Hca Houston Healthcare Southeast

In the surveyor’s words

From the most serious findings on record at Hca Houston Healthcare Southeast, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF607May 15, 2025

  Based on interview and record review, the facility failed to develop and implement polices for annual screening potential employees for a history of abuse, neglect, exploitation, or misappropriation of resident property in order to prohibit abuse for 6 of 11 staff (DON, RN A, RN B, Social Worker, LVN A, and CNA C) reviewed for annual abuse screenings. The facility failed on 05/15/2025 to annually conduct a search of the NAR (Nurse Aide Registry) and EMR (Employee Misconduct Registry, used to check if unlicensed staff have committed any acts of abuse, neglect or misconduct and prevent employing them) registry for all employees every twelve months after the initial hire date and keep a copy of the annual search results in the facility's personnel file for DON, RN A, RN B, Social Worker, LVN… […]

• No harm, potential for more than minimal, patternF812May 15, 2025

  Based on observation and interview, the facility failed to store food in accordance with professional standards for food service safety observed for 2 of 3 (Fridge and Freezer) food storage locations observed. -thereon 05/13/2025, there were no dates indicating when items in the kitchen was opened, delivered or when it could be expired and included one box of green onions that was in a box located in the fridge with no date on it. There was one opened bag of potato fries and one opened bag of chicken strips located in in the freezer with no date opened recorded on them. […]

• No harm, potential for more than minimal, patternF880May 15, 2025

  Based on observation, interview and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections, including handling and storing linens so as to prevent the spread of infection for 3 of 8 (Resident #17, Resident#137, Resident #123) residents reviewed for infection control. 1. The facility failed to ensure a a bag of linen was not left on the floor and untied in Resident #123's room on 5/13/2025. 2. The facility failed to ensure CNA T used proper infection control practices while using a Accu-Chek machine between Resident #137 and Resident #17 during blood glucose check. […]

• No harm, potential for more than minimal, isolatedF583May 15, 2025

  Based on observation, interview and record review, the facility failed to ensure personal privacy including medical treatment, personal care and visits for 2 of 8 (Residents #123 and #128) reviewed for personal privacy. 1.Resident #123 was observed receiving medical treatment on 5/13/2025 and 5/15/2025 with Resident #123's room door open and no privacy curtain pulled. 2.Resident #128 was receiving incontinent care when her physician entered her room without knocking or introducing themselves. This failure could cause residents to feel loss of dignity and respect and affect their emotional well-being by not ensuring they have total privacy while receiving care. Findings included: 1. […]

• No harm, potential for more than minimal, isolatedF690May 15, 2025

  Based on observations, interviews, and record review, the facility failed to ensure a resident who was incontinent of bowel and bladder receives appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible for 1 of 3 residents (Resident #128) reviewed for incontinence care. When C.NA K was providing incontinent care to Resident # 128 on 05/14/2025, CNA-K did not separate the resident's llabia, did not clean the base of her labia or clean the indwelling Foley catheter ( is a thin, flexible tube place through the urethra to carry urine from the bladder) and failed to maintain Resident #128's drainage bag below the level of the bladder. […]