Heritage Park of Katy Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Heritage Park of Katy Nursing and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF656Sep 30, 2023

  Based on interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan to meet each resident's medical, nursing, mental and psychosocial needs for 1 of 4 residents reviewed for care plans (Resident #50) - The facility failed to care plan Resident #50's risk and history of falls and to put interventions in place to prevent further falls. The care plan was not updated or revised after each fall. An Immediate Jeopardy (IJ) was identified on 09/24/23 at 2:00 PM. While the IJ was removed on 09/26/23 at 4:32 AM, the facility remained out of compliance at a scope of isolated and severity of actual harm with potential for more than minimal harm that is not immediate jeopardy. […]

• Immediate jeopardy, isolatedF689Sep 30, 2023

  Based on interview and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 4 residents (Resident #50) reviewed for free of accidents, hazards, supervision, and devices., in that: 1. The facility failed to provide and utilize assistive devices for Resident #50 who had experienced multiple falls and unwitnessed fall on 7/25/23. Interventions including assistive devices were not put in place after a fall on 07/25/23 resulting in hospitalization and resident fell again on 07/26/23 resulting in a major head injury and another hospitalization 2. […]

• No harm, potential for more than minimal, patternF755Feb 19, 2026

  Based on observation, interview and record review, the facility failed to ensure controlled drug counts were in order and reconciled for two of two medication carts observed during change-of-shift. -Two medication carts controlled medication counts were conducted without staff cross-checking the medications cards and controlled medication count sheets. -The staff did not state the name of the medication when calling out the resident name and quantity. -The facility policy did not require both staff to confirm the quantity being verbalized was the quantity written on the controlled medication count sheet. The failure placed residents at risk for controlled medications to not be available when needed, and for controlled drug diversion. […]

• No harm, potential for more than minimal, patternF812Nov 7, 2024

  Based on observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen in that: -Five dented cans were stored with other cans used for resident meals in the dry storage room. -Food items were not sealed and not dated in the dry storage room. These failures could place residents who received meals from the kitchen at risk for food borne illness. Findings included: Observation on 11/5/24 at 9:00 am of the dry storage room revealed the following: -One 111 oz can of tomato paste with a large dent in the middle of the can -One 106 oz can of spaghetti sauce with a large dent at the top of the seam -One 112 oz can of banana pudding with a small dent at the bottom… […]

• No harm, potential for more than minimal, patternF690Mar 7, 2024

  Based on observation, interview, and record review, the facility failed to ensure residents who were incontinent of bladder received appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible for 2 of 4 residents (Resident #1, and Resident #3) reviewed for incontinent care. - 1. The facility failed to ensure Resident #1's foley tubing was not touching the floor while Resident #1 was propelling himself between the nursing station and medication room. - 2. The facility failed to ensure Resident # 3's foley bag and tubing were not touching the floor while Resident #2 was laid in bed. This failure could place residents at risk for pain, infection, injury, and hospitalization . Findings included: 1. […]