Harris Health and Rehab

In the surveyor’s words

From the most serious findings on record at Harris Health and Rehab, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689May 14, 2025

  Based on interview, record review, and facility policy review, it was determined that the facility failed to ensure exit doors were secured and functioned properly to prevent elopement for 1 (Resident #1) of 3 residents reviewed for elopement. It was determined the facility's non-compliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death to residents. The Immediate Jeopardy (IJ) was related to State Operations Manual, Appendix PP, 483.25 (Quality of Care) at a scope and severity of J. The IJ began on 03/23/2025 at 3:01 am, when Resident #1 was able to exit the facility without staff knowledge. […]

• No harm, potential for more than minimal, widespreadF812Feb 23, 2023

  Based on observation, interview, and record review (there is a policy) the facility failed to ensure food items stored in the refrigerator and freezer were covered, sealed, and dated, and dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. The failed practices had the potential to affect 60 residents who received meals from the kitchen (total census: 62), as documented on a list provided by the Dietary Supervisor on 2/22/23. The findings are: 1. On 02/20/23 at 10:54 AM., Dietary Employee (DE) #1 picked up the water hose with his bare hands and sprayed off the leftover food items from the blender bowl and blade, contaminating his hands. […]

• No harm, potential for more than minimal, widespreadF880Feb 23, 2023

  Based on observation, interview, and record review, the facility failed to ensure proper Personal Protective Equipment (PPE) was readily accessible to staff for rooms with residents on Transmission-Based Precautions (TBP); failed to ensure contaminated laundry was properly contained; failed to ensure staff used appropriate donning and doffing procedures of PPE; failed to ensure PPE disposal containers were emptied when full and failed to ensure roommates of COVID-19 positive residents were tested and moved from the room without delay to prevent potential cross contamination. The findings are: 1. On 02/20/23 at 12:47 PM, on the 400 Hall there was a pile of soiled clothing with feces on it lying on floor outside of a door labeled Dirty Laundry. 2. […]

• No harm, potential for more than minimal, widespreadF812Nov 5, 2021

  Based on observation and interview, the facility failed to ensure dietary staff changed gloves and washed their hands between dirty and clean tasks and before handling clean equipment or food items to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen. The failed practice had the potential to affect 49 residents who received meals from the kitchen (total census: 50), as documented on a list provided by the Dietary Supervisor on 11/02/21. The findings are: 1. On 11/01/21 at 12:02 PM, Dietary Employee #1 picked up coffee cup lids from the floor and threw them away. Without washing her hands, she picked up lids and covered peach bowls to be served to the residents with their lunch meal. 2. […]

• No harm, potential for more than minimal, patternF677Apr 18, 2024

  Based on observation, interview, and record review, the facility failed to ensure that resident ' s fingernails were kept clean for 1 (Residents #45) of 1 sample mix residents; and ensured residents were shaved to promote good personal hygiene for 1 (Resident #24) of 2 sample mix resident; ensure residents have oral care provided for 1 (Resident #45) of 2 sample mix residents. The findings are: 1. Resident #45's care plan dated 03/30/2023 documented, .ADL self-care performance deficit r/t (related to) resident has left sided hemiplegia r/t (related to) hx (history) of stroke .Personal hygiene/oral care: The resident requires dependent assist x 1 for personal hygiene/oral care .Bathing/ showering: Check nail length and trim and clean on bath day and as necessary. […]