoses that included: Nausea and Vomiting, Dietary Calcium Deficiency, Hypokalemia (low
potassium), Vitamin D deficiency, Generalized Anxiety order.
Record review of Resident #5's Physician orders dated 09/01/2024 revealed: Regular Diet with regular
texture.
Record review of Resident #5's Quarterly MDS dated [DATE] revealed: Section C-Cognitive Patterns BIMS
score was 10 (moderately impaired cognition) Section I Active Diagnoses- Anemia (not enough red blood
cells), Hyperlipidemia (excess fats in blood).
Record review of Resident #5's Care Plan dated 08/08/2024 revealed: Problem: Resident's lab showed low
Calcium level. Goal: Resident Calcium level will be within normal limits. Approach: Encourage resident to
eat foods high. in Calcium such as milk and dairy products.
Record review of Resident # 13's Face Sheet revealed an [AGE] year-old female who was admitted on
[DATE] with diagnoses that included: Hyponatremia (lower than normal level of sodium in the bloodstream),
Acute Kidney Failure, Hyperkalemia (low potassium), Vitamin D B12 deficiency anemia, Type 2 diabetes
mellitus, Moderate protein-calorie malnutrition.
Record review of Resident #13's Physician orders dated 09/01/2024 revealed: Diet: Regular, LCS (low
concentrated sweets)
Record review of Resident #13's Quarterly MDS dated [DATE] revealed: Section C Cognitive Patterns BIMS
score was 15 (cognitively intact). Section I-Active Diagnoses: Anemia, Diabetes Mellitus, Chronic Kidney
Disease.
Record review of Resident #13's Care Plan dated 06/19/2024 revealed: Problem: I am at risk for
hyper/hypoglycemia episodes secondary to my diagnosis of Diabetes Type II/Insulin Dependent. Goal: My
blood sugar will be within normal limits 90-150 with insulin control over the net 90 days. Approach:
Encourage diet compliance. Educate and re-educate as needed on consequences of not following
therapeutic diet.
During an observation on 09/02/2024 at 10:55 AM revealed a posted weekly menu in the dining room
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675058
If continuation sheet
Page 6 of 17
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675058
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
09/04/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Homeplace Manor Healthcare Center
425 SW Ave F
Hamlin, TX 79520
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0803
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Many
with lunch menu for 09/02/2024.It read: Bake pork chop, Cheesy Grits, Broccoli and cauliflower, Cornbread,
Frosted cake. The meal that was served was: Baked Pork chops, Mashed Potatoes, Biscuit, Frosted cake.
No substitution list was available for residents to review.
During an interview on 09/03/2024 at 11:15 AM the DM stated the weekly menus were posted outside the
kitchen for the residents to be able to see what was being served that day and that week. The DM stated
residents did not receive cornbread at yesterday's lunch meal due to waiting on truck delivery today. The
DM stated the company they received groceries from had not been sending everything that was ordered.
The DM stated that resident tickets for today's meal did not match what was being served because he did
not have all those items. The DM stated the ADM told him what to serve. The DM did not know if anyone
had told the residents about the change.
During an interview on 09/03/2024 at 11:30 AM Resident #5 stated the residents did not know what would
be served at meals until the meals were placed in front of them. Resident #5 stated she would like to know
what was being served before the meal arrives in case, she wanted something else to eat.
During an interview on 09/03/24 at 9:26 AM Resident #13 stated, the food doesn't taste or look good. Some
food wasn't served hot. I have told facility I don't like pork. Resident #13 stated she was offered a sandwich,
but she didn't want the sandwich without Mayonnaise. Resident #13 stated the sandwich was the
substitution. Resident #13 stated they (dietary staff) do not serve the foods on her ticket and that pisses me
off. Resident #13 stated no menu was provided to her in advance.
During a phone interview on 09/04/2024 at 12:17 PM the Dietician stated that menus should be followed.
The dietician stated the DM should contact the dietician to get changes to the menu approved. The Dietitian
asked if she could call back after consulting with her supervisor. The Dietician did not call back before
survey exit.
During an interview on 09/04/2024 at 1:23 PM the ADMN stated the menus should be followed. The ADMN
stated the facility does not always receive what was ordered for the kitchen. The ADMN stated residents
could ask staff what was on the menu for any meal before it is served. The ADMN stated the weekly menus
were posted by the kitchen door. The ADMN stated he did not communicate with the dietician about
changing lunch menu that was served on Tuesday. The ADMN stated the meal served on Tuesday was one
the residents really liked. The ADMN stated he did not think he needed to call the dietician about menu
change.
Record review of the facility's policy titled: Menu Substitutions dated 2018: The menu will be served unless
an emergency situation arises.
If a specific item is not available, the cook with consult with the Nutrition & Food Service Manager or
consultant RND/DTR regarding an appropriate substitution.
All changes to the menu will be recorded on the Menu Substitution Approval Form.
The menus are reviewed and approved by the Consultant Dietician. Intermittent changes must also be
reviewed and approved by the
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675058
If continuation sheet
Page 7 of 17
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675058
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
09/04/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Homeplace Manor Healthcare Center
425 SW Ave F
Hamlin, TX 79520
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0812
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Many
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve
food in accordance with professional standards.
Based on observation, interviews, and record reviews, the facility failed to properly store, prepare,
distribute, and serve food in accordance with professional standards for food service safety of 1of 1
kitchens reviewed.
The facility failed to ensure items stored in 1 of 1 freezer were properly stored and labeled.
The facility failed to ensure current temperature logs of 1 of 1 freezer and 2 of 2 refrigerators were
maintained daily.
The facility failed to ensure dietary staff (1 of 2) wore hair nets when preparing, serving meals.
These failures could place resident that eat out of the kitchen at risk for food borne illnesses.
The findings include:
During an observation on 09/02/2024 at 09:55 AM in the kitchen revealed temperature logs for 1 of 1
freezer and 2 of 2 refrigerators were not up to date. There were no temperature logs for September 2024.
During an observation on 09/02/2024 at 09:58 AM dietary staff were not wearing a hair net.
During an observation on 09/02/2024 at 10:00 AM revealed in the freezer 1 box of tamales not sealed,
dated. One package of what appeared to be breaded meat patties with plastic bag opened with no labels or
dates. One bag of Oatmeal Raisin cookie dough ¾ full, not sealed or dated. One box of egg rolls
opened, not sealed with no label or dates.
During an observation on 09/02/2024 at 10:05 AM revealed the walk-in refrigerator had yellow cheese
slices with no date or label. One bag of lettuce with no date or label.
During an interview on 09/02/2024 at 9:55 AM the DM stated the temperature logs for the freezer and
refrigerators had not been printed for September. The DM stated all products in the freezer, refrigerators
and dry storage should be labeled with received date, date opened and best but date.
During an interview on 09/02/2024 at 09:56 AM the dietary aide stated she did not have on a hair net due
to the facility did not have any. The dietary aide stated not wearing a hair net could lead to hair falling into a
resident's meals. The dietary aide stated this could cause the resident to not want to eat and could lead to
resident weight loss.
During an interview on 09/03/2024 at 11:20 AM the DM stated the dietary staff were without hairnets for a
couple of days. The DM stated he did not know why the dietary aide did not have a hair covering, but she
had her hair pulled up and out of her face.
During an interview on 09/04/2024 at 01:23 PM the ADMN stated the temperature logs for freezers and
refrigerators should be up to date. The ADMS stated if the temperatures were not documented the staff
might not notice if the refrigerator or freezer was not working properly. The ADMN stated this would lead to
spoiled food. The ADMN stated the dietary staff were responsible for ensuring the
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675058
If continuation sheet
Page 8 of 17
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675058
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
09/04/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Homeplace Manor Healthcare Center
425 SW Ave F
Hamlin, TX 79520
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0812
Level of Harm - Minimal harm
or potential for actual harm
temperature logs were kept up to date. The ADMN stated he did not know what caused this failure. The
ADMN stated the dietary staff should wear hair nets, or head covering when in the kitchen. The ADMN
stated the facility had run out of hair nets, but they were available today.
Review of the facility's policy dated Revised June 2019:
Residents Affected - Many
Policy: to ensure that all food served by the facility is of good quality and safe for consumption, all food will
be sorted according the state, federal and US Food Codes and HACCP guidelines.
Refrigerators: Date, label and tightly seal all refrigerate foods using clean, nonabsorbent, covered
containers that are approved for food storage.
Place a thermometer inside refrigerators near the door where temperature is warmest. Check the
temperature of all refrigerators using the internal thermometer to make sure the temperature stays at
41-degree Fahrenheit or below. Temperature should be checked each morning and again on the PM shift.
Record the temperature on a lob that is kept near the refrigerator.
Freezers: Store frozen foods in moisture-proof wrap or containers that are labeled and dated.
Place a thermometer inside freezer near the door where the temperature is warmest. Check the
temperature of all freezers using the internal thermometer to make sure the temperature stays at 0 degrees
Fahrenheit or below. Temperatures should be checked each morning and again on the PM shift. Record
temperatures on a log that is kept near the freezer.
Review of the facility's policy titled Employee Sanitation dated 2018:
Employee Cleanliness Requirements .
Hairnets, headbands, caps, beard coverings or other effective hair restraints must be worn to keep hair
from food and food-contact surfaces.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675058
If continuation sheet
Page 9 of 17
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675058
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
09/04/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Homeplace Manor Healthcare Center
425 SW Ave F
Hamlin, TX 79520
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0941
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Develop, implement, and/or maintain an effective training program that includes effective communications
for direct care staff members.
Based on interview and record review, the facility failed to ensure employees received the required training
effective communications mandatory training was completed for 7 of 19 employees (DON, DM, MAINT,
CNA C, TRNS, COTA, and HSKP F) reviewed for training.
The facility did not ensure effective communication training was completed by the DON, MAINT, TRNS, and
COTA during orientation.
The facility did not ensure effective communication training was completed by the DM, CNA C, and HSKP F
annually.
These failures could place residents at risk of miscommunication and social isolation due to lack of staff
training.
Findings included:
Record review of the employee files revealed no evidence the following staff had completed effective
communications training during orientation:
* DON hire date 06/03/2024;
* MAINT, hire date 09/28/2023;
* TRNS, hire date 03/27/2024;
* COTA, transferred from a sister facility on 08/23/2024
Record review of the employee files revealed no evidence the following staff had completed effective
communications training annually:
* DM, hire date 08/03/2022;
* CNA C, hire date 03/27/2023;
* HSKP F, hire date 04/01/2023
During an interview on 09/04/2024 at 12:17 p.m., the TRNS stated she had worked for the facility for 5-6
months. She stated she completed the online training on communication during her orientation period but
did not have documentation of completion.
During an interview on 09/04/24 at 12:24 p.m., the ADMN stated the DON was out of state for a court
hearing. Did not attempt to contact DON about missing training records.
During an interview on 09/04/24 at 12:32 p.m., the DM stated training was done online. He explained that
staff received email notices and group text when trainings were available and due. The DM stated he had
done all the training listed with the exception of the annual HIV training. He stated the ADON was
responsible for tracking completed trainings. The DM was not able to provide an answer on
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675058
If continuation sheet
Page 10 of 17
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675058
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
09/04/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Homeplace Manor Healthcare Center
425 SW Ave F
Hamlin, TX 79520
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0941
how not completing trainings would affect the residents.
Level of Harm - Minimal harm
or potential for actual harm
During an interview on 09/04/24 at 1:00 p.m., the Maint. stated he recalled completing training on
Communication within the past year. He did not know who or where the records were kept or how lack of
training could affect the residents.
Residents Affected - Some
During a phone interview on 09/04/24 at 1:12 p.m., Hskp F Stated she had worked in the facility for 3 years
and had completed all required training every year. She stated she did not know who was responsible for
the training records or where the records would be found.
During an interview on 09/04/24 at 1:13 p.m., COTA stated she transferred from a sister facility last month
and her records had not been transferred. She stated she received notification of training due and was
scheduled to take all required trainings by the end of the week.
During an interview on 09/04/24 at 2:25 p.m., the CRN stated the HR director was responsible for tracking
completed training. She explained the effect on residents would depend on the topic of the training and how
it related to care or quality of life. The CRN stated the reason documentation was not available was
because the facility recently transitioned from paper records to electronic records. She also stated the
facility had 2 employees that have been working at facility for more than 20 years and records were
archived. The CRN added that a recent change in leadership was a factor in trainings not getting done or
documented.
During an interview on 09/04/2024 at 2:40 p.m., the AD stated she was hired as the Business Office
Manager and served as the Human Resources Director. She stated she did not know where to locate
missing the records and understood trainings were a requirement.
Record review of the facility's Staff Development Program, dated June 2021, revealed 1. Staff development
is defined as initial orientation, followed by regularly scheduled in-service training programs. 2. The primary
objective of our Center's Staff Development Program is to ensure that staff have the knowledge, skills and
critical thinking necessary to provide excellent resident care. 5. Training topics may include: a. Effective
communication with residents and family.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675058
If continuation sheet
Page 11 of 17
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675058
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
09/04/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Homeplace Manor Healthcare Center
425 SW Ave F
Hamlin, TX 79520
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0942
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for
its residents.
Based on interview and record review, the facility failed to ensure the staff members were educated on the
rights of the resident and the responsibilities of the facility to properly care for its residents for 5 of 19 staff
(DM, LVN G, HSKP E, TRNS, and HSKP F) reviewed for training requirements in that:
The facility failed to ensure five staff which included: DM, LVN G, HSKP E, TRNS, and HSKP F received the
required training on resident rights timely.
This failure could place residents at risk of receiving care from staff who were insufficiently trained.
The findings included:
Record review of the DM's employee file revealed a hire date of 08/03/2022. The file did not contain any
record of training on resident's rights.
Record review of LVN G's employee file revealed a hire date of 09/04/2023. The file did not contain any
record of training on resident's rights.
Record review of HSKP E's employee file revealed a hire date of 08/05/2024. The file did not contain any
record of training on resident's rights.
Record review of TRNS's employee file revealed a hire date of 08/23/2024. The file did not contain any
record of training on resident's rights.
Record review of HSKP F's employee file revealed a hire date of 04/01/2023. The file did not contain any
record of training on resident's rights.
During an interview on 09/04/24 at 12:32 p.m., the DM stated the training was done online. He explained
that staff received email notices and group text when trainings were available and due. The DM stated he
had done all the training listed with the exception of the annual HIV training. He stated the ADON was
responsible for tracking completed trainings. The DM was not able to provide an answer on how not
completing trainings would affect the residents.
On 09/04/2024 at 9:07 a.m. and 1:05 p.m., attempted to contact LVN G for a phone interview. No answer.
Voice message left with purpose of call and detailed return call information.
During a phone interview on 09/04/2024 at 1:12 p.m., HSKP F stated she had worked in the facility for 3
years and had completed all required training every year. She stated she did not know who was responsible
for the training records or where the records would be found.
On 09/04/2024 at 01:58 p.m. attempted to contact HSKP E for a phone interview. The number provided was
not correct and no other contact numbers were provided.
During an interview on 09/04/24 at 2:25 p.m., the CRN stated the HR director was responsible for tracking
completed training. She explained the effect on residents would depend on the topic of the
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675058
If continuation sheet
Page 12 of 17
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675058
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
09/04/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Homeplace Manor Healthcare Center
425 SW Ave F
Hamlin, TX 79520
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0942
Level of Harm - Minimal harm
or potential for actual harm
training and how it related to care or quality of life. The CRN stated the reason documentation was not
available was because the facility recently transitioned from paper records to electronic records. She also
stated the facility had 2 employees that have been working at facility for more than 20 years and records
were archived. The CRN added that a recent change in leadership was a factor in trainings not getting done
or documented.
Residents Affected - Some
During an interview on 09/04/2024 at 2:40 p.m., the AD stated she was hired as the Business Office
Manager and served as the Human Resources Director. She stated she did not know where to locate
missing the records and understood reviews were a requirement.
Record review of the facility's Staff Development Program, dated June 2021, revealed 1. Staff development
is defined as initial orientation, followed by regularly scheduled in-service training programs. 2. The primary
objective of our Center's Staff Development Program is to ensure that staff have the knowledge, skills and
critical thinking necessary to provide excellent resident care. 5. Training topics may include: b. Resident
rights and responsibilities;
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675058
If continuation sheet
Page 13 of 17
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675058
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
09/04/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Homeplace Manor Healthcare Center
425 SW Ave F
Hamlin, TX 79520
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0943
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to
report abuse, neglect, and exploitation.
Based on interview and record review the facility failed to provide training to their staff that at a minimum
educates staff on activities that constitute abuse, neglect, exploitation, and misappropriation of resident
property and procedures for reporting incidents of abuse, neglect, exploitation, or the misappropriation of
resident property and dementia management for 2 (DM and HSKP F) of 19 employees reviewed for staff
training.
The facility failed to have documentation for DM and HSKP F on what constitutes abuse, neglect,
exploitation, misappropriation of resident property and how to report the above.
These failures could place residents at risk of injury or harm due to being cared for by untrained staff.
Findings included:
Record review of the DM's employee file revealed a hire date of 08/03/2022. The file did not contain any
record of training on abuse, neglect, exploitation, misappropriation of resident property.
Record review of HSKP F's employee file revealed a hire date of 04/01/2023. The file did not contain any
record of training on abuse, neglect, exploitation, misappropriation of resident property.
During an interview on 09/04/24 at 12:32 p.m., the DM stated training was done online. He explained that
staff received email notices and group text when trainings were available and due. The DM stated he had
done all the training listed except for the annual HIV training. He stated the ADON was responsible for
tracking completed trainings. The DM was not able to provide an answer on how not completing trainings
would affect the residents.
During a phone interview on 09/04/24 at 1:12 p.m., Hskp F Stated she had worked in the facility for 3 years
and had completed all required training every year. She stated she did not know who was responsible for
the training records or where the records would be found.
During an interview on 09/04/24 at 2:25 p.m., the CRN stated the HR director was responsible for tracking
completed training. She explained the effect on residents would depend on the topic of the training and how
it related to care or quality of life. The CRN stated the reason documentation was not available was
because the facility recently transitioned from paper records to electronic records. She also stated the
facility had 2 employees that have been working at facility for more than 20 years and records were
archived. The CRN added that a recent change in leadership was a factor in trainings not getting done or
documented.
During an interview on 09/04/2024 at 2:40 p.m., the AD stated she was hired as the Business Office
Manager and served as the Human Resources Director. She stated she did not know where to locate
missing the records and understood trainings were a requirement.
*Record review of the facility's Staff Development Program, dated June 2021, revealed 1. Staff development
is defined as initial orientation, followed by regularly scheduled in-service training programs. 2. The primary
objective of our Center's Staff Development Program is to ensure that staff have the knowledge, skills and
critical thinking necessary to provide excellent resident care. 5.
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675058
If continuation sheet
Page 14 of 17
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675058
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
09/04/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Homeplace Manor Healthcare Center
425 SW Ave F
Hamlin, TX 79520
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0943
Level of Harm - Minimal harm
or potential for actual harm
Training topics may include: c. Preventing abuse, neglect, exploitation, and misappropriation of resident
property including: (1) Activities that constitute abuse, neglect, exploitation or misappropriation of resident
property; (2) Procedures for reporting incidents of abuse, neglect, exploitation or misappropriation of
resident property; and (3) Dementia management and resident abuse prevention.
Residents Affected - Some
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675058
If continuation sheet
Page 15 of 17
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675058
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
09/04/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Homeplace Manor Healthcare Center
425 SW Ave F
Hamlin, TX 79520
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0945
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Include as part of its infection prevention and control program, mandatory training that includes written
standards, policies, and procedures for the program.
Based on interview and record review, the facility failed to ensure standards, policies, and procedures for an
infection prevention and control program was completed for 3 of 19 staff (DM, HSKP E, and HSKP F)
reviewed for training.
The facility failed to ensure five staff which included the DM, HSKP E, or HSKP F received the required
training on infection control timely.
These failures could place residents at risk of illness due to lack of staff training.
Findings included:
Record review of the DM's employee file revealed a hire date of 08/03/2022. The file did not contain any
record of training on infection control.
Record review of HSKP E's employee file revealed a hire date of 08/05/2024. The file did not contain any
record of training on infection control.
Record review of HSKP F's employee file revealed a hire date of 04/01/2023. The file did not contain any
record of training on infection control.
During an interview on 09/04/24 at 12:32 p.m., the DM stated training was done online. He explained that
staff received email notices and group text when trainings were available and due. The DM stated he had
done all the training listed with the exception of the annual HIV training. He stated the ADON was
responsible for tracking completed trainings. The DM was not able to provide an answer on how not
completing trainings would affect the residents.
During a phone interview on 09/04/2024 at 1:12 p.m., Hskp F Stated she had worked in the facility for 3
years and had completed all required training every year. She stated she did not know who was responsible
for the training records or where the records would be found.
On 09/04/2024 at 01:58 p.m. attempted to contact HSKP E for a phone interview. The number provided was
not correct.
During an interview on 09/04/24 at 2:25 p.m., the CRN stated the HR director was responsible for tracking
completed training. She explained the effect on residents would depend on the topic of the training and how
it related to care or quality of life. The CRN stated the reason documentation was not available was
because the facility recently transitioned from paper records to electronic records. She also stated the
facility had 2 employees that have been working at facility for more than 20 years and records were
archived. The CRN added that a recent change in leadership was a factor in trainings not getting done or
documented.
During an interview on 09/04/2024 at 2:40 p.m., the AD stated she was hired as the Business Office
Manager and served as the Human Resources Director. She stated she did not know where to locate
missing the records and understood reviews were a requirement.
Record review of the facility's Staff Development Program, dated June 2021, revealed 1. Staff
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675058
If continuation sheet
Page 16 of 17
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675058
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
09/04/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Homeplace Manor Healthcare Center
425 SW Ave F
Hamlin, TX 79520
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0945
Level of Harm - Minimal harm
or potential for actual harm
development is defined as initial orientation, followed by regularly scheduled in-service training programs. 2.
The primary objective of our Center's Staff Development Program is to ensure that staff have the
knowledge, skills and critical thinking necessary to provide excellent resident care. 5. Training topics may
include: e. The infection prevention and control program standards, policies and procedures;
Residents Affected - Some
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675058
If continuation sheet
Page 17 of 17
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Back to topCitations
9 citations recorded*CMS
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
F577 - The resident has the right to-
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
F655 - Comprehensive Person-Centered Care Planning
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F730 - Regular in-service education
Observe each nurse aide's job performance and give regular training.
F803 - Menus and nutritional adequacy
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F812 - Food safety requirements
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F941 - Training Requirements
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
F942 - Training Requirements
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
F943 - Abuse, neglect, and exploitation
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
F945 - Infection control
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
FAQ · About this visit
Common questions about this visit
What happened during the September 4, 2024 survey of Homeplace Manor Healthcare Center?
This was a inspection survey of Homeplace Manor Healthcare Center on September 4, 2024. The surveyor cited 9 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at Homeplace Manor Healthcare Center on September 4, 2024?
Yes, 9 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Allow residents to easily view the nursing home's survey results and communicate with advocate agencies."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.
Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.
Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.