West Janisch Health Care Center

Penalties

• Oct 7, 2025 — Payment Denial · payment denial 1 days

Inspection findings

1. Oct 7, 2025 Health · 19 findings
   • Not serious Scope/severity D

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected Oct 9, 2025 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Oct 9, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Oct 9, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Oct 9, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Oct 9, 2025 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Oct 9, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0694 Quality of Life and Care Deficiencies

     Provide for the safe, appropriate administration of IV fluids for a resident when needed.

     Corrected Oct 9, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0726 Nursing and Physician Services Deficiencies

     Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

     Corrected Oct 9, 2025 · CMS health inspection

   • Not serious Scope/severity C

     F0732 Nursing and Physician Services Deficiencies

     Post nurse staffing information every day.

     Corrected Oct 9, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Oct 9, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0761 Pharmacy Service Deficiencies

     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.

     Corrected Oct 9, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0776 Administration Deficiencies

     Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

     Corrected Oct 9, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0803 Nutrition and Dietary Deficiencies

     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.

     Corrected Oct 9, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Oct 9, 2025 · CMS health inspection

   • Serious Scope/severity K

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected Nov 8, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Oct 2, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Oct 8, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Oct 2, 2025 · CMS fire safety

   • Serious Scope/severity K

     K0711 Miscellaneous Deficiencies

     Provide a written emergency evacuation plan.

     Corrected Oct 2, 2025 · CMS fire safety

2. Sep 12, 2024 Health · 3 findings
   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Oct 7, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0761 Pharmacy Service Deficiencies

     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.

     Corrected Oct 7, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Oct 7, 2024 · CMS fire safety

3. Nov 2, 2023 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Dec 4, 2023 · CMS health inspection

4. Aug 10, 2023 Health · 4 findings
   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Sep 1, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Sep 1, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Sep 1, 2023 · CMS health inspection

   • Not serious Scope/severity F

     K0352 Smoke Deficiencies

     Properly install and monitor supervisory attachments on automatic sprinkler systems.

     Corrected Aug 14, 2023 · CMS fire safety

5. Aug 2, 2023 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected Aug 10, 2023 · CMS health inspection

   • Serious Scope/severity G Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Aug 10, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• BAVARE, ARUSHA — operational/managerial control, NOT APPLICABLE, since 06/01/2024
• BAVARE, ARUSHA — adp of the snf, NOT APPLICABLE, since 06/01/2024
• BAXTER, KEVIN — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 03/09/2025
• FISHER, SCOTT — adp of the snf, NOT APPLICABLE, since 06/01/2024
• JACKSON, BRIAN — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/22/2025
• MURRELL, EDWARD — corporate director, NOT APPLICABLE, since 06/01/2024
• MUSTAFA, BEVERLY — adp of the snf, NOT APPLICABLE, since 06/01/2024
• MUSTAFA, BEVERLY — operational/managerial control, NOT APPLICABLE, since 06/01/2024
• WHITE, JOSHUA — operational/managerial control, NOT APPLICABLE, since 06/01/2024
• HEALTH SERVICES MANAGEMENT, INC. — adp of the snf, NOT APPLICABLE, since 06/01/2024
• HEALTH SERVICES MANAGEMENT, INC. — 5% or greater mortgage interest, NOT APPLICABLE, since 06/01/2024
• HSMTX/JANISCH-HOUSTON, LLC — adp of the snf, NOT APPLICABLE, since 03/09/2025
• HSMTX/JANISCH-HOUSTON, LLC — operational/managerial control, NOT APPLICABLE, since 06/01/2024
• JANISCH-HOUSTON REALTY, LLC — adp of the snf, NOT APPLICABLE, since 06/01/2024
• JANISCH-HOUSTON REALTY, LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 06/01/2024