F W Huston Medical Center

In the surveyor’s words

From the most serious findings on record at F W Huston Medical Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF761Aug 12, 2025

  The facility had a census of 38 residents. Based on observation, interview, and record review, the facility failed to store unexpired medication in the emergency kit as required, and staff failed to discard or destroy expired medications. This deficient practice placed residents of the facility at risk of receiving ineffective medications. Findings included:- On 08/11/25 at 07:45 AM, observation with License Nurse (LN) G revealed that the facility's medication room had an emergency kit. The emergency kit contained the following expired medications:One bottle of Coumadin (blood thinner medication) 1 milligram (mg), 10 tablets that expired 06/13/25.One bottle of Cefuroxime (antibiotic medication) 500 mg, 10 tablets, expired 06/13/25. […]

• No harm, potential for more than minimal, widespreadF812Aug 12, 2025

  The facility identified a census of 38 residents. The facility had one main dining room and kitchen. Based on observations, record review, and interview, the facility failed to properly label and store food and failed to perform hand hygiene during meal tray pass. This deficient practice had the risk of spreading foodborne illness to all affected residents.Findings included:- On 08/10/25 at 08:49 AM, during the initial tour of the kitchen, the deep freezer had an opened package of waffles, an opened package of hashbrowns, and an opened package of pancakes not labeled and dated or stored in a sealed container/bag. A refrigerator had an opened package of ham and an opened bag of grated Parmesan cheese, not labeled, dated, or in a sealed container/bag. […]

• No harm, potential for more than minimal, widespreadF868Aug 12, 2025

  The facility had a census of 38 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to maintain a Quality Assessment and Assurance Committee (QA&A) that had the required membership in attendance. This placed the resident with a lack of quality care.Findings included:- Upon review of the facility's QA&A committee attendance signed roster for the monthly meetings held 07/16/24 to 07/15/25, the roster of attendance lacked the signature of the Medical Director.On 08/12/25 at 09:12 AM, Administrative Staff B reported the Medical Director had not signed the attendance roster but had joined the meeting via the Owl conferencing method (a camera device of a cascading camera and an extension microphone which provides audio-visual… […]

• No harm, potential for more than minimal, widespreadF727Oct 18, 2023

  The facility identified a census of 37 residents. Based on record and interview, the facility failed to provide a Registered Nurse (RN) for at least eight consecutive hours, seven days a week. This placed all residents in the facility at risk for decreased quality of care. Findings included: - RN coverage documentation for 04/08/23 to 06/18/23 was requested from the facility. The facility provided [NAME] Living Center Schedule documents with who provided RN coverage each day. The documents listed the following dates where RN coverage was recorded as provided by Administrative Nurse F: 04/08/23 - 04/09/23, 04/22/23 - 04/23/23, 05/06/23 - 05/07/23, 05/13/23 - 05/14/23, 06/03/23 - 06/04/23, and 06/17/23 - 06/18/23. […]

• No harm, potential for more than minimal, widespreadF730Oct 18, 2023

  The facility had a census of 37 residents. Five Certified Nurse Aide's (CNA) were reviewed for performance evaluations and required in-service training. Based on record review and interview, the facility failed to ensure three of the five CNA staff reviewed had the required yearly performance evaluations completed. This placed the residents at risk for inadequate care. Findings included: - Review of the facility's performance evaluation records revealed the following: CNA O, hired 07/10/20, no yearly performance evaluations were provided upon request. […]