Majestic Care of Bryan

In the surveyor’s words

From the most serious findings on record at Majestic Care of Bryan, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Nov 8, 2022

  Based on the unprecedented global pandemic that resulted in the Presidential declaration of a State of National Emergency dated 03/13/20, review of The Department of Health and Human Services, review of the Centers for Disease Control and Prevention (CDC) COVID Data tracker and guidance, review of posted COVID-19 signage regarding Personal Protective Equipment (PPE), observations, review of the facility policies and procedures, and staff interviews, the facility failed to implement effective and recommended infection control practices, including a system to ensure the appropriate use of PPE by staff to prevent the spread of COVID-19 in the building, a system to ensure staff was donning and doffing PPE when required, ensure residents who tested positive for COVID-19 remained in their room… […]

• Immediate jeopardy, isolatedF600Jun 12, 2023

  Based on medical record review, review of hospital documentation, review of a death certificate, review of staffing schedules, staff interviews, and review of facility policies, the facility failed to ensure a resident (#110) was free from neglect when the facility staff failed to provide appropriate and timely treatment, care, services, and equipment, and failed to notify the physician of a change in condition. Resident #110 was admitted to the facility and physician orders for care and treatment were not processed timely, clinical assessments and follow-up of abnormal findings were not completed, a known Continuous Positive Airway Pressure (CPAP) machine (a non-invasive ventilation therapy used to facilitate breathing during sleep) for sleep apnea was not available in the facility, and… […]

• Actual harm, isolatedF689Dec 11, 2025

  Based on medical record review, review of hospital records, review of investigation statements, review of interdisciplinary investigation notes, staff and resident interviews, review of a mechanical lift owner's manual, review of a mechanical lift sling owner's manual, review mechanical lift safety inspections, and review of facility policy, the facility failed to ensure Resident #02 was safely transferred using a mechanical lift resulting in an avoidable fall. This resulted in Actual Harm on 08/07/25 when Resident #02 was not safely transferred resulting in a mechanical lift tipping and the resident suffering an avoidable fall sustaining a right hip fracture requiring surgical repair. This affected one (#02) of four residents reviewed for accidents. […]

• Actual harm, isolatedF690Jan 11, 2024

  Based on closed medical record review, review of hospital records, staff interview and review of facility policy, the facility failed to ensure physician ordered labs were followed-up on and completed timely to identify a urinary tract infection (UTI) for Resident #110 who had a urinary catheter. Actual harm occurred on 12/07/23 when the facility failed to properly obtain a urine specimen for Resident #110 who was symptomatic of a urinary tract infection. Between 12/07/23 and 12/14/23 no additional testing or interventions to treat a urinary tract infection were provided. On 12/14/23 Resident #110's family transported the resident to the hospital where the resident was admitted and required intravenous (IV) antibiotics for treatment of a urinary tract infection. […]

• Actual harm, isolatedF686Sep 1, 2023

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, staff interview, review of facility corrective action documents, and policy review, the facility failed to ensure a resident identified at risk for pressure ulcer development did not develop an in-house acquired stage III pressure ulcer (full thickness skin loss) and received timely interventions to promote healing. Actual harm occurred when Resident #61 was discovered with a stage III pressure ulcer to the sacrum one day after being assessed with intact skin integrity and no documented intervention was implemented to promote healing or further tissue damage until three days following discovery. […]