Texhoma Christian Care Center Inc

In the surveyor’s words

From the most serious findings on record at Texhoma Christian Care Center Inc, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jan 11, 2022

  Based on observations, interviews and record review, the facility failed to ensure each resident received adequate supervision to prevent accidents for one of five residents (Resident #1) reviewed for accidents and supervision. The facility failed to ensure Resident #1 received adequate supervision to prevent the resident from ingesting a hazardous cleaning solution (harmful if swallowed per material safety data sheet) which was left unattended in a resident room in the facility. This was determined to be Immediate Jeopardy at past non-compliance due to the facility having implemented action that corrected the non-compliance prior to the beginning of the inspection. […]

• No harm, potential for more than minimal, widespreadF812Aug 30, 2024

  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 in 1 of 1 kitchen, by failing to ensure: A. floors were swept and free from dirt and food crumbs. B. bottom shelves were clean. C. staff were wearing beard restraints. The facility's failure could place residents receiving oral nutritional intake at risk for foodborne illness and a decline in health status. The findings included: On 08/26/24 at 9:14 AM, during the initial tour of kitchen, the walk-in refrigerator #1 had spilled, dry milk on the floor in multiple areas, and underneath the shelves. In the corners and against the wall, there were dust and food crumbs. […]

• No harm, potential for more than minimal, widespreadF812Jul 6, 2023

  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 in one of one kitchen reviewed for kitchen sanitation, where male staff with beards and mustaches (FSS. FSM, FSW A, FSW B and FSW C) were not wearing beard restraints. The facility failed to ensure staff (FSS, FSM and FSW A, FSW B and FSW C) wore appropriate hair restraints while working in the kitchen. This failure could place residents at risk of food borne illness, and contaminated food. Findings include: Observation on 07/03/2023 at 09:05 AM, in the main dining kitchen revealed, the FSS walked around inside the kitchen without covering his beard and mustache. […]

• No harm, potential for more than minimal, patternF656Aug 30, 2024

  Based on interview and record review, the facility failed to develop a comprehensive person-centered care plan for each resident that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 2 of 7 residents (Residents #59 and #126) reviewed for comprehensive care plans. 1. Resident #59 developed cellulitis in her left forearm and a skin rash which covered her body. Physician ordered creams were applied to treat her skin. Resident #59's care plan was not revised and updated to address the development of skin conditions and the treatment of them. 2. Resident #126 was noted to have developed a skin rash during March 2024. […]

• No harm, potential for more than minimal, patternF761Aug 30, 2024

  Based on observation, interview, and record review the facility failed to ensure that drugs and biologicals used in the facility were secured and stored in accordance with current accepted professional principles for 3 (Treatment Cart 1, Treatment Cart 2, and Medication Cart 1300) of 8 carts observed for medication storage. The facility failed to ensure Treatment Cart 1, Treatment Cart 2 and Medication Cart 1300 were locked and secure. This failure could place the residents at risk of gaining access to unlocked medications not prescribed to them. Findings included: In an observation on 8/28/24 at 4:19 PM revealed Treatment Cart 1 and Treatment Cart 2 on east side nurses' station of the new building were unlocked and unattended. […]