Houston House

In the surveyor’s words

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

• Actual harm, isolatedF888Mar 30, 2022

  Based on interview and record review the facility failed to ensure 100% of the staff had been fully vaccinated for COVID-19 (a highly contagious virus that causes serious illness or death) or granted a qualifying exemption as recognized by the Centers for Disease Control (CDC) when two facility staff members (Employee A and Employee B) had a medical exemption for a non-qualifying medical reason. In the four weeks prior to the onsite survey, 30 residents tested positive for COVID-19. […]

• No harm, potential for more than minimal, widespreadF812Apr 2, 2026

  Based on observation, interview, and record review, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. This had the potential to affect all residents. The facility census was 74.Review of the facility's policy titled, Food Receiving and Storage, revised November 2022, showed: - Dry foods and goods are handled and stored in a manner that maintains the integrity of the packaging until they are ready to use;- Food in designated dry storage areas are kept at least six inches (in.) off the floor (unless packaged for case lot handling, for example, dollies, pallets, racks and skids) and clear of sprinkler heads, sewage/waste disposal pipes and vents. […]

• No harm, potential for more than minimal, widespreadF812Dec 14, 2023

  Based on observation and interview, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. This deficient practice had the potential to affect all residents. The facility census was 74. The facility did not provide a dietary policy. Observations on 12/11/23 at 11:07 A.M., of the kitchen showed: - The top of the commercial range covered in food debris and a buildup of a brown substance; - The front door panel and the handle of the commercial range covered with a brown sticky substance; - An air vent located on the ceiling located near the entrance door covered with a dark brown substance; - 10 ceiling fluorescent light fixtures with no covers. […]

• No harm, potential for more than minimal, patternF638Oct 19, 2021

  Based on record review and interview, the facility failed to ensure Minimum Data Set (MDS - a federally mandated assessment instrument completed by facility staff) were completed a minimum of every three months for eight residents (Resident #1, Resident #6, Resident #12, Resident #18, Resident #19, Resident #189, Resident #190 and Resident #191). The facility census was 52. Record review of the facility's Resident Assessments policy, revised November 2019, showed the following: -A comprehensive assessment of every resident's needs is made at intervals designated by Omnibus Budget reconciliation Act (OBRA) and Prospective Payment System (PPS) requirements; -The Resident Assessment Coordinator is responsible for ensuring that the Interdisciplinary Team conducts timely and and appropriate… […]

• No harm, potential for more than minimal, patternF678Oct 19, 2021

  Based on observation, interview, and record review, the facility failed to ensure a resident's choice of code status (the level of medical interventions a resident wishes to have if their heart or breathing stops) was clearly and consistently documented throughout the resident's medical record for three residents (Resident #7, Resident #21 and Resident #139). The facility census was 52. Record review of the facility's policy titled Advance Directives, revised ,d+[DATE], showed the following: -Advance directives will be respected in accordance with state law and facility policy; -Upon admission, the resident will be provided with written information concerning the right to refuse or accept medical or surgical treatment and to formulate an advance directive is he or she chooses to do… […]