Houston Transitional Care

In the surveyor’s words

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

• Immediate jeopardy, isolatedF755Jun 30, 2022

  Based on observation, interview and record review, the facility failed to provide pharmaceutical services that ensured the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals to meet the needs of one resident (Resident #1) of four residents reviewed for medication administration. -The facility failed to ensure Resident #1 received a scheduled dose of an anti-[CONDITION(S)] medication through gastrostomy tube as ordered by the physican. The resident sustained a [CONDITION(S)] [MEDICATION(S)] 10 minutes and was transferred to the hospital while still seizing requiring acute hospital evaluation and treatment. Resident continued seizing at hospital Emergency Department until stabilized. […]

• No harm, potential for more than minimal, widespreadF761Mar 10, 2022

  Based on observation, interview, and record review the facility failed to ensure drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles, included the appropriate accessory and cautionary instructions, the expiration date when applicable and stored all drugs and biologicals in locked compartments and under proper temperature controls, and permitted only authorized personnel to have access to the keys for 4 out of 4 medication carts (West Back Nursing Cart, West Medication Aide Cart, East Nursing Cart and East Medication Aide Cart) and 1 out of 1 Medication Rooms (West Medication Room) reviewed for medication storage. […]

• No harm, potential for more than minimal, patternF553Jul 17, 2025

  Number of residents sampled: Number of residents cited: Based on interview and record review the facility failed to ensure the residents were given the right to participate in the development and implementation of their plans of care for 2 of 17 residents (Resident #1, Resident #16) reviewed for participating in care planning. The facility did not conduct a meeting nor invite Resident #16 to participate in resident care planning meetings after his quarterly review assessments on 10/9/2024, 1/9/25 and 4/11/25. The facility did not conduct a meeting nor invite Resident #1's responsible party to participate in resident care planning meetings after his quarterly review assessments on 9/5/24, 12/6/24 and 3/8/25 and after a comprehensive review assessment on 6/6/25. […]

• No harm, potential for more than minimal, patternF680Jul 17, 2025

  Number of residents sampled: Number of residents cited: Based on interview and record review the facility failed to ensure the activities program was directed by a qualified professional who was a qualified therapeutic recreation specialist or an activity professional for 1 of 1 facility reviewed for Activity Director.The facility Activity Director was not a qualified therapeutic recreation specialist or an activities professional that met state licensing requirements. This failure could place the residents at risk of not having an activities program that meets their assessed activity needs.Findings Include: In an interview on 7/17/25 at 3:56 p.m. […]

• No harm, potential for more than minimal, patternF761Jul 17, 2025

  Based on observation, interview and record review, the facility failed to ensure medications were stored in accordance with currently accepted professional principles for 1 of 2 medication fridges (West Medication Room Fridge) and 1 of 1 central supply room reviewed for storage. The facility failed to ensure that medication fridges were clean and free of food; and that expired medications were not found in the central supply room and medication fridge. The failure could place residents at risk of contamination of medications or receiving expired medications. Findings included: Observation on 7/15/25 at 1:56 p.m. of the East Medication Room revealed a yellow substance in the bottom of the medication refrigerator and a frozen meal in the freezer. […]