Port Arthur Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Port Arthur Nursing and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, patternF600Feb 27, 2025

  Based on observation, interview, and record review, the facility failed to ensure residents were free from abuse for 4 of 14 residents (Resident #2, #3, #4 and #5) reviewed for abuse, neglect, and exploitation. The facility failed to ensure Resident #2, #3, #4, and #5 were free of abuse from Resident #1. -On 07/10/24 Res #1 hit Res #3's head. -On 07/21/24 Res #1 hit Res #2 in the TV room. -On 07/22/24 Res #1 pushed Res #2 in the TV room. Res #2 sustained a head injury and was sent out to the ER for treatment. -On 09/02/24 Res #4 alleged Res #1 hit her. […]

• Immediate jeopardy, patternF607Nov 7, 2023

  Based on observation, interview and record review the facility failed to implement their written policies and procedures to prohibit and prevent abuse, neglect, and exploitation of residents and misappropriation of resident property for 11 of 27 residents (Resident #s 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, and 11) reviewed for abuse. The facility failed to ensure the abuse coordinator and/or designee implemented the facility policy to report immediately to HHSC withing two hours of an allegation or incident of alleged abuse: 1. The facility failed to report immediately to the abuse coordinator and failed to report to HHS on 6/12/23, after LVN A was hit by Resident #5, LVN A assaulted Resident #5. She pushed Resident #5 hard against a wall, elbowed her in the face, and scratched her face. […]

• Immediate jeopardy, patternF880Jan 13, 2022

  Based on observation, interview and record review, the facility failed to establish and 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 infection for 11 (Resident #2, #3, #4, #5, #6, #7, #8, #9, #13, #14, and #15) of 15 residents reviewed for infection control. The facility failed to isolate Residents #2, #3, #4, and #5 for at least 10 days after they tested positive for COVID 19 The facility failed to quarantine unvaccinated Residents #7, #8, and #9 after they were exposed to their roommates who tested positive for COVID-19. […]

• Immediate jeopardy, isolatedF689Jun 4, 2025

  Based on observation, interview, and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 10 residents (Resident #1) reviewed for accidents and supervision. The facility failed to ensure adequate supervision for Resident #1 with two staff members for bed mobility during incontinent care to prevent a fall with injury on 9/19/2024 which resulted in Resident #1 having complaint of pain to the right knee. An x-ray was conducted on 09/19/2024 with the results of evidence of acute fracture of the right distal femur (bone in the upper leg) requiring hospitalization for surgical intervention. The non-compliance was identified as past non-compliance. […]

• Immediate jeopardy, isolatedF689Mar 18, 2024

  Based on interview and record review, the facility failed to provide adequate supervision to prevent accidents for 1 of 14 residents (Resident #1) reviewed for accidents. The facility failed to ensure CNA D had assistance from another staff member during incontinent care on 01/13/24 which resulted in Resident #1 rolling off the bed and being transferred to the hospital where she was diagnosed with a small left anterior frontal scalp hematoma. The noncompliance was identified as PNC. The Immediate Jeopardy began on 01/13/24 and ended on 01/15/24. The facility had corrected the noncompliance before the survey began. This failure could place residents at risk for falls resulting in injury, pain, and hospitalization . […]