Park Manor of Cyfair

In the surveyor’s words

From the most serious findings on record at Park Manor of Cyfair, in the surveyor’s own words.

• Actual harm, isolatedF684Jun 30, 2021

  Based on interview and record review, the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice for 1 of 7 residents (Resident #1) reviewed for quality of care in that. -The facility nursing staff failed to obtain radiology results for Resident #1 after she received a radiology test ordered by her physician, leaving the resident in pain and discomfort for 2 days before action was taken. This failure could affect residents with a change of condition at risk for a delay of care or treatment, pain and suffering. Findings Included: Record review of Resident # 1's face sheet revealed the resident was a [AGE] year-old female, admitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Actual harm, isolatedF777Jun 30, 2021

  Based on interview and record review the facility failed to promptly notify the ordering physician, results that fall outside of clinical reference ranges for one of seven residents(Resident #1) reviewed for diagnostic services in that. - The facility did not timely report Resident #1's radiology findings of an acute [CONDITION(S)] to the ordering physician, resulting in a 2 day delay in treatment. This failure could place residents who required radiology services at risk for delayed identification and treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings Included: Record review of Resident # 1's face sheet revealed the resident was a [AGE] year-old female, admitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF584Jun 6, 2024

  Based on observation, interview, and record review the facility failed to ensure the resident's right to a safe, clean, comfortable, and homelike environment, for 3 of 6 residents (Resident #19, Resident #47, and Resident #13) reviewed for residents' rights. The facility failed to keep Resident #19's and Resident #47's room free of trash. The facility failed to keep Resident #13's wall clean. These failures could place residents at risk of an unsanitary environment. Findings included: Record review of Resident #47's face sheet dated 6/6/24 revealed a [AGE] year-old male who admitted on [DATE]. […]

• No harm, potential for more than minimal, patternF755Apr 25, 2023

  Based on observation, interview and record review the facility failed to provide pharmaceutical services to meet the needs of each resident for 2 of 6 residents (Resident #42 and Resident #159 ) reviewed for pharmacy services. - The facility failed to ensure that the 100 hall nursing cart did not contain expired insulin for Resident #42 - The facility failed to have Hydrocodone- Acetaminophen, a pain medication, available for administration to Resident #159 and failed to administer it according to physician orders. This failure could place residents at risk of not receiving the therapeutic benefit of medications. […]

• No harm, potential for more than minimal, patternF759Apr 25, 2023

  Based on observation, interview and record review the facility failed to ensure that the medication error rate was not five percent (%) or greater. The facility had a medication error rate of 15 percent based on 7 errors out of 44 opportunities, which involved 4 of 7 residents (Resident #37, Resident #159, Resident #16 and Resident #6) reviewed for medication errors. - LVN A failed to administer medications as ordered to Resident #37 as ordered by attempting to administer HumaLOG Insulin (Insulin Lispro) outside of parameters instead of Basaglar Insulin as ordered. […]