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Deficiency Records for Tomball Rehab and Nursing
A list of the most recent deficiencies for Tomball Rehab and Nursing. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Tomball Rehab and Nursing. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-21 | 2024-07-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-21 | 2024-07-17 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-02-09 | 2024-02-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-10 | 2024-02-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-10 | 2024-02-09 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-04 | 2024-01-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-20 | 2023-12-19 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-11-20 | 2023-12-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-02 | 2023-11-30 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-25 | 2023-09-29 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-08-25 | 2023-09-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-25 | 2023-09-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-25 | 2023-09-29 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-08-25 | 2023-09-29 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-23 | 2023-09-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-12 | 2023-09-13 | Y |
| 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. | Health | 2023-02-15 | 2023-03-17 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-15 | 2023-03-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-15 | 2023-03-17 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-06-23 | 2022-07-22 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-06-23 | 2022-07-22 | N |
| 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. | Health | 2022-06-23 | 2022-07-22 | N |
| Dispose of garbage and refuse properly. | Health | 2022-06-23 | 2022-07-22 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-06-21 | 2022-07-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-23 | 2022-07-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-14 | 2021-07-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-14 | 2021-07-01 | N |
| 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. | Health | 2021-05-14 | 2021-07-01 | N |
| Report COVID19 data to residents and families. | Health | 2021-05-14 | 2021-07-01 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-05-11 | 2021-06-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-11 | 2021-06-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-11 | 2021-06-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-11 | 2021-06-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-11 | 2021-06-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-11 | 2021-06-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-11 | 2021-06-25 | N |
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