Heritage Park of Katy Nursing and Rehabilitation

Scope/severity J — IMMEDIATE JEOPARDY

Survey 2023-09-30 · Tag F0656 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-10-01

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

What this scope/severity letter means: CMS found the facility's failure caused, or was likely to cause, serious injury, harm, impairment, or death to a resident. This is the most serious finding a surveyor can make. Affected one resident or instance. How the A–L grid works

Scope/severity J — IMMEDIATE JEOPARDY

Survey 2023-09-30 · Tag F0689 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-10-01

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

What this scope/severity letter means: CMS found the facility's failure caused, or was likely to cause, serious injury, harm, impairment, or death to a resident. This is the most serious finding a surveyor can make. Affected one resident or instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-11-07 · Tag F0645 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-11-26

PASARR screening for Mental disorders or Intellectual Disabilities

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-11-07 · Tag F0655 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-11-26

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-11-07 · Tag F0755 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-11-26

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2024-11-07 · Tag F0812 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-11-26

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-03-07 · Tag F0558 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-03-11

Reasonably accommodate the needs and preferences of each resident.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-03-07 · Tag F0677 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-03-11

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2024-03-07 · Tag F0690 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-03-11

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2023-09-30 · Tag F0609 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-10-01

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-09-30 · Tag F0698 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-10-01

Provide safe, appropriate dialysis care/services for a resident who requires such services.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-09-30 · Tag F0755 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-10-01

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-09-30 · Tag F0761 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-10-01

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.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-09-30 · Tag F0920 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-10-23

Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2022-07-22 · Tag F0686 · Routine survey · Deficient, Provider has date of correction · Correction reported 2022-08-28

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2022-07-22 · Tag F0761 · Routine survey · Deficient, Provider has date of correction · Correction reported 2022-08-28

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.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2022-07-22 · Tag F0880 · Routine survey · Deficient, Provider has date of correction · Correction reported 2022-08-28

Provide and implement an infection prevention and control program.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works