Navasota Nursing & Rehabilitation

In the surveyor’s words

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

• Immediate jeopardy, isolatedF686Sep 18, 2025

  Based on observation, interviews, and record review, the facility failed to ensure residents received care and services consistent with professional standards of practice to prevent pressure ulcers and did not develop pressure ulcers unless the individual's clinical condition demonstrated that they were unavoidable for 1 (Resident #1) of 3 residents reviewed for pressure ulcers. The facility failed to:A. Ensure Resident #1 had appropriate interventions in place to prevent unstageable pressure ulcers under her C- Collar neck brace.B. Perform thorough skin assessments under Resident #1's C-collar to ensure pressure ulcers were not developing.C. […]

• Immediate jeopardy, isolatedF689Aug 12, 2025

  Based on observation, interview and record review, the facility failed to ensure the residents' environment remained as free of accident hazards as was possible and ensure each resident received adequate supervision and assistance devices to prevent accidents for one (Resident #1) of three residents reviewed for accidents and hazards. The facility failed to ensure CNA A, on 07/30/25, did not transfer Resident #1 from his bed to a shower chair without using two people and a mechanical lift. Resident #1 fell and suffered pain to his right ankle and behind his right knee. The noncompliance was identified as Past Noncompliance. The Immediate Jeopardy (IJ) began on 07/30/25 and ended on 07/30/25. […]

• Immediate jeopardy, isolatedF686May 9, 2024

  Based on observation, interview, and record review the facility failed to ensure residents receive care consistent with professional standards of practice, to prevent pressure ulcers unless the individual's clinical condition demonstrates that they were unavoidable; and once developed, failed to ensure necessary treatment and services to promote healing for one (Resident #21) of six residents reviewed for pressure ulcers. The facility failed to ensure Resident #21 who was at risk for skin breakdown was turned every two hours and provided incontinent care. on 05/07/2024, Resident #21 was left in the same position in her Geri-chair (specialized recliners that are upholstered in non-permeable, easily sanitized vinyl.) for 6 and a half hours from 8:00 AM till 2:30 PM. […]

• Immediate jeopardy, isolatedF684Mar 8, 2024

  Based on observation, interview and record review the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 2 of 14 residents (Residents #1 and 2) reviewed for quality of care. The facility failed to ensure TLVN and LVN C assessed and reported a new new skin injury to Resident #1's first two toes of the right foot and a new skin injury to Resident #'s first and fifth toes of the right foot. An Immediate Jeopardy (IJ) situation was identified on 03/06/24. […]

• Immediate jeopardy, isolatedF609Jan 30, 2024

  Based on interview, and record review the facility failed to develop and implement written policies and procedures that ensured reporting of crimes in federally funded long-term care facilities in accordance with section 1150B of the Act, any incident that involved an emergency situation that posed a threat to resident health and safety immediately, but not later than 24 hours after the incident occurs or is suspected. The facility failed to: 1. The facility failed to report to State Survey Agency (HHSC), immediately, but not later than 24 hours, when, on [DATE], two employees witnessed another employee with a gun in the facility. 2. […]