Richland Hills Rehabilitation and Healthcare Cente

In the surveyor’s words

From the most serious findings on record at Richland Hills Rehabilitation and Healthcare Cente, in the surveyor’s own words.

• Actual harm, isolatedF689Nov 21, 2023

  Based on observation, interview and record review, the facility failed to ensure that each resident received adequate supervision and assistive devices to prevent accidents for one (Resident #1) of three residents reviewed for accidents. CNA B failed to have assistance from another staff member when she transferred Resident #1, who required 2-person assist with transfers, via a mechanical lift resulting in Resident #1 sustaining a shoulder fracture. This failure placed residents at risk for accidents and injuries. […]

• Actual harm, isolatedF689Aug 17, 2023

  Based on observation, interview, and record review, the facility failed to ensure the resident environment remained as free of accident hazards as is possible for 2 (Residents #1 and #2) of 13 residents reviewed for accidents and supervision. 1. The facility failed to ensure Resident #1 did not have cigarettes and a lighter in his possession. 2. The facility failed to supervise Resident #2 to prevent a burn to his right hand. These failures could place the residents at risk of further injury and harm. Findings included: Review of Resident #1's Admission Record revealed the resident was a [AGE] year-old male admitted to the facility on [DATE] with diagnoses which included urinary tract infection, muscle weakness, diabetes, and cognitive communication deficit (dificulty communicating). […]

• No harm, potential for more than minimal, widespreadF803Feb 27, 2025

  Based on observation, interview and record review the facility failed to ensure the menu was followed for one of one meal (lunch on 02/26/2025) reviewed for food and nutrition services. The facility failed to ensure the menu was followed for the lunch meal by leaving out the dinner roll with margarine for all diet types on 02/26/2025. This deficient practice could place residents at risk of dissatisfaction, poor intake, and/or weight loss. Findings included: Observation on 02/26/25 at 11:30 AM of the kitchen's steamtable (foods are kept at a warm temperature) revealed the following items: chicken fried steak, peas with onions, mashed potatoes, and gravy. No dinner rolls were observed, and none were placed on the residents' trays to serve to the residents. […]

• No harm, potential for more than minimal, widespreadF812Feb 27, 2025

  Based on observation, interview, and record review, the facility failed to prepare foods according to the established food preparation practices and safety techniques in 1 of 1 kitchen reviewed for appropriate sanitation, as evidenced by: The warewasher (dish machine) sanitizer was not dispensing sanitizer, leaving the dishes used for the afternoon meal, of 02/24/25 through afternoon meal of 02/26/25, unsanitized. This failure could place residents at risk of infection. Findings included: Observation on 02/24/25 at 6:14 PM revealed the Dishwasher ran the warewasher and then used a test strip to test the sanitizer strength. The test strip showed no sanitizer at all in the warewasher. The Dishwasher repeated the test three times. Each time the test strip showed no sanitizer. […]

• No harm, potential for more than minimal, widespreadF839Aug 17, 2023

  Based on interviews and record reviews the facility failed to ensure they employed professional staff required to be licensed for 1 (Administrator) of 5 employees reviewed for licensure. The facility failed to ensure the Administrator had a valid LNFA license. This failure could place the residents at risk of not receiving care regulated by CMS. Findings included: Interview on 08/17/23 at 4:45 PM the Administrator stated he had completed the Licensed Nursing Facility Administrator course but had not passed the test. He stated he was eligible to re-take the test at the end of August. He stated he did not have a current LNFA license and did not know who's license he was operating under, but thought it might be the previous administrator. […]