Oakmont Healthcare and Rehabilitation of Humble

In the surveyor’s words

From the most serious findings on record at Oakmont Healthcare and Rehabilitation of Humble, in the surveyor’s own words.

• Immediate jeopardy, patternF686Nov 2, 2024

  Based on observation, interview, and record reviews the facility failed to ensure that a resident with a pressure ulcer received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection, and prevent new ulcers from developing for 3 of 6 residents (Resident #43, Resident #45, and Resident #7) reviewed for pressure ulcers. - The facility failed to provide daily wound care for Resident #43 on 10/1/24, 10/13/24, 10/21/24, 10/23/24, and 10/27/24, resulting in worsening of his L Heel, R Heel, R Distal (closest to foot) Leg, R Proximal (furthest away from foot) Leg, L Ischium (buttock), and R Ischium (buttock) pressure ulcers. […]

• Immediate jeopardy, patternF580Sep 18, 2023

  Based on observation, interview and record review, the facility failed to consult with 1 of 16 residents (Resident #8) representatives when there was a significant change in the resident's physical status and a need to alter treatment significantly, in that: - The facility failed to notify Resident #8 family of a PEG tube was deemed non-functional for over 5 months resulting in multiple infections at the site of the G-tube and the resident was ultimately hospitalized when Resident #8's tube became dislodged and caused a partial bowel obstruction. - Resident #8 experienced a decline in ADLs as evidenced by downgrade from Regular heart healthy pureed diet to enteral feeds after tube replacement post- partial bowel obstruction. An Immediate Jeopardy (IJ) was identified on 09/08/23 at 4:05PM. […]

• Immediate jeopardy, patternF658Sep 18, 2023

  Based on interview and record review, the facility failed to ensure services provided by the facility met professional standards of quality for 2 of 5 residents (CR #19 and Resident #317) reviewed for professional standards. - The facility failed to ensure RN C administered Glucagon, an injectable hormone used to raise blood sugars, to CR #19 when he suffered from a BS of 62. - The facility failed to ensure RN C sent CR #19 through immediate emergency transport after being diagnoses with critical vitals. - The facility failed to ensure RN C administered Naloxone, a medication used to treat opioid overdose, when Resident #317 experienced an opioid overdose. An IJ was identified on [DATE]. […]

• Immediate jeopardy, patternF684Sep 18, 2023

  Based on observation, interview and record review, the facility failed to ensure treatment and care in accordance with professional standards of practice provided to 3 of 16 residents, (CR #19, Resident #1 and Resident #317), reviewed for quality of Care. - The facility failed to ensure RN C administered Glucagon, an injectable hormone used to raise blood sugars, to CR #19 when he suffered from a BS of 62. - The facility failed to ensure RN C sent CR #19 through immediate emergency transport after being diagnoses with critical vitals. - The facility failed to ensure RN C administered Naloxone, a medication used to treat opioid overdose, when Resident #317 experienced an opioid overdose. -The facility failed to reinstate Resident #1's Metformin after readmission to the facility. […]

• Immediate jeopardy, patternF693Sep 18, 2023

  Based on observation, interview and record review, for 1 of 6 residents (Resident #8) reviewed for enteral nutrition, the facility failed to ensure whoever was able to eat enough was not fed by enteral methods unless the resident's clinical condition demonstrated that the enteral feeding was clinically indicated and consented to by the resident, in that: - Resident #8 had a PEG tube deemed non-functional for over 5 months without enteral feeds or water flushes. - Resident #8 experienced multiple episodes of infections at her PEG tube site. - The NP convinced Resident #8's RP to not remove PEG tube in case it needed to be used for emergency enteral feedings or medications. […]