Keller Oaks Healthcare Center

In the surveyor’s words

From the most serious findings on record at Keller Oaks Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 28, 2024

  Based on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety in the facility's only kitchen. 1. The facility failed to ensure food items in the facility's only dry storage were dated and sealed appropriately. 2. The facility failed to ensure food items in the facility's only walk in refrigerator were dated and sealed appropriately. 3. The facility failed to ensure cleaning chemicals were not near prepared food. 4. The facility failed to ensure drinks and food for personal use were properly stored. 5. The facility failed to ensure the kitchen door opening to the outside was closed. These failures could place residents at risk for food-borne illness, and food contamination. […]

• No harm, potential for more than minimal, patternF572Jul 16, 2026

  Based on observation, interview and record review the facility failed to ensure the resident has the right to be informed of his or her rights and of all rules and regulations governing resident conduct and responsibilities during his or her stay in the facility for eight (confidential) of eight residents reviewed for resident rights. The facility failed to ensure residents were informed of their rights on an ongoing basis. Specifically, resident council members were uninformed of their resident right of how to contact HHSC to file a complaint and did not know where to find the information This failure could place residents at risk for lack of knowledge of who to contact to file a complaint and being uninformed of their resident rights. […]

• No harm, potential for more than minimal, patternF575Jul 16, 2026

  Based on observation, interview, and record review, the facility failed to post, in a form and manner accessible and understandable to residents, resident representatives: (i) A list of names, addresses (mailing and email), and telephone numbers of all pertinent State agencies and advocacy groups, such as the State Survey Agency and (ii) A statement that the resident may file a complaint with the State Survey Agency concerning any suspected violation of state or federal nursing facility regulation, including but not limited to resident abuse, neglect, exploitation, misappropriation of resident property in the facility, and non-compliance with the advanced directives requirements (42 CFR part 489 subpart I) and requests for information regarding returning to the community reviewed for… […]

• No harm, potential for more than minimal, patternF755Jul 16, 2026

  Based on interview, and record review, the facility failed to provide pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals, to meet the needs of each resident for 1 (Medication Cart #5) of 5 carts reviewed for pharmacy services. The facility failed to ensure MA B, LVN C, and LVN D were responsible for Medication Cart #5, counted controlled drugs every shift change. This failure could place residents at risk of not having the medication available due to possible drug diversion.Findings included: Record review and observation on 07/15/26 at 09:23 AM of the narcotic count sheet located in the medication cart #5, with MA B revealed missing signatures for:7/1/26 - Nurse on duty 6a-6p shift7/12/26… […]

• No harm, potential for more than minimal, patternF812Jul 16, 2026

  Based on observation, interview, and record review, the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety for the facility's only kitchen in that:1.The facility's dietary staff failed to ensure temperatures were taken of all hot foods before serving them to residents during lunch meal service on 7/14/26.2.The facility's dietary staff failed to practice appropriate hand hygiene and glove changes during lunch services on 7/14/26.3.The facility's dietary staff failed to ensure seasonings used for food preparation were not expired, and tomatoes were not molded on 7/14/26. 4.The facility's dietary staff failed to appropriately date and label food items in the walk-in refrigerator and freezer on 7/14/26. […]