The Heights of Gonzales

In the surveyor’s words

From the most serious findings on record at The Heights of Gonzales, in the surveyor’s own words.

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

  Based on observation, interviews and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 2 of 3 kitchens (main kitchen and [NAME] satellite kitchen) reviewed for kitchen sanitation in that: 1. Leftover food items stored in a reach-in refrigerator in the main kitchen did not contain a label or discard date (date when food is to be consumed or discarded). 2. Pasteurized eggs were not used to prepare fried eggs (eggs with yolks not fully cooked) for residents on the [NAME] satellite kitchen during the breakfast meal on 6/16/21. 3. […]

• No harm, potential for more than minimal, patternF583Dec 13, 2024

  Based on observation, interview, and record review, the facility failed to ensure residents had a right to personal privacy for 1 of 5 residents (Resident #3) reviewed for resident rights, in that: The facility failed to ensure CNA A and LVN B completely closed Resident #3's privacy curtain while providing incontinent care. This deficient practice could place residents at-risk of loss of dignity due to lack of privacy. The findings include: Record review of Resident #3's face sheet, dated 12/12/2024, revealed an admitted [DATE] and, a readmitted [DATE], with diagnoses which included: Dementia (decline in cognitive abilities), Epilepsy (Neurological disorder marked by sudden recurrent episodes of sensory disturbance, loss of consciousness, or convulsions), Moderate intellectual… […]

• No harm, potential for more than minimal, patternF880Dec 13, 2024

  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 infection for 1 of 5 residents (Resident #88) observed for nursing care and 3 of 19 (residents #10, #88 and #89) reviewed for infection control, in that: 1. The facility failed to ensure CNA E washed or sanitized her hands or changed her gloves, before touching the resident #88's clean brief and after touching the soiled resident's chuck and brief. 2. […]

• No harm, potential for more than minimal, patternF695Apr 1, 2024

  Based on observation, interview and record review the facility failed to ensure residents who needed respiratory care were provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan and the residents goals and preferences for 3 of 5 residents (Resident #6, #7 and #8) reviewed for respiratory care. 1. The facility failed to ensure Resident #6's oxygen tubing was not on the floor. 2. The facility failed to ensure Resident #7's oxygen tubing was not on the floor. 3. […]

• No harm, potential for more than minimal, patternF880Oct 20, 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 infection for 3 of 10 residents (Residents #81, #93 and, #31) reviewed for infection control, in that: 1. Medication Aide F did not sanitize the blood pressure cuff between Resident #81 and Resident #93 2. While providing incontinent care for Resident #31, CNA G did not wash her hands after touching the trash can and, LVN H did not change her gloves or wash her hands before touching a pair of clean briefs These failures could place residents at-risk for infection due to improper care practices. […]