Galveston Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Galveston Nursing and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, patternF580Apr 22, 2026

  Based on observation, interview and record review the facility failed to immediately inform the resident, consult with the resident's physician, and notify consistent with his or her authority, the resident representative when there was a need to alter treatment significantly, that is a need to discontinue an existing form of treatment due to adverse consequences, or to commence a new form of treatment for 1 of 3 residents (Resident #1) reviewed for notification. 1. The facility failed to notify Resident #1's NP or MD when Resident #1 refused her medication/s, nutritional supplements, and meal/s from her facility admission on [DATE] through 04/17/2026. 2. […]

• Immediate jeopardy, patternF692Apr 22, 2026

  Based on observation, interview and record review the facility failed to maintain acceptable parameters of nutritional status, such as usual body weight or desirable body weight range and electrolyte balance, unless the resident's clinical condition demonstrated that this was not possible or resident preferences indicated otherwise for 1 of 3 residents (Resident #1) reviewed for nutrition status. 1. The facility failed to ensure Resident #1 did not have a significant weight loss of 19% due to losing 23lbs in 12 days. 2. The facility failed to provide Resident #1 with feeding and nutrition via her PEG tube. 3. The facility failed to ensure Resident #1 had dietary recommendations in place from her admission on [DATE] until 4/17/2026, the date of State Surveyor facility entrance. 4. […]

• Immediate jeopardy, patternF580Mar 29, 2024

  Based on observation, interview, and record review, the facility failed to immediately consult with the resident's physician of G- tube dysfunction or malfunction for 1 of 4 residents reviewed for physician notification (Resident #1). The facility failed to immediately consult with the resident's physician when facility staff did not implement physician order due to the inadequate supply of adnominal binder to protect G-tube and G-tube site for 1 of 4 residents reviewed for physician notification (Resident #1). The facility failed to notify the resident's physician of complications related to Resident# 1 G-tube site pain and administering medications to Resident #1 via the G-Tube. […]

• Immediate jeopardy, patternF684Sep 28, 2023

  Based on observation, record reviews and interviews the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice for one (CR#1) of five residents reviewed for quality of care. The facility failed to ensure CR#1 received necessary care and treatment for a diabetic foot wound on the 4th toe on his right foot resulting in dry gangrene and bone infection. The facility failed to ensure that no new wounds were acquired at the facility. The 1st right toe, left ischium and left buttock wounds were acquired at the facility. […]

• Immediate jeopardy, patternF686Sep 28, 2023

  Based on observation, interview and record review the facility failed to provide care consistent with professional standards of practice promoting healing and prevent new pressure ulcers from developing for 1(CR#1) of 5 residents reviewed for pressure ulcers. The facility failed to ensure that no new pressure wounds were acquired at the facility. The 1st right toe, left ischium and left buttock wounds were acquired at the facility. CR#1 was admitted to the ER at local hospital on 9/15/2023 after the Wound care Physician B completed an assessment and found that his wounds were worse than documented by Wound Care Physician A. This failure caused (CR#1) bone infection and placed other residents at risk for pain, worsening wounds, infection, emotional distress and harm. […]