Pure Health Transitional Care at Texas Health Pres

In the surveyor’s words

From the most serious findings on record at Pure Health Transitional Care at Texas Health Pres, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF684Jul 22, 2026

  Based on observation, interview and record review the facility failed to ensure, based on the comprehensive assessment of a resident, that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan and the residents' choices for 1 of 4 residents (Resident #1) reviewed for quality of care.The facility failed to ensure Resident #1 received dressing changes and assessments of her nephrostomy sites.This failure could place residents at risk of pain, the nephrostomy tubes becoming dislodged, and infection. Findings include:Record review of Resident #1's admission MDS assessment, dated 7/10/2026, reflected a [AGE] year-old female who was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF583Jul 2, 2025

  Based on observation, interview, and record review, the facility failed to secure confidential and personal medical records for eleven of eighteen residents reviewed for privacy and confidentiality of records. The facility failed to ensure the private healthcare and confidential information for 11 residents was removed from Resident #1's room that was observed on 07/01/25. This failure could place all residents at risk of exposure of their personal and medical information being disclosed to unauthorized individuals including visitors and other residents causing embarrassment, frustration, loss of dignity, decreased privacy and psycho-social well-being. Findings included: In an observation on 07/01/25 at 8:45 AM, the door to Resident #1's room was open. Resident #1 was asleep in his bed. […]

• No harm, potential for more than minimal, patternF880May 15, 2023

  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 disease and infections for three (RN A, CNA E, and Hoursekeeper F) of eight staff reviewed for infection control. 1. The facility failed to ensure CNA E and Housekeeper F handled linens in a safe and sanitary manner. 2. The facility failed to ensure RN A doffed PPE prior to exiting Resident #4's room. These failures could place residents at risk of contracting infectious disease. The findings included: 1. […]

• No harm, potential for more than minimal, patternF655Apr 19, 2023

  Based on interview and record review, the facility failed to develop and implement a baseline care plan for each resident that included instructions needed to provide effective and person-centered care of the resident that met professional standards of care within 48 hours of the resident's admission for two (Resident #86 and Resident #87) of five residents reviewed for baseline care plans. The facility failed to complete Resident #86's and Resident #87's baseline care plan within 48 hours of admission that included the minimum required healthcare information including physician orders, dietary orders, therapy services, and social services. This failure placed residents at risk of not receiving effective and person-centered care. Findings included: 1. […]

• No harm, potential for more than minimal, isolatedF842Aug 20, 2026

  Based on interview, observation, and record review, the facility failed to ensure, in accordance with accepted professional standards and practices, the medical record was maintained on each resident which was complete and accurately documented for two (Residents #44 and Resident #59) of five residents' records reviewed for medical records. The facility failed to ensure Resident #44's and Resident #59's medication orders entered by LVN A on the residents' admission dates of 08/13/26 (Resident #44), and 08/17/26 (Resident #59) included the accurate medical diagnoses for medications. Medication diagnoses were documented as for medical diagnosis. This failure could place residents at risk of inaccurate information and resulting inappropriate care. […]