St James House of Baytown

In the surveyor’s words

From the most serious findings on record at St James House of Baytown, in the surveyor’s own words.

• Immediate jeopardy, isolatedF580Jan 10, 2025

  Based on observation, interview and record review the facility failed to immediately inform the resident, consult with the resident's physician, and notify consistent with his or her authority, the resident representative when there was a significant change in the resident's physical, mental, or psychosocial status and a need to alter treatment significantly for 1 of 5 residents (CR#1) reviewed for physician notification. The facility failed to contact the physician for over 5 hours when CR#1 had shortness of breath and was gurgling. After approximately 5 hours, CR #1 was sent to the hospital via emergency transport and was admitted with Pneumonia, Acute Kidney Failure, and Septic Shock and expired 2 days later. An Immediate Jeopardy (IJ) situation was identified on [DATE]. […]

• Actual harm, patternF760Mar 18, 2022

  Based on interview and record review, the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice for 7 of 7 residents (Resident #4, Resident 17, Resident #55, Resident #59, Resident #64, Resident #91, Resident #345) reviewed for quality of care. - The facility failed to set orders and to ensure that pre-prandial insulin, (insulin that should be administered within 5-20 minutes before meals) was administered at 6 AM, 2 hours before the breakfast meal for Resident #4 and Resident #64. […]

• No harm, potential for more than minimal, widespreadF812Mar 18, 2022

  Based on observation, record review, and interview the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for one of one kitchen, one standalone refrigerator, one walk in refrigerator, for reviewed for kitchen sanitation and storage. -The facility failed to ensure that open food and leftovers in the stand-alone refrigerator and walk in refrigerator were labeled, dated, and sealed. - Boxes of food items were observed on the floor outside of the freezer and in dry goods storage. - Boxes in walk-in freezer were crowded with no space for air circulation. - Food was not dated with an open date. - Two male staff did not wear beard and hair restraint. - Two staff did not wear PPE (mask) appropriately. […]

• No harm, potential for more than minimal, widespreadF812Jun 18, 2021

  Based on observation, interview and record review, and interview the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for one of one kitchen reviewed for kitchen sanitation and storage. -The facility failed to ensure that open food and leftovers in the stand-alone refrigerator and the walk-in refrigerator were labeled, dated, and sealed. -The facility failed to clean dirt, debris and dead bugs directly next to a preparation table. - The facility failed to discard of opened food items according to facility policy. - The facility failed to keep the kitchen free from bugs. […]

• No harm, potential for more than minimal, patternF760Aug 20, 2025

  Based on observations, interviews, and record reviews the facility failed to ensure that residents were free from any significant medication errors for 1 (Resident #88) of 4 residents reviewed for pharmacy services.-The facility failed to ensure Losartan (a blood pressure (BP) medication given to lower high blood pressure and help protect the kidneys) was administered to Resident #88 per physician order from [DATE] through [DATE]. -The facility failed to ensure accurate reconciliation (a process of comparing and verifying a resident's current list of medications with all prescribed medications to ensure accuracy and safety), of Resident #88's Losartan medication. […]