Park Manor of Tomball

In the surveyor’s words

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

• Immediate jeopardy, isolatedF580Jun 9, 2025

  Based on interview and record review, the facility failed to consult with the resident's physician when there was a significant change in the resident's physical, mental, or psychosocial status (that is, a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications); for 1 of 4 residents (CR #1) when reviewed for quality of care. 1. The facility failed to notify CR#1's physician at 7 am when he had blurry vision, increased heart rate, shortness of breath, and his O2 levels dropped below baseline. 2. The first attempt at contact was made by text at 8:17 am but the NP did not respond until 9:30 am. […]

• Immediate jeopardy, isolatedF684Jun 9, 2025

  Based on interview and record review, the facility failed to ensure based on the comprehensive assessment of a resident, that resident received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choices for 2 of 4 residents (CR #1, CR#2) reviewed for quality of care. 1. The facility failed to notify CR#1's physician at 7 am when he had blurry vision, increased heart rate, shortness of breath, and his O2 levels dropped below baseline. 2. The first attempt at contact was made by text at 8:17 am but the NP did not respond until 9:30 am. CR#1 was transported to the hospital at 10am on 06/02/25, 3 hours after chief complaints of shortness of breath and unsuccessful interventions. 3. […]

• No harm, potential for more than minimal, widespreadF727Nov 16, 2023

  Based on observation, interview and record review the facility failed to use the services of a registered nurse for at least 8 consecutive hours a day 7 days a week from 10/2/2023 to 10/7/2023, 10/9/2023 to 10/13/2023, 10/15/2023 to 10/31/2023 and 11/1/2023 to 11/16/2023. The facility had no DON from 9/29/2023 to 10/10/2023. These failures placed the residents at risk for not having decisions made that would have required an RN to make in the management of the resident's healthcare needs and in managing and monitoring of the direct care staff. […]

• No harm, potential for more than minimal, widespreadF880Jan 18, 2022

  Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 11(CNA A, CNA C, CNA D, CNA E, CNA F, Scheduler, Receptionist, Screener, LVN A, PTA A and Infection Preventionist) of 12 staff and 3 ( Family Member #1, Family Member #2 and Family #3) of 4 family members reviewed for infection control The facility failed to ensure staff to wear appropriate PPE while the facility was in outbreak status across 3 different on-site visits (12/16/21, 12/30/21 and 01/18/22) for CNA A, CNA C, CNA D, CNA E, CNA F, Scheduler, Receptionist, Screener, LVN A, PTA A and Infection… […]

• No harm, potential for more than minimal, widespreadF804Jul 23, 2021

  Based on observation, interview and record review, the facility failed to provide food that was palatable, and served at a safe and appetizing temperature for one of one kitchen reviewed for dietary services. The facility served food that was cold, unpalatable, and repetative. This failure could place residents at risk of weight loss, altered nutritional status, and diminished quality of life. Findings Include: In a confidential group meeting on 07/21/21 at 09:27 AM, 7 out of 8 residents who attended complained about the food. They stated the Council had invited the dietary supervisor to the Resident Council Meetings and they attended, but it didn't help. They still had concerns about the food. […]