Pecan Bayou Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Pecan Bayou Nursing and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF580Jul 26, 2024

  Based on interviews and record review, the facility failed to immediately consult with the physician of a significant change in the resident's physical, mental, psychosocial status; or a need to alter treatment significantly for 1 (Resident #63) of 4 residents reviewed for physician notification. The facility failed to notify the physician of change of condition which led to Resident #63 going into respiratory and cardiac arrest and was pronounced dead after transfer to the hospital on [DATE]. An Immediate Jeopardy was identified on [DATE] at 2:40 pm. The IJ template was provided to the facility on [DATE] at 2:40 pm. […]

• Immediate jeopardy, isolatedF684Jul 26, 2024

  Based on interview, and record review the facility failed to ensure a resident received the necessary treatment and services, consistent with professional standards of practice for 1 of 4 residents (Resident #63) reviewed for hospitalization s. LVN A failed to recognize Resident #63 was having a change in condition when her oxygen saturation was low, she required supplemental oxygen, she vomited, and complained of pain, and no additional assessments of her condition were provided including follow-up assessments of her vital signs. The facility failed to provide basic quality of care to prevent Resident #63 from going into respiratory and cardiac arrest. […]

• No harm, potential for more than minimal, widespreadF812Apr 13, 2022

  Based on observation, interviews and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed in that: The facility's kitchen staff failed to wear hair nets during meal preparations. The facility's kitchen staff failed to store food properly. The facility's kitchen staff failed to control the temperature of food while dispensing food portions for individual residents. These failures placed residents at risk for food borne illness and cross-contamination. Findings included: During observation on 04/11/2022 at 10:10 AM, three sheet pans that included frozen green beans, frozen Brussel sprouts and hamburger meat patties were on the prep table, uncovered, left to thaw. […]

• No harm, potential for more than minimal, patternF812Aug 27, 2025

  Based on observation, interview and record review the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed in that: The facility's kitchen staff failed to practice proper hand hygiene during meal preparations. The facility failed to ensure kitchen staff handled ready to serve food with proper technique. The facility failed to ensure kitchen staff disposed of serving utensils when they became soiled. These failures placed residents at risk for food borne illness and cross-contamination. Findings included:During an observation on 08/25/2025 12:45 PM to 1:00 PM revealed [NAME] B used her gloved hand, that had touched plates and serving utensils and picked up rolls with the same gloved hand. […]

• No harm, potential for more than minimal, patternF813Aug 27, 2025

  Based on observation, interview, and record review, the facility failed to implement its policy regarding use and storage of foods brought to residents by family and other visitors to ensure safe and sanitary storage, handling, and consumption for 3 of 8 (Resident #23, Resident #25 and Resident #62) residents reviewed for food and nutrition services. The facility failed to ensure that Resident #23 and Resident #25's personal refrigerator had a temperature log during the month of August 2025. The facility failed to ensure that Resident #62's personal refrigerator had temperature log completed from 08/19/2025 thru 08/26/2025. These failures could place residents at risk for foodborne illnesses. […]