Thrive Rehabilitation of Pearland

Scope/severity J — IMMEDIATE JEOPARDY

Survey 2025-11-28 · Tag F0773 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-11-29

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

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 2025-10-24 · Tag F0656 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-10-26

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 2025-10-24 · Tag F0689 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-10-26

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 J — IMMEDIATE JEOPARDY

Survey 2025-10-05 · Tag F0580 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-11-22

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

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 K — IMMEDIATE JEOPARDY

Survey 2025-10-05 · Tag F0684 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-11-22

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

What this scope/severity letter means: CMS found a pattern of failures that caused, or were likely to cause, serious injury, harm, impairment, or death. This is the most serious finding a surveyor can make. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2026-04-09 · Tag F0645 · Routine survey · Deficient, Provider has date of correction · Correction reported 2026-05-04

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 2026-04-09 · Tag F0693 · Routine survey · Deficient, Provider has date of correction · Correction reported 2026-05-04

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.

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 2026-04-09 · Tag F0755 · Routine survey · Deficient, Provider has date of correction · Correction reported 2026-05-04

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 2026-04-09 · Tag F0759 · Routine survey · Deficient, Provider has date of correction · Correction reported 2026-05-04

Ensure medication error rates are not 5 percent or greater.

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 2026-04-09 · Tag F0812 · Routine survey · Deficient, Provider has date of correction · Correction reported 2026-05-04

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 E — Potential for harm

Survey 2026-02-25 · Tag F0686 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2026-04-08

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, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-11-21 · Tag F0628 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-11-22

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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 2025-11-21 · Tag F0657 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2026-01-23

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

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 2025-11-21 · Tag F0695 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2026-01-23

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

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 2025-11-21 · Tag F0698 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2026-01-23

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 2025-11-21 · Tag F0880 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2026-01-23

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

Scope/severity D — Potential for harm

Survey 2025-10-24 · Tag F0628 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-10-26

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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 2025-10-24 · Tag F0842 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-10-26

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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 2025-01-31 · Tag F0606 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-02-03

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

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 2025-01-31 · Tag F0645 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-02-03

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 E — Potential for harm

Survey 2025-01-31 · Tag F0655 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-02-05

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, and it happened repeatedly. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2025-01-31 · Tag F0689 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-02-04

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

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 2025-01-31 · Tag F0755 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-02-05

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 2025-01-31 · Tag F0757 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-02-05

Ensure each resident’s drug regimen must be free from unnecessary 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 E — Potential for harm

Survey 2025-01-31 · Tag F0761 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-02-05

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