Inspection visit
Inspection
12 citations recorded
Inspector’s narrative
What the inspector wrote
This survey cited 12 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.
F 0693
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - 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.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, and record review, the facility failed to ensure that residents receiving enteral
feeding received appropriate care and services to prevent complication of enteral feeding for 1 of 2 resident
(Resident #4) reviewed for enteral feeding.
The facility failed to ensure LVN G flushed Resident #4's gastrostomy tube (g-tube) (a tube inserted through
the belly that brings nutrition directly to the stomach) with 30 cc water before and after medication by
gravity.
The failure could place residents receiving enteral nutrition and medications at increased risk of not
receiving proper nutrition, infection, aspiration (breathing in a foreign object into the lungs), and possible
injury.
Findings included:
Record review of Resident #4's admission sheet dated 8/25/24 indicated she was admitted on [DATE] and
was [AGE] years old with diagnoses of dysphagia (difficulty in swallowing).
Record review of Resident #4's physician's orders dated August 2024 indicated her orders included NPO
(nothing by mouth), was to receive all feedings and medications via g-tube and placement check via
aspiration and auscultation prior to medication administration, water flush or feeding. every shift with start
date of 05/01/2024. Flush with 30 ml of water before and after administration of medications. Flush with 5
ml of water between each medication administered.
Record review of a care plan dated 06/21/24 indicated Resident #4 had a feeding tube. Interventions
included administering enteral feeding, medications, and water flushes as ordered.
During an observation on 08/26/24 at 1:57 p.m., LVN G was administering medication to Resident #4. LVN
G checked placement of Resident #4's g-tube per auscultation (medical procedure that involves listening to
sounds in the body) and aspiration. LVN G pushed 30 cc of water into the g-tube, and she then
administered medication per gravity. She then pushed 30 cc of water into the g-tube.
During an interview on 08/26/24 at 2:00 p.m., LVN G said she should have given the water flush per gravity
to prevent gastric complications.
During an interview on 08/26/24 at 2:10 p.m., the DON said the water flushes should be given per gravity to
prevent g-tube clogging or gastric issues.
(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 12
Event ID:
676072
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
676072
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
08/28/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Corrigan Ltc Nursing & Rehabilitation
300 Hyde St
Corrigan, TX 75939
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 0693
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
During an interview on 08/28/24 at 9:00 a.m., the Administrator said the nurses should follow their policy on
giving medications and water per gravity per gastric feeding tube.
Record review of the facility policy dated 09/21/11 titled Policy and Procedure Gastrostomy Feedings
indicated, Objective: To provide nourishment and medication for residents requiring feeding through an
artificial opening in the stomach. 7. Insert barrel of syringe into tube. 8. Pour 30-60 cc of water into the
syringe. Give slowly, do not force.
Event ID:
Facility ID:
676072
If continuation sheet
Page 2 of 12
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
676072
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
08/28/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Corrigan Ltc Nursing & Rehabilitation
300 Hyde St
Corrigan, TX 75939
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 0755
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a
licensed pharmacist.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview and record review, the facility failed to provide pharmaceutical services including
procedures that assured the accurate administering of medications for 1 of 14 residents reviewed for
pharmaceutical services. (Resident #37)
The facility did not administer Peridex mouthwash to Resident #37 twice daily as ordered by her physician.
This failure could place the residents at risk of mouth infections and gum inflammation.
Findings included:
Record review of physician orders dated August 2024 indicated Resident #37, admitted [DATE], was a
[AGE] year-old female with diagnoses of Parkinson's disease (a disorder of the central nervous system that
affects movement, often leading to tremors) and cerebral infarction (occurs as a result of disrupted blood
flow to the brain due to problems with the blood vessels that supply it). She was to receive Peridex
mouth/throat solution 0.12% 15 ml by mouth two times a day related to specified prophylactic (intended to
prevent disease) measures for 14 days beginning on 08/21/24.
Record review of the most recent significant change MDS assessment dated [DATE] indicated Resident
#37 had a BIMS score of 8 indicating moderately impaired cognition. The resident required supervision
assistance with most ADLs.
Record review of a care plan updated 06/12/24 indicated Resident #37 had oral/dental health problems
related to poor oral hygiene. The goal was for the resident to be free from infection, pain or bleeding in the
oral cavity. The interventions indicated to monitor/document/and report to physician and signs or symptoms
of oral/dental problems needing attention.
Record review of a dental treatment noted dated 08/21/24 indicated Resident #37 had an extraction of 4
teeth with a plan of removing all teeth over a 9-12 month period in preparation for dentures. Aftercare
orders included: Peridex mouth/throat solution 0.12% 15 ml by mouth two times a day related to specified
prophylactic measures for 14 days.
Record review of a progress note signed by LVN E and dated 08/21/24 at 2:28 p.m. indicated: Dentist in
facility making rounds. Teeth extraction performed on numbers 12-15. New orders for Tylenol 325 mg two
tabs by mouth every 4-6 hours as needed for pain, Amoxicillin 500 mg one tablet by mouth every 8 hours
for 7 days, and Peridex oral rinse 0.12% 15 ml two times daily for 14 days.
Record review of a Medication Administration Record (MAR) dated August 2024 indicated Resident #37
was not given her Peridex mouthwash on 08/22/24, 08/23/24, 8/24/24, 8/25/24, and 8/26/24.
During observation and interview on 08/26/24 at 9:55 a.m., Resident #37 was sitting at a dining room table
and said she couldn't eat much this morning because her mouth was too sore. She said the dentist had
pulled some teeth and the nurses were giving her something for pain when she asked for it.
During an interview on 08/27/24 at 12:45 p.m., LVN E said she was working on 08/21/24 when Resident
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
676072
If continuation sheet
Page 3 of 12
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
676072
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
08/28/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Corrigan Ltc Nursing & Rehabilitation
300 Hyde St
Corrigan, TX 75939
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 0755
Level of Harm - Minimal harm
or potential for actual harm
#37 had her tooth extractions. She said the dentist ordered amoxicillin and Peridex mouth wash. LVN E said
she ordered both medications from the pharmacy and then was off work for 3 days. She said she returned
to work on 08/26/24 and MA F informed her Resident #37's Peridex was not in the facility and could not be
given to her as ordered. She said she called the pharmacy again and asked them to deliver the Peridex
because it had not been delivered.
Residents Affected - Few
During an interview on 08/27/24 at 1:15 p.m., MA F said Resident #37's Peridex was not on the medication
cart on 08/26/24 and she notified LVN E that the Peridex was not in the facility to give to the resident.
During an interview on 08/27/24 at 1:20 p.m., MA H said she passed medications on 08/23/24 and
Resident #37's Peridex was not in the facility and was not given. She said she notified LVN I the mouthwash
was not in the facility.
During an interview on 08/27/24 at 1:32 p.m., LVN E said after surveyor intervention that she called
Resident #37's dentist and physician and notified them that the resident was not given her Peridex as
ordered on 8/22/24, 8/23/24, 8/24/24, 8/25/24 and 8/26/24. She said she received a new order to begin
Peridex 8/27/24 and continue twice daily for 14 days.
During a telephone interview on 08/27/24 at 7:05 p.m., LVN H said she was never notified that Resident
#37 did not have Her Peridex as ordered.
During an interview on 08/27/24 at 1:38 p.m., the DON said her expectations were for medications to be
administered as ordered by the physician. She said she had not been told that Resident #37 did not receive
her Peridex as ordered. She said the possible negative outcome of the delay in administering the Peridex
could be increased infection and delayed healing.
Record review of a Physician Orders policy revised June 2004 indicated: Physician orders must be given
and managed in accordance with applicable laws and regulations.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
676072
If continuation sheet
Page 4 of 12
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
676072
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
08/28/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Corrigan Ltc Nursing & Rehabilitation
300 Hyde St
Corrigan, TX 75939
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 0880
Provide and implement an infection prevention and control program.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, and record review, the facility failed to ensure an infection prevention and control
program designed to provide a safe and sanitary environment and to help prevent the development and
transmission of communicable diseases and infections were maintained for the facility for 1 of 2 residents
reviewed for isolation during med pass.
Residents Affected - Some
The facility failed to ensure LVN G used enhanced barrier precautions while she administered medication
for Resident #4 per gastrostomy tube ((g-tube) a tube inserted through the belly that brings nutrition directly
to the stomach).
This failure could place residents at risk for exposure to infections and communicable diseases.
Findings included:
1. Record review of Resident #4's admission sheet dated 08/25/24 indicated she was admitted on [DATE]
and was [AGE] years old with diagnoses of dysphagia (difficulty in swallowing).
Record review of Resident #4's physician's orders dated August 2024 indicated her orders included NPO
(nothing by mouth), was to receive all feedings and medications via g-tube.
Record review of a care plan dated 08/14/2024 indicated Resident #4 had a feeding tube. Resident #4 had
a history of Multi Drug Resistant Organism (MRDO). Interventions included: Contact isolation will be
performed, and infection will not be spread throughout the facility. Gloves and gowns will be used when
performing contact activity before entering the room.
During an observation on 08/26/24 at 1:57 p.m., LVN G was administering medication to Resident #4. LVN
G did not wear a gown while she administered medication to Resident #4. The door into Resident #4's room
had a sign which indicated enhanced barrier precautions were to be used while providing direct care to the
resident.
During an interview on 08/26/24 at 2:00 p.m., LVN G said that she should have worn a gown when she read
the sign (enhanced barrier precaution sign) on the door of Resident #4's room. She said she had been
trained on contact isolation and enhanced barrier precautions.
During an interview on 08/26/24 at 2:10 p.m., the DON said the nursing staff were to use enhanced barrier
precautions with all the residents who have indwelling medical devices to prevent spread of MDRO
(multi-drug-resistant organisms) .
Record review of the policy titled Enhanced Barrier Precautions dated August 2022 indicated Enhanced
barrier precautions (EBPs) are utilized to prevent the spread of multi-drug-resistant organisms (MDROs) to
residents. 2. EBPs employ targeted gowns, and gloves used during high contact resident care activities . 3.
Examples of high - contact resident care activities requiring the use of gown and gloves for EBPs include: .
g. device care or use (central line, urinary catheter, feeding tube and .)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
676072
If continuation sheet
Page 5 of 12
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
676072
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
08/28/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Corrigan Ltc Nursing & Rehabilitation
300 Hyde St
Corrigan, TX 75939
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 4 of 4 new employees (LVN A, LVN B, CNA
C, and CNA D) reviewed for training.
The facility did not ensure effective communication training was completed by LVN A, LVN B, CNA C, and
CNA D during orientation.
This failure could place residents at risk of miscommunication and social isolation due to lack of staff
training.
Findings included:
Record review of employee files indicated the following staff had not completed effective communications
training during orientation:
* LVN A, hire date 03/29/24;
* LVN B, hire date 04/22/24;
* CNA C, hire date 07/25/24; and
* CNA D, hire date 05/09/24.
During an interview on 08/28/24 at 09:41 a.m. the BOM/HR said the communication training was not
included in the Required Orientation Trainings in the computer system, so it was not done during the
orientation time period for LVN A, LVN B, CNA C, and CNA D.
During an interview on 08/28/24 at 01:05 p.m. the Administrator said she expected all new hire staff to have
the required training done prior to working. She said the possible negative outcome could be staff would not
know procedures for resolving issues in the facility or how to deal with residents in an appropriate manner.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
676072
If continuation sheet
Page 6 of 12
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
676072
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
08/28/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Corrigan Ltc Nursing & Rehabilitation
300 Hyde St
Corrigan, TX 75939
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 - Few
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 rights of the resident and
responsibilities of the facility were completed for 1 of 4 new employees (CNA C) reviewed for orientation
training.
The facility failed to ensure the rights of the resident and responsibilities of the facility training was
completed by CNA C during orientation.
This failure could affect residents and place them at risk of being uninformed due to lack of staff training.
Findings include:
Record review of employee files indicated CNA C, hire date 07/25/24 had not completed Resident Rights
training during orientation.
During an interview on 08/28/24 at 09:41 a.m. the BOM/HR said CNA C had not done the Resident Rights
training during the orientation time period prior to working. She said she had missed that it was not
completed.
During an interview on 08/28/24 at 01:05 p.m. the Administrator said she expected all new hire staff to have
the required trainings done prior to working. She said the possible negative outcome could be staff would
not know procedures for resolving issues in the facility or how to deal with residents in an appropriate
manner.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
676072
If continuation sheet
Page 7 of 12
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
676072
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
08/28/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Corrigan Ltc Nursing & Rehabilitation
300 Hyde St
Corrigan, TX 75939
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
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 ensure employees received the required training
on dementia management for 2 of 2 new employees (LVN A and LVN B) reviewed for orientation training.
Residents Affected - Some
The facility did not ensure dementia management training was completed by LVN A and LVN B during
orientation.
This failure could place residents with dementia at risk of a poor quality of care by staff with inadequate
training when caring for dementia residents.
Findings included:
Record review of employee files indicated the following staff had not completed dementia management
training during orientation:
* LVN A, hire date 03/29/24; and
* LVN B, hire date 04/22/24.
During an interview on 08/28/24 at 09:41 a.m. the BOM/HR said LVN A and LVN B had not done the
dementia management training during the orientation time period. She said she had missed that it was not
completed.
During an interview on 08/28/24 at 01:05 p.m. the Administrator said she expected all new hire staff to have
the required training done prior to working. She said the possible negative outcome could be staff would not
know procedures for resolving issues in the facility or how to deal with residents in an appropriate manner.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
676072
If continuation sheet
Page 8 of 12
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
676072
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
08/28/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Corrigan Ltc Nursing & Rehabilitation
300 Hyde St
Corrigan, TX 75939
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 0944
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement
Program.
Based on interview and record review, the facility failed to ensure Quality Assurance and Performance
Improvement (QAPI) training that outlines and informs staff of the elements and goals of the facility's QAPI
program was completed for 4 of 4 new employees (LVN A, LVN B, CNA C, and CNA D) reviewed for
orientation training.
The facility did not ensure QAPI training was completed by LVN A, LVN B, CNA C, and CNA D during their
orientation.
This failure could place staff and residents at risk for not being aware of facility programs, implementation,
and monitoring.
Findings included:
Record review of employee files indicated the following staff had not completed QAPI training during
orientation:
* LVN A, hire date 03/29/24;
* LVN B, hire date 04/22/24;
* CNA C, hire date 07/25/24; and
* CNA D, hire date 05/09/24.
During an interview on 08/28/24 at 09:41 a.m. the BOM/HR said the QAPI training was not included in the
Required Orientation Trainings in the computer system, so it was not done during the orientation time
period prior to working for LVN A, LVN B, CNA C, and CNA D. She said she had missed that it was not
completed.
During an interview on 08/28/24 at 01:05 p.m. the Administrator said she expected all new hire staff to have
the required training done prior to working. She said the possible negative outcome could be staff would not
know procedures for resolving issues in the facility or how to deal with residents in an appropriate manner.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
676072
If continuation sheet
Page 9 of 12
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
676072
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
08/28/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Corrigan Ltc Nursing & Rehabilitation
300 Hyde St
Corrigan, TX 75939
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 0946
Provide training in compliance and ethics.
Level of Harm - Minimal harm
or potential for actual harm
Based on interview and record review, the facility failed to ensure compliance and ethics training was
completed for 4 of 4 new employees (LVN A, LVN B, CNA C, and CNA D) reviewed for orientation training.
Residents Affected - Some
The facility did not ensure compliance and ethics training was completed by the LVN A, LVN B, CNA C, and
CNA D during orientation.
This failure could affect residents and place them at risk of poor care or victimization due to lack of staff
training.
Findings included:
Record review of employee files indicated the following staff had not completed compliance and ethics
training during orientation:
* LVN A, hire date 03/29/24;
* LVN B, hire date 04/22/24;
* CNA C, hire date 07/25/24; and
* CNA D, hire date 05/09/24.
During an interview on 08/28/24 at 09:41 a.m. the BOM/HR said the ethics and compliance training was not
included in the Required Orientation Trainings in the computer system, so it was not done during the
orientation time period prior to working for LVN A, LVN B, CNA C, and CNA D. She said she had missed
that it was not completed.
During an interview on 08/28/24 at 01:05 p.m. the Administrator said she expected all new hire staff to have
the required training done prior to working. She said the possible negative outcome could be staff would not
know procedures for resolving issues in the facility or how to deal with residents in an appropriate manner.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
676072
If continuation sheet
Page 10 of 12
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
676072
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
08/28/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Corrigan Ltc Nursing & Rehabilitation
300 Hyde St
Corrigan, TX 75939
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 0947
Level of Harm - Minimal harm
or potential for actual harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in
dementia care and abuse prevention.
Based on interview and record review, the facility failed to ensure CNAs completed dementia management
training for 2 of 2 new CNAs (CNA C and CNA D) reviewed for orientation training.
Residents Affected - Some
The facility did not ensure dementia management training was completed by CNA C and CNA D during
orientation.
This failure could place residents with dementia at risk of abuse, neglect, and exploitation and a poor
quality of care by staff with inadequate training when caring for dementia residents.
Findings included:
Record review of employee files indicated the following had not completed dementia management training
during orientation:
* CNA C, hire date 07/25/24; and
* CNA D, hire date 05/09/24.
During an interview on 08/28/24 at 09:41 a.m. the BOM/HR said the dementia management training was
not included in the Required Orientation Trainings in the computer system, so it was not done during the
orientation time period prior to working for CNA C and CNA D. She said she had missed that it was not
completed.
During an interview on 08/28/24 at 01:05 p.m. the Administrator said she expected all new hire staff to have
the required training done prior to working. She said the possible negative outcome could be staff would not
know procedures for resolving issues in the facility or how to deal with residents in an appropriate manner.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
676072
If continuation sheet
Page 11 of 12
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
676072
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
08/28/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Corrigan Ltc Nursing & Rehabilitation
300 Hyde St
Corrigan, TX 75939
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 0949
Level of Harm - Minimal harm
or potential for actual harm
Provide behavior health training consistent with the requirements and as determined by a facility
assessment.
Based on interview and record review, the facility failed to ensure training on behavioral health was
completed for 4 of 4 new employees LVN A, LVN B, CNA C, and CNA D) reviewed for orientation training.
Residents Affected - Some
The facility did not ensure behavioral health training was completed by LVN A, LVN B, CNA C, and CNA D
during orientation.
This failure could place residents with behaviors at risk of not receiving care to attain or maintain their
highest practicable physical, mental, and psychosocial well-being due to lack of staff training.
Findings included:
Record review of employee files indicated the following staff had not behavioral health training during
orientation:
* LVN A, hire date 03/29/24;
* LVN B, hire date 04/22/24;
* CNA C, hire date 07/25/24; and
* CNA D, hire date 05/09/24.
During an interview on 08/28/24 at 09:41 a.m. the BOM/HR said the behavioral health training was not
included in the Required Orientation Trainings in the computer system, so it was not done during the
orientation time period prior to working for LVN A, LVN B, CNA C, and CNA D. She said she had missed
that it was not completed.
During an interview on 08/28/24 at 01:05 p.m. the Administrator said she expected all new hire staff to have
the required training done prior to working. She said the possible negative outcome could be staff would not
know procedures for resolving issues in the facility or how to deal with residents in an appropriate manner.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
676072
If continuation sheet
Page 12 of 12
Reading this as a family member? Your long-term care ombudsman is a free advocate for residents and families.
Back to topCitations
12 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.
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.
F949 - Training Requirements
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- 0324GeneralS&S Epotential for harm
Provide properly protected cooking facilities.
- 0511GeneralS&S Epotential for harm
Have properly installed electrical wiring and gas equipment.
F693 - Assisted nutrition and hydration
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.
F755 - Pharmacy Services
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F880 - Infection Control
Provide and implement an infection prevention and control program.
F944 - Quality assurance and performance improvement
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
F946 - Compliance and ethics
Provide training in compliance and ethics.
F947 - Training Requirements
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
FAQ · About this visit
Common questions about this visit
What happened during the August 28, 2024 survey of Corrigan LTC Nursing & Rehabilitation?
This was a inspection survey of Corrigan LTC Nursing & Rehabilitation on August 28, 2024. The surveyor cited 12 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at Corrigan LTC Nursing & Rehabilitation on August 28, 2024?
Yes, 12 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Develop, implement, and/or maintain an effective training program that includes effective communications for direct care..."
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.