Jourdanton Nursing and Rehabilitation

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Oct 4, 2024

  Based on interview and record review, the facility failed to ensure residents had the right to be free from accidents for 1 of 5 residents (Resident # 196) reviewed for accidents and hazards. On 9/19/2024, Resident # 196 was not properly secured in the facility transport van and sustained a head laceration and a fractur to her right clavicle. The non-compliance was identified as past noncompliance. The IJ began on 9/19/2024 and ended on 9/19/2024. The facility had corrected the noncompliance before the survey began. These failures could place residents at risk of harm, serious injury, or death. […]

• Immediate jeopardy, isolatedF678Jun 19, 2024

  Based on interviews and record reviews, the facility failed to provide a full code resident with AED use during CPR as per facility policy for 1 (Resident #4) of 7 residents reviewed for Advanced Directives. The facility failed to provide a full code(full support which includes cardiopulmonary resuscitation (CPR), if the patient has no heartbeat and is not breathing.) for Resident#4 with AED use during CPR as per facility policy. The non-compliance was identified as past non-compliance (PNC). The PNC IJ began on [DATE] and ended on [DATE] . […]

• No harm, potential for more than minimal, patternF812Jan 16, 2026

  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, in that: A bag of broccoli in the freezer was opened.A tub of peanut butter had peanut butter around the rim of the bucket.A bin of flour was opened.A box with oranges had mold. These failures could place residents who received food and/or snacks from the kitchen at risk for food borne illness.Observation on 1/13/2026 at 9:41AM the freezer revealed a box folded close with the corners of the four flaps tucked under one another that allowed a gap in the center that revealed an open bag of broccoli, exposing it to air in the freezer. […]

• No harm, potential for more than minimal, patternF814Jan 16, 2026

  Based on observations, interviews, and record reviews, the facility failed to dispose garbage and refuse properly for 1 of 2 dumpsters (dumpster #1) on the premises. Three doors on dumpster #1 were opened. This failure could place the facility at risk of pests and rodents that could cause contamination of the foods stored in the kitchen and place the residents at risk of infection and illness. Observations and interview on 1/13/2026 at 10:00AM revealed dumpster #1 had 2 sliding doors opened on the sides and one of the black doors that closed on the top of the dumpster was opened. The [NAME] said she knew the doors should be closed so animals could not get into the dumpsters and garbage pickup was every Monday. […]

• No harm, potential for more than minimal, patternF759Sep 8, 2023

  Based on observation, interview, and record review the facility failed to ensure their medication error rate was not 5 percent or greater and had a medication error rate of 71.88% percent with 3 medications administration opportunities observed with 23 errors for 4 of 6 residents (Residents #12, Resident #13, Resident #32, and Resident #42) and 2 of 3 staff (LVN C and CMA E) reviewed for medication administration, in that: 1. LVN C did not administer the full dose of Resident #12's gabapentin and simethicone medications when she left residue in a medication up during a PEG tube medication administration. 2. CMA E did not administer Resident #13's sucralfate 2 hours after all other medications. 3. CMA E administered 9 of Resident #32's medications 2 hours after the order time. 4. […]