Cypress Care Center

In the surveyor’s words

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

• Actual harm, isolatedF580May 8, 2023

  Based on interview and record review, the facility failed to ensure a resident's physician was immediately informed when there was a laboratory result that required physician notification for infection that resulted in a delay of care and transfer to a higher level of care and failed to ensure that a resident representative was notified of the change in condition for 1 of 3 residents reviewed for change in condition and wound care (Resident #1). Findings include: Review of the admission record for Resident #1 documented the resident was admitted to the facility on [DATE] with a diagnosis that included schizoaffective disorder, major depressive disorder, hypertensive heart disease without heart failure, Picks disease (frontotemporal dementia), hyperlipidemia, generalized anxiety disorder,… […]

• No harm, potential for more than minimal, widespreadF761Jun 23, 2022

  Based on observation, interview, and record review, the facility failed to ensure the drugs and biologicals used in the facility were stored and labeled in accordance with currently accepted professional principles in 6 of 8 medication carts. Findings include: During an observation of medication cart #1 conducted on 6/20/2022 at 8:57 AM with Staff A, Licensed Practical Nurse(LPN), there was one opened [MEDICATION(S)] insulin with no date opened, no resident identifier, and not in the original pharmacy packaging, one opened [MEDICATION(S)] insulin pen with no date opened or expiration date, one opened [MEDICATION(S)] Ophthalmic Solution with no date opened or expiration date, and one medication cup with eleven medications with no resident identifier or list of what the medication were. […]

• No harm, potential for more than minimal, widespreadF880Jun 23, 2022

  Based on observation, interview, and record review the facility failed to ensure infection control procedures were followed to prevent the possible spread of infection. Findings include: 1. During an observation on 6/21/2022 at 9:33 AM of the laundry room it showed the door between the soiled laundry hold and the clean laundry area was propped open with a bucket. In the clean utility room near the dryers there was a pink bottle of water/ice on the table that contained folded linen and curtains. […]

• No harm, potential for more than minimal, widespreadF812Jan 15, 2021

  Based on observation, record review, and interview, the facility failed to ensure food was stored, prepared and served in accordance with professional standards for food service safety. Findings: 1. An observation during the initial tour of the kitchen on 1/11/2020 beginning at 6:40 AM with the Kitchen Manager revealed a red substance under a clear package of raw meat, approximately 10 pounds in weight. The meat was defrosting on a plastic cart inside the walk-in cooler. There was an uncovered bowl of broth/gravy underneath the meat on the cart. When the cart was moved, a puddle of red substance was pooled on the floor under the cart in the walk-in cooler. […]

• No harm, potential for more than minimal, patternF761Mar 20, 2025

  Based on observation, interview and record the facility failed to ensure the drugs and biologicals used in the facility were stored and labeled in accordance with currently accepted professional principles for 5 out of 8 medication carts and 1 out of 4 units reviewed for unattended medication. Findings include: During an observation on [DATE] at 9:17 AM Resident #267 was lying on her bed with intravenous medication running. There was a medication cup on top of Resident # 267 which contained white circular tablets and a red color tablet. […]