Hill Country Heights

In the surveyor’s words

From the most serious findings on record at Hill Country Heights, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jun 23, 2024

  Based on observation, record reviews and interviews, the facility failed to ensure a resident's environment remained free of accident hazards and received adequate supervision and assistance devices to prevent accidents for 1 of 13 residents (Resident #1) reviewed for transfers in that: CNA A failed to provide adequate supervision and transfer assistance for Resident #1 in the shower resulting in Resident #1 falling and having an open right ankle fracture with bleeding. Resident #1 had to be hospitalized and required surgical intervention. The facility failed to update the Kardex and POC to reflect current safe transfer status requirements for Resident #1 and 12 other residents. […]

• Actual harm, isolatedF686Feb 7, 2023

  Based on interview and record review, the facility failed to ensure residents with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote wound healing, prevent infection and prevent new pressure ulcers from developing for one (Resident #1) of four residents reviewed for pressure injuries, in that: The facility failed to ensure Resident #1 received treatments to his left heel pressure injury as ordered by the physician when the resident was moved to the COVID-19 unit. […]

• No harm, potential for more than minimal, widespreadF804Jan 31, 2024

  Based on observation and interviews , the facility failed to ensure each resident received and the facility provided food and drink that was palatable, attractive and at a safe and appetizing temperature for residents who consumed foods orally from the only kitchen in the facility in that: 1. The facility failed to provide palatable food that was attractive or appetizing to residents' who complained the food was unidentifiable and did not taste good. 2. The test tray of the lunch meal foods were dry, bland, and cold. This failure could place residents at risk of decreased food intake, hunger, unwanted weight loss, and diminished quality of life. The findings included: 1. a. […]

• No harm, potential for more than minimal, widespreadF812Jan 31, 2024

  Based on observation, interview, 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 reviewed for food and nutrition services. 1. The facility failed to ensure dry storage food was properly labeled and dated. 2. The facility failed to ensure dry storage items were sealed properly. 3. The facility failed to properly label and date items in the refrigerator and freezer. 4. The facility failed to ensure expired food was discarded. 5. The facility failed to ensure kitchen staff practiced proper hand hygiene and glove use. 6. The facility failed to ensure hairnets were worn while in the kitchen. […]

• No harm, potential for more than minimal, widespreadF812Nov 9, 2022

  Based on observation, interview and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for one kitchen reviewed for kitchen sanitation. 1. The facility failed to properly thaw 10 pounds of pork. 2. The facility failed to properly store, label and cover food in the facility's refrigerator and freezer located in the kitchen. These failures could place the residents at risk for health complications and foodborne illnesses. Findings include: 1. Observation of the kitchen on 10/24/2022 at 8:40 AM revealed Dietary Cook C stood at the preparation area beside the sink. There was 10-pounds of pork in a silver container with approximately 6-8 inches of water in the container. […]