Atherton Baptist Home

In the surveyor’s words

From the most serious findings on record at Atherton Baptist Home, in the surveyor’s own words.

• Immediate jeopardy, patternF880Apr 20, 2023

  Based on observation, interview, and record review, the facility failed to ensure an effective infection prevention and control program to prevent infectious disease outbreak (a sudden rise in the number of cases of a disease) for four (4) of 4 sampled residents (Residents 1, 2, 3 and 8) by failing to: 1. Control the spread of unknown gastrointestinal (GI, relating to, affecting, or including both stomach and intestine) outbreak when Residents 1, 2, and 3 were not placed on contact isolation precautions (intended to prevent transmission of infectious agents, which are spread by direct or indirect contact with the resident or resident's environment) on the onset of GI symptoms. Resident 1 was not placed on contact isolation until 4 days after onset of diarrhea (loose watery stool). […]

• No harm, potential for more than minimal, widespreadF885Jan 5, 2021

  Based on interviews, document review, and record review, the facility failed to ensure they informed two residents (Resident (R) 1 and R2) out of a sample of three, and/or their representatives of confirmed positive COVID-19 cases in the facility along with mitigating actions, taken by the facility. There was lack of documented evidence the facility staff provided notification of positive COVID-19 residents to the residents and/or their representatives by 5:00 PM the next calendar day following the subsequent occurrence of a confirmed COVID-19 infection. This deficient practice had the potential to affect the 77 residents residing in the facility and/or their representatives at the time of the survey. […]

• No harm, potential for more than minimal, patternF689Jan 16, 2026

  Based on observation, interview and record review, the facility failed to provide supervision for two of three sampled residents (Residents 12 and 18) under the accidents care area in accordance with facility policy when:1.Resident 12 was observed sliding off the wheelchair unattended in the activity room and unsupervised during a fall on 1/12/2026 in the resident's bedroom.2.Resident 18 was observed unattended in the activity room.This deficient practice placed Resident 12 and 18 at risk for accident and/or injury which had the potential to result in harm like fractures (break in bone), hospitalization, and death.Findings: 1. […]

• No harm, potential for more than minimal, patternF756Jan 16, 2026

  Based on interview and record review, the facility failed to ensure the physician reviewed and took timely action on a medication regimen review (MRR, consists of a thorough evaluation of the medication regimen of a resident with the goal of promoting positive outcomes and minimizing adverse consequences and potential risks associated with medication) irregularity (includes, but is not limited to, use of medications without adequate indication, without adequate monitoring, in excessive doses, and/or in the presence of adverse consequences, as well as the identification of conditions that may warrant initiation of medication therapy) identified by the facility's pharmacy consultant for two of five sampled residents (Resident 24 and 58) under unnecessary medications care area by failing to:1… […]

• No harm, potential for more than minimal, patternF697Dec 23, 2025

  Based on interview and record review, the facility failed to ensure two (2) of 2 sampled residents (Residents 1 and 2) received proper pain management by failing to have pain scale parameters to pain medications ordered when: Resident 1, who had returned from the general acute care hospital (GACH) after a right hip hemiarthroplasty (a surgical procedure that involves replacing half of the hip joint), had a physician's order for Tramadol Hydrochloride (drug commonly used to treat severe pain) as needed (PRN) for pain without a pain scale parameter (mild, moderate, or severe pain). […]