Kingwood Healthcare Center

In the surveyor’s words

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

• Actual harm, isolatedF600May 9, 2023

  Based on record review, resident interview, and staff interview, the facility neglected to ensure a process was in place for a safe discharge for Resident #12. The Resident was discharged to a homeless shelter. The Resident had no prior knowledge he would be discharged to the shelter until the day of discharge. Medications were sent with the resident; however, the Resident had no knowledge of how to take the medications. The Resident had no follow up appointments with any physician for further care and no services arranged for outside the facility. The Resident was not provided with a 30 day notice of discharge. Harm occurred when an interview with the Resident confirmed he was unable to administer his medications and care for himself after he arrived at the shelter. […]

• Actual harm, isolatedF624May 9, 2023

  Based on record review, staff interview and resident interview, the facility failed to provide sufficient preparation and orientation to one (1) of four (4) residents discharged from the facility to ensure a safe and orderly discharge from the facility. The Resident was discharged to a homeless shelter. The Resident had no prior knowledge he would be discharged to the shelter until the day of discharge. Medications were sent with the resident; however, the Resident had no knowledge of how to take the medications. The Resident had no follow up appointments with any physician for further care and no services arranged for outside the facility. […]

• Actual harm, isolatedF626Sep 7, 2022

  Based on record review, Medical Power of Attorney (MPOA) interview, outside agency interview, and staff interview, the facility failed to allow a resident to return to the facility following a brief hospitalization . When the facility did not allow the resident to return, the facility failed to initiate a discharge and did not comply with transfer and discharge requirements at 42 CFR 483.15(c). This was true for one (1) of three (3) residents reviewed for admission/discharge. This deficient practice resulted in actual psychosocial harm to Resident #7. Resident identifier: #7. […]

• No harm, potential for more than minimal, widespreadF814Nov 7, 2024

  Based on observation and staff interviews, the facility failed to store garbage and refuse in a proper manner to prevent rodents, vermin and pests. The dumpsters were in disrepair. This had the potential to affect all residents that reside in the facility. Facility census: 117. Findings included: a) Dumpsters On 10/05/24 at 1:47 PM an observation of the dumpsters found one (1) dumpster with a rusty hole in the bottom front with debris hanging out. Dumpster two (2) was in disrepair as the middle doors were unable to close properly do to damage. On 10/05/24 at 1:50 PM during an Interview the Maintenance Director stated that he was aware of the issues with the dumpsters. He continued to say that he has got quotes for new dumpsters, but the facility has not purchased them at this time.

• No harm, potential for more than minimal, widespreadF880Dec 14, 2022

  Based on observation, record review and staff interview, the facility failed to establish and maintain an effective infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. The facility failed to perform proper hand hygiene when having direct resident contact or contact with high touch areas for a resident in Transmission Based Precautions (TBP), failed to ensure facility staff utilized appropriate Personal Protection Equipment (PPE) procedures for donning and doffing when caring for residents in TBP, failed to ensure proper disposal of used PPE, and used materials located in a resident's room who was in TBP and failed to ensure Enhanced Barrier… […]