Houston Heights Nursing and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Jun 27, 2025

  Based on interviews and record review failed to ensure each resident receives adequate supervision and assistance devices to prevent accidents for 1 of 8 residents (CR #1) reviewed for accidents and supervision, in that: CR #1 eloped from the facility on 6/21/25 after being let out of the building by the Receptionist. CR #1 was found by another staff member on the sidewalk near the carwash which was next door to the facility. The non-compliance was identified as Past Non-Compliance. The Immediate Jeopardy (IJ) began on 06/21/25 and ended on 06/21/25. The facility corrected the non-compliance before the survey and investigation began on 06/24/25. The IJ template was sent to Administrator on 06/26/25 at 11:40a.m. […]

• Immediate jeopardy, isolatedF689Mar 21, 2024

  Based on observations, interviews and record reviews, the facility failed to ensure the resident environment remained free of accidents hazards and each resident received adequate supervision and assistance devices to prevent accidents for 1 (Resident #1) of 5 residents reviewed for accidents hazards. The facility failed to ensure that Resident #1, who was a two-person transfer using the mechanical lift . was transferred using the mechanical lift instead of a one-person manual lift. Resident #1 sustained a tibial plateau fracture to the right knee (a break at the top of the shinbone involving the cartilage surface of the knee joint). An Immediate Jeopardy (IJ) was identified on 03/18/2024 at 2:30PM. The Administrator was notified. […]

• Immediate jeopardy, isolatedF580Jan 22, 2024

  Based on interviews and record reviews, the facility failed to consult with the resident's physician of a significant change in the resident's physical, mental, or psychosocial status (that is, a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications) for 1 (Resident #4) of 5 residents reviewed for resident rights. -The facility failed to notify and document notification of physician when LVN K rounded on Resident #4 and found oxygen saturation to be 85%. On [DATE] at 2:00 p.m an Immediate Jeopardy (IJ) was identified. […]

• Immediate jeopardy, isolatedF678Jan 22, 2024

  Based on interviews and record reviews, the facility failed to provide basic life support, including CPR, to a resident requiring such emergency care and subject to related physician orders and the resident's advance directives for 1 of 1 resident (Resident #4) reviewed for basic life support, including CPR. -The facility failed to retrieve the automatic external defibrillator (AED) and initiate the basic life support sequence of events (chest compressions, airway, breathing) per the facility's Emergency Procedure- Cardiopulmonary Resuscitation Policy (CPR) for Resident #4. On [DATE] at 2:00 pm an Immediate Jeopardy (IJ) was identified. […]

• Actual harm, patternF600May 22, 2025

  Based on observations, interviews, and record reviews the facility failed to ensure residents were free from verbal abuse for 2 of 9 residents (Resident #2 and Resident #3) reviewed for abuse. - The facility failed to prevent verbal abuse by DON K. On 11/20/24 DON K told Resident #2 she would send him to jail if he did not shut up. - The facility failed to prevent verbal abuse by DON K. On 1/30/25 DON K got in Resident #3's face and yelled at her to shut up. These failures could place all residents in the facility at risk for severe negative psychosocial outcomes which could prevent them from achieving their highest practicable physical, mental, and psychosocial well-being. […]