Mabank Nursing Center

Penalties

• Jul 30, 2024 — Fine ($14,433)
• Jul 30, 2024 — Fine ($16,801)

Inspection findings

1. May 21, 2026 Health · 15 findings
   • Not serious Scope/severity D

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected May 22, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected May 22, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0578 Resident Rights Deficiencies

     Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

     Corrected May 22, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Develop and implement policies and procedures to prevent abuse, neglect, and theft.

     Corrected May 22, 2026 · CMS health inspection

   • Not serious Scope/severity D

     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 May 22, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0644 Resident Assessment and Care Planning Deficiencies

     Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

     Corrected May 22, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected May 22, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected May 22, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0699 Quality of Life and Care Deficiencies

     Provide care or services that was trauma informed and/or culturally competent.

     Corrected May 22, 2026 · CMS health inspection

   • Not serious Scope/severity E

     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 May 22, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0802 Nutrition and Dietary Deficiencies

     Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

     Corrected May 22, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0849 Administration Deficiencies

     Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

     Corrected May 22, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected May 22, 2026 · CMS health inspection

   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected May 22, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected May 22, 2026 · CMS fire safety

2. Mar 12, 2025 Health · 11 findings
   • Not serious Scope/severity D

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Mar 30, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Mar 30, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0584 Resident Rights Deficiencies

     Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

     Corrected Mar 30, 2025 · CMS health inspection

   • 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 Mar 30, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0688 Quality of Life and Care Deficiencies

     Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

     Corrected Mar 30, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Mar 30, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Mar 30, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0699 Quality of Life and Care Deficiencies

     Provide care or services that was trauma informed and/or culturally competent.

     Corrected Mar 30, 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 Mar 30, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0806 Nutrition and Dietary Deficiencies

     Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

     Corrected Mar 30, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Mar 30, 2025 · CMS health inspection

3. Jul 30, 2024 Health · 2 findings
   • Serious Scope/severity K 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 Jul 26, 2024 · 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 Jul 26, 2024 · CMS health inspection

4. Feb 14, 2024 Health · 11 findings
   • Not serious Scope/severity D

     F0561 Resident Rights Deficiencies

     Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

     Corrected Feb 19, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0655 Resident Assessment and Care Planning Deficiencies

     Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

     Corrected Feb 15, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0676 Quality of Life and Care Deficiencies

     Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

     Corrected Feb 15, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0758 Pharmacy Service Deficiencies

     Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

     Corrected Feb 15, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0804 Nutrition and Dietary Deficiencies

     Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

     Corrected Mar 25, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0806 Nutrition and Dietary Deficiencies

     Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

     Corrected Mar 25, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Mar 8, 2024 · CMS health inspection

   • Not serious Scope/severity D

     K0293 Egress Deficiencies

     Have properly located and lighted "Exit" signs.

     Corrected Feb 14, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Feb 14, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0374 Smoke Deficiencies

     Install smoke barrier doors that can resist smoke for at least 20 minutes.

     Corrected Feb 14, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0741 Miscellaneous Deficiencies

     Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

     Corrected Mar 4, 2024 · CMS fire safety

Owners and managers (as published by CMS)

• BAUDER, KELLY — adp of the snf, NOT APPLICABLE, since 10/01/2023
• BAUDER, KELLY — 5% or greater mortgage interest, NOT APPLICABLE, since 10/01/2023
• BAUDER, MADISON — 5% or greater mortgage interest, NOT APPLICABLE, since 10/01/2023
• BAUDER, MADISON — adp of the snf, NOT APPLICABLE, since 10/01/2023
• BAUDER, PARKER — adp of the snf, NOT APPLICABLE, since 10/01/2023
• BAUDER, PARKER — 5% or greater mortgage interest, NOT APPLICABLE, since 10/01/2023
• BAUDER, PARKER — operational/managerial control, NOT APPLICABLE, since 10/01/2023
• BAUDER, WILLIAM — operational/managerial control, NOT APPLICABLE, since 10/01/2023
• BOULWARE, DOUGLAS — adp of the snf, NOT APPLICABLE, since 10/01/2023
• BOULWARE, DOUGLAS — 5% or greater mortgage interest, NOT APPLICABLE, since 10/01/2023
• BOULWARE, SANDRA — adp of the snf, NOT APPLICABLE, since 10/01/2023
• BOULWARE, SANDRA — 5% or greater mortgage interest, NOT APPLICABLE, since 10/01/2023
• BOULWARE, STEVEN — 5% or greater mortgage interest, NOT APPLICABLE, since 10/01/2023
• BOULWARE, STEVEN — operational/managerial control, NOT APPLICABLE, since 10/01/2023
• BOULWARE, STEVEN — adp of the snf, NOT APPLICABLE, since 10/01/2023
• BOULWARE, THOMAS — 5% or greater mortgage interest, NOT APPLICABLE, since 10/01/2023
• BOULWARE, THOMAS — adp of the snf, NOT APPLICABLE, since 10/01/2023
• CLINE, AMANDA — adp of the snf, NOT APPLICABLE, since 10/01/2023
• CLINE, AMANDA — operational/managerial control, NOT APPLICABLE, since 10/01/2023
• EASLEY, JAMES — corporate officer, NOT APPLICABLE, since 12/02/2024
• SANNER, DAVID — adp of the snf, NOT APPLICABLE, since 10/01/2023
• WALKER, KATIE — adp of the snf, NOT APPLICABLE, since 10/01/2023
• WALKER, KATIE — 5% or greater mortgage interest, NOT APPLICABLE, since 10/01/2023
• BAUDER FAMILY INVESTMENTS, LLC — adp of the snf, NOT APPLICABLE, since 10/01/2023
• BAUDER FAMILY INVESTMENTS, LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 10/01/2023
• BOULWARE ST JAMES LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 10/01/2023
• BOULWARE ST JAMES LLC — adp of the snf, NOT APPLICABLE, since 10/01/2023
• BRIDGEPOINTE FINANICAL SERVICES, LLC — adp of the snf, NOT APPLICABLE, since 10/01/2023
• INNOVATIVE NURSE CONSULTING, LLC — adp of the snf, NOT APPLICABLE, since 10/01/2023
• PMG OPCO - MABANK LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2023
• PMG OPCO - MABANK LLC — adp of the snf, NOT APPLICABLE, since 10/01/2023
• PMG REALCO-MABANK, LLC — adp of the snf, NOT APPLICABLE, since 10/01/2023
• PMG REALCO-MABANK, LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 10/01/2023
• PRIORITY MANAGEMENT GROUP, LLC — adp of the snf, NOT APPLICABLE, since 10/01/2023
• PROGRESSIVE REHAB SOLUTIONS, LLC — adp of the snf, NOT APPLICABLE, since 10/01/2023
• STEPHENS MEMORIAL HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 06/01/2022