Community Medical Center Tcu

In the surveyor’s words

From the most serious findings on record at Community Medical Center Tcu, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 31, 2024

  Based on observation and interview it was determined that the facility failed to: a.) maintain sanitation in cooking areas in a safe consistent manner; b.) label, date, and store potentially hazardous foods appropriately to prevent food borne illness; c.)maintain multiuse food-contact surface cutting board in a manner to prevent microbial growth; and d.) maintain kitchen equipment in a manner to prevent microbial growth. This deficient practice was evidenced by the following: On [DATE] at 11:05 AM, the surveyor in the presence of the Administrative Director Hospitality Services (ADHS) and Quality Coordinator (QC), toured the kitchen and observed the following: 1. On a preparation table, one large light blue cutting board that was deeply pitted and discolored black. […]

• No harm, potential for more than minimal, widespreadF812Sep 20, 2021

  Based on observation, interview and review of documentation, it was determined that the facility failed to a.) properly clean and store dishes and food service equipment and b.) label and date food in a manner to prevent food-borne illness and cross contamination. This deficient practice was evidenced by the following: On [DATE] at 9:58 AM, during the initial tour of the kitchen in the presence of the Hospitality Services Administrative Director (HSAD) and the Quality Resource Services Outcomes Coordinator, the surveyor observed the following: 1. There was a two-compartment plastic [NAME] holding disposable resident meal trays in one of the compartments. The empty compartment adjacent to the clean trays was visibly soiled with dust and debris. 2. […]

• No harm, potential for more than minimal, patternF656Jul 2, 2025

  Based on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to develop and implement care plans that are comprehensive and individualized for a.) residents who were placed on Enhanced Barrier Precautions (EBP) (an infection control intervention designed to reduce transmission of multidrug-resistant organisms in skilled nursing facilities) and b.) residents who received antianxiety medications. This deficient practice was identified for 4 of 16 residents reviewed (Resident #157, Resident #158, Resident #163, and Resident #166) and was evidenced by the following: 1.) On 6/27/2025 at 10:55 AM, the surveyor observed Resident #157 sitting in room with their shirt half-covering a urostomy bag (a bag used to collect urine… […]

• No harm, potential for more than minimal, isolatedF695Jul 2, 2025

  Based on observation, interviews, record reviews and reviews of facility provided documents, it was determined that the facility failed to obtain a physician order for supplemental oxygen. This deficient practice occurred for 1 of 1 resident (Resident #110) reviewed for respiratory care. The deficient practice was evidenced by the following: On 06/27/2025 at 09:12 AM Resident #110 was observed to be seated in a chair next to the bed. Resident #110 was observed to actively receive oxygen via nasal cannula (a medical device used to deliver medical-grade supplemental oxygen to a user who requires oxygen therapy). Resident #110 did not have any complaints and was not in any respiratory distress. […]

• No harm, potential for more than minimal, isolatedF756Jul 2, 2025

  Based on observation, interview, and review of facility documents, it was determined that the facility failed to follow policy and procedure to provide a rationale for rejection of consultant pharmacist recommendations. This deficient practice was observed for 1 of 5 residents (Resident #105) reviewed for unnecessary medications and was evidenced by the following: On 06/27/2025 at 09:41 AM the surveyor observed Resident #105 lying in bed. Resident #105 offered no complaints and did not display any maladaptive behaviors. According to the admission record/face sheet, Resident #105 was admitted to the facility with a diagnosis of acute kidney injury. […]