Georgetown Nursing And Transitional Care

Penalties

• Mar 17, 2025 — Fine ($8,281)

Inspection findings

1. Jun 24, 2026 Health · 6 findings
   • Not serious Scope/severity E

     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 Jul 15, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0814 Nutrition and Dietary Deficiencies

     Dispose of garbage and refuse properly.

     Corrected Jul 15, 2026 · CMS health inspection

   • 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 Jun 25, 2026 · CMS fire safety

   • Not serious Scope/severity D

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Jun 28, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0355 Smoke Deficiencies

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

     Corrected Jun 25, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Jun 28, 2026 · CMS fire safety

2. Apr 30, 2025 Health · 9 findings
   • Not serious Scope/severity E

     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 30, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected May 30, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0604 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

     Corrected Jun 16, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0677 Quality of Life and Care Deficiencies

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

     Corrected May 27, 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 May 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 May 23, 2025 · CMS health inspection

   • Not serious Scope/severity E

     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 May 1, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected May 30, 2025 · CMS health inspection

   • Not serious Scope/severity D

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected May 21, 2025 · CMS fire safety

3. Mar 17, 2025 Health · 2 findings
   • Serious Scope/severity J Complaint

     F0684 Quality of Life and Care Deficiencies

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

     Corrected Mar 23, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0695 Quality of Life and Care Deficiencies

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

     Corrected Apr 12, 2025 · CMS health inspection

4. Mar 3, 2025 Health · 2 findings
   • Not serious Scope/severity D 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 Feb 7, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0603 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

     Corrected Feb 7, 2025 · CMS health inspection

5. Feb 29, 2024 Health · 8 findings
   • Not serious Scope/severity D

     F0552 Resident Rights Deficiencies

     Ensure that residents are fully informed and understand their health status, care and treatments.

     Corrected Mar 1, 2024 · CMS health inspection

   • Not serious Scope/severity E

     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 Apr 21, 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 1, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0351 Smoke Deficiencies

     Install an approved automatic sprinkler system.

     Corrected Jan 31, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Jan 31, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Jan 31, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Feb 15, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Dec 20, 2024 · CMS fire safety

Owners and managers (as published by CMS)

• CHANEY, DENA — operational/managerial control, NOT APPLICABLE, since 03/01/2025
• CLAPP, BARBARA — adp of the snf, NOT APPLICABLE, since 09/15/2025
• DEKOWSKI, DONOVAN — adp of the snf, NOT APPLICABLE, since 09/15/2025
• DONOHUE, LORENA — adp of the snf, NOT APPLICABLE, since 09/15/2025
• DONOHUE, LORENA — operational/managerial control, NOT APPLICABLE, since 09/15/2025
• MANDELBAUM, ELLIOT — adp of the snf, NOT APPLICABLE, since 09/15/2025
• PRICE, LARRY — corporate director, NOT APPLICABLE, since 04/01/2017
• STRONG, TYLER — operational/managerial control, NOT APPLICABLE, since 09/15/2025
• STRONG, TYLER — adp of the snf, NOT APPLICABLE, since 09/15/2025
• SUGUNAN, BINU — adp of the snf, NOT APPLICABLE, since 03/07/2025
• 4011 WILLIAMS DRIVE LLC — adp of the snf, NOT APPLICABLE, since 09/15/2025
• CSV RHEA MANAGEMENT HOLDCO, LLC — adp of the snf, NOT APPLICABLE, since 09/15/2025
• DWD TX HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 09/15/2025
• JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC — adp of the snf, NOT APPLICABLE, since 09/15/2025
• REG LEASED OPCO LLC — adp of the snf, NOT APPLICABLE, since 09/15/2025
• REG OPERATOR HOLDCO LLC — adp of the snf, NOT APPLICABLE, since 09/15/2025
• REGENCY IHS CLINICAL CONSULTING, LLC — adp of the snf, NOT APPLICABLE, since 09/15/2025
• REGENCY IHS REHAB LLC — adp of the snf, NOT APPLICABLE, since 09/15/2025
• REGENCY INTEGRATED HEALTH SERVICES LLC — adp of the snf, NOT APPLICABLE, since 09/15/2025
• REGENCY TEXAS HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 09/15/2025
• SOUTH LIMESTONE HOSPITAL DISTRICT — operational/managerial control, NOT APPLICABLE, since 04/01/2017
• SOUTH LIMESTONE HOSPITAL DISTRICT — adp of the snf, NOT APPLICABLE, since 09/30/2025
• WELLSENTIAL OF GEORGETOWN LLC — adp of the snf, NOT APPLICABLE, since 09/15/2025