The Heights of Tomball

In the surveyor’s words

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

• Immediate jeopardy, patternF689Dec 3, 2024

  Based on observation, interview, and record review, the facility failed to ensure each resident received adequate supervision and assistive devices to prevent accidents for 1 of 8 (Resident #1) residents reviewed for accidents and supervision. CNA A failed to provide safe transfers for Resident #1 via mechanical lift/ 2-person assist, as required on 11/20/2024. Resident #1 complained of leg pain and was diagnosed with an acute, mildly displaced (broken bone where the ends of the bones are no longer aligned) spiral fracture (a fracture occurring when torque is applied along with the axis of a bone. […]

• Immediate jeopardy, isolatedF686May 12, 2025

  Based on interview and record review, the facility failed to ensure residents received care, consistent with professional standards of practice, to prevent pressure ulcers and does not develop pressure ulcers unless the individual's clinical condition demonstrates that they were unavoidable; and a resident with pressure ulcers receives necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for 1 (CR#1) of 5 residents reviewed for quality of care. The facility failed to ensure that CR#1 did not develop a pressure ulcer from date of admission, 3/6/25 through date of discharge, 3/19/25. An Immediate Jeopardy (IJ) was identified on 05/09/2025 at 7:18 pm. […]

• No harm, potential for more than minimal, isolatedF640Mar 28, 2024

  Based on observation, interview and record review the facility failed to transmit an MDS for 2 (Resident #57 and Resident #112) of 3 residents reviewed for resident assessment. The facility failed to transmit End of PPS Part A stay 12/13/2023 for Resident #57. The facility failed to transmit End of PPS Part A stay 11/10/2023 for Resident #112. The facility failed to transmit Discharge Return Not Anticipated 12/13/2023 for Resident #57. The facility failed to transmit Discharge Return Not Anticipated 11/10/2023 for Resident 112. This failure could place the residents at risk of not having their assessments transmitted timely. […]

• No harm, potential for more than minimal, isolatedF919Mar 28, 2024

  Based on observation, interview and record review, the facility failed to ensure resident rooms was adequately equipped at the resident's bedside to call for staff assistance through the communication system for 1 of 3 sampled residents (Resident #6) reviewed for call light function, in that: -The facility failed to ensure Resident #6 bedside call light was functioning. Findings included: Record review of Resident #6's face sheet, dated 03/28/2024, revealed a [AGE] year-old female who was admitted into the facility on [DATE] and was diagnosed with hemiplegia (one-sided paralysis of the body) , anxiety disorder, dementia, and cerebral infarction (disrupted blood flow to the brain). […]

• No harm, potential for more than minimal, isolatedF658Aug 30, 2023

  Based on observation, interview and record review, the facility failed to ensure services provided by the facility met professional standards of quality for 1 of 3 residents (Resident #1) reviewed for professional standards. -The facility failed to obtain PICC care and dressing change orders for Resident #1 after completion of antibiotics on 08/25/2023 resulting in Resident #1 receiving no dressing change and no catheter flushes between 08/25/2023 and 08/29/2023. These failures could place residents at risk of infection, pain, and hospitalization . […]