Oasis at Pearland

In the surveyor’s words

From the most serious findings on record at Oasis at Pearland, in the surveyor’s own words.

• Immediate jeopardy, patternF725Apr 28, 2024

  Based on observation, interview and record review the facility failed to have sufficient nursing staff with the appropriate competencies and skill sets to provide nursing care to attain or maintain the highest practicable physical, mental, and psychosocial well-being for 8 of 10 residents (Resident #34, Resident #65, Resident #87, Resident #91, Resident #19, Resident #41, Resident #50 and Resident #59) reviewed for sufficient staffing. -The facility failed to ensure there were sufficient staff per the facility assessment, and failed to provide care for residents including blood pressure and blood sugar monitoring, medicaiton administration, repositioning, and incontinent care. […]

• Immediate jeopardy, patternF755Apr 28, 2024

  Based on observation, interview, and record review, the facility failed to provide pharmaceutical services, including dispensing and administering of all drugs and biologicals, to meet the needs of 4 residents (Residents #34, #65, #87, and #91) of 10 residents reviewed for medication administration. -Facility staff did not redistribute assignments of residents when one of three nurses assigned to the South Hall called off from her shift. -Resident #34, Resident #65, and Resident #87 did not have their blood glucose levels checked as ordered, which determined if sliding scale insulin was to be administered on 04/22/24. -Resident #34, Resident #65, Resident #87, and Resident #91 did not receive their morning and/or afternoon medications as ordered by their physician on 04/22/24. […]

• Immediate jeopardy, patternF760Apr 28, 2024

  Based on observation, interview, and record review, the facility failed to ensure 4 residents (Residents #34, #65, #87, and #91) of 10 residents reviewed for medication administration were free of significant medication errors. -Resident #91 did not receive Coumadin (anticoagulant) as ordered by the physician in the afternoon of 04/22/24, placing him at risk for a blood clot. -Resident #34, Resident #65, and Resident #87 did not have their blood glucose levels checked as ordered, which determined if sliding scale insulin was to be administered on 04/22/24. -Resident #34 did not receive Metoprolol Tartrate (for high blood pressure) as ordered by the physician, and her blood sugar was not checked, resulting in not having blood sugar levels to determine amounts of insulin to be administered. […]

• Immediate jeopardy, patternF689Nov 13, 2023

  Based on interview, and record review the facility failed to ensure each resident receives adequate supervision and assistance devices to prevent falls for 1 (CR#1) of six residents reviewed for accidents, hazards, and supervision. - The facility failed to provide adequate supervision and proper bed mobility for CR#1 when the facility wound care doctor and wound care nurse failed to supervise resident while doing wound care causing CR#1 to fall from the bed and hit her head on [DATE] and be rushed to the hospital and life flighted to another local hospital by helicopter for an emergency procedure. -The facility failed to care plan and put additional services in place for CR #1 when she had her 1st fall on [DATE].CR #1 had a 2nd fall on [DATE] causing her additional pain and suffering. […]

• Immediate jeopardy, isolatedF600Apr 8, 2025

  Based on observations, interviews, and record review, the facility failed to ensure each resident was free from abuse, neglect and exploitation for 2 of 5 (Resident #1 and CR#2) residents reviewed for abuse. The facility failed to ensure Resident #1 was free from sexual abuse when CR #2 told Resident #1 to hold his (CR#2's) penis and touch his body on 3/14/2025. The noncompliance was identified as Past Non-Compliance. The PNC IJ began on 03/14/2025 and ended on 3/17/2025. The facility corrected the noncompliance before the survey began. This failure placed all residents in the facility at risk of abuse and neglect that could result in emotional and mental trauma. […]