Conroe Health Care Center

In the surveyor’s words

From the most serious findings on record at Conroe Health Care Center, in the surveyor’s own words.

• Immediate jeopardy, patternF695Nov 14, 2024

  Based on observations, interviews, and record review, the facility failed to ensure that a resident who needed respiratory care was provided such care consistent with professional standards of practice for 1 (CR #1) of 5 residents reviewed for respiratory care. - The facility failed to ensure consistent oxygen therapy was provided to CR #1 who was on hospice and a DNR. CR #1 was pronounced deceased at approximately 3:48 p.m. on [DATE]. -The facility failed to respond to CR #1's numerous requests for help for an approximate 2 ,d+[DATE] hour period. -The facility failed to monitor CR #1's oxygen administration via nasal cannula while she was in bed. An Immediate Jeopardy (IJ) was identified on [DATE]. The IJ template was provided to the facility on [DATE] at 12:21 p.m. […]

• Actual harm, isolatedF686Apr 11, 2025

  Based on observation, interview and record review, the facility failed to provide necessary treatment and services to promote Based on observation, interview and record review, the facility failed to provide necessary treatment and services to promote healing and prevent worsening pressure sores for 1 of 8 resident (Resident #57) reviewed for pressure sores. - The facility failed to provide repositioning and pillows/wedges to prevent Resident #57's development of a stage 2 pressure ulcer, ( an area of damage to the skin or underlying tissue that occurs when continuous pressure is placed on a particular part of the body that has skin loss to where the fat under the skin is visible but not bone, tendon or muscle), This failure could place resident at risk of development of new pressure… […]

• No harm, potential for more than minimal, widespreadF583Apr 11, 2025

  Based on interview and record review, the facility failed to ensure the resident has the right to send and receive mail, and to receive letters, packages and other materials delivered to the facility for 1 (Saturday) of 6 mail delivery days reviewed for privacy. - The facility failed to ensure mail was delivered within 24 hours to residents on Saturdays. This failure could place residents at risk of not receiving mail in a timely manner that could result in a decline in the resident's well-being, quality of life and cause them to feel disconnected from family, friends, and current world issues. […]

• No harm, potential for more than minimal, patternF641Apr 11, 2025

  Based on observation, interview, and record review the facility failed to accurately assess each resident's status for 2 of 8 resident (Resident #57 and Resident #68) reviewed for accuracy of assessments. - The facility failed to document Resident #57s lower extremity impairment in the resident's Quarterly MDS - The facility failed to document Resident #68's use of corrective lenses in the resident's quarterly MDS This failure could place residents at risk of inaccurate assessments, which could compromise their plan of care . […]

• No harm, potential for more than minimal, patternF656Apr 11, 2025

  43049 Based on observation, interview, and record review the facility failed develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, which include measurable objectives and timeframes to meet resident's medical and nursing, needs for 3 of 7 residents (Residents #52, #59, #16) reviewed for comprehensive patient centered care plans. - The facility failed to develop a care plan that addressed Resident #52's dietary interventions to address low body weight and promote weight gain. - The facility failed to ensure Resident #16 and #59's care plans documented goals and interventions for hypertension. This failure could place residents at risk of weight loss and deteriorating health. […]