Katy Manor

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Oct 6, 2022

  Based on observation, interview, and record review, the facility staff failed to ensure the ice machine drained through an air gap. Facility staff also failed to thaw meat in a manner to prevent the growth of food-borne pathogens and food-borne illness. The facility census was 51. 1. Review of the facility's Policy for Care and Maintenance of Ice Machine, undated, showed staff were directed to check the drain line weekly and clean as needed. Observation on 10/4/22 at 11:50 A.M., showed an outside company technician serviced the ice machine. Further observation showed the ice machine drained into the floor drain without an air gap. The ice machine drainpipe contained a black substance on the lower quarter inch of the pipe which hung below floor level. […]

• No harm, potential for more than minimal, patternF689Dec 1, 2023

  Based on observation, interview, and record review, facility staff failed to ensure the residents environment remained free of accident hazards when staff failed to store hazardous chemicals, safely propel one resident (Resident #34) in a wheelchair, lock unattended medication carts, and provide safe mechanical lift transfers for two residents (Resident # 5, and #14). The facility census was 51. 1. Review of the facility's policy titled, Hazardous Chemical Inventory Listing, revised April 2013, showed staff are directed to the following: -A hazardous chemical is any chemical which is classified as a (an): -Physical hazard; -Health hazard; -Simply asphyxiant; -Combustible dust; -Pyrophoric gas; -Hazard not otherwise classified. 2. […]

• No harm, potential for more than minimal, patternF759Dec 1, 2023

  Based on observation, interview, and record review, facility staff failed to maintain a medication error rate less than five percent (%) out of 37 opportunities observed, 24 errors occurred, which resulted in a 64.8% error rate which effected five resident's (Resident #7, #12, #17, #18, and #42) of the five sampled resident's. The facility census was 51. 1. Review of the facility's Administering Medications policy, undated, showed the Director of Nursing (DON) Services supervises and directs all personnel who administer medications. […]

• No harm, potential for more than minimal, patternF761Dec 1, 2023

  Based on observation, interview, and record review, facility staff failed to store and label medication in a safe and effective manner in one of one medication storage rooms, and one of one medication carts. The facility census was 51. 1. Review of the facility's policy titled, Storage of Medications, undated, showed staff were directed as follows: -Drugs and biological's shall be stored in the packaging, containers or other dispensing systems in which they are received; -The nursing staff shall be responsible for maintain medication storage and preparation areas in a clean, safe, and sanitary manner; -The facility shall not use discontinued, outdated, or deteriorated drugs or biological's. […]

• No harm, potential for more than minimal, patternF677Oct 6, 2022

  Based on observation, interview, and record review, facility staff failed to ensure residents who were unable to complete their own activities of daily living (ADL), received the necessary care and services to maintain good personal hygiene when staff failed to provide hair care and nail care, change dirty clothing, and provide showers to seven residents (Residents #24, #28, #32, #34, #35, #40, #42, #198). The facility census was 51. 1. Review of the facility's Policy for Activities of Daily Living, dated January 2019, showed: -ADLs refers to the residents' daily self-care activities. […]