Tomball Rehab & Nursing

In the surveyor’s words

From the most serious findings on record at Tomball Rehab & Nursing, in the surveyor’s own words.

• Immediate jeopardy, patternF686Sep 12, 2023

  Based on observation, interview and record review the facility failed to ensure, based on the comprehensive assessment of a resident, a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for 1 of 15 residents (Resident #1) reviewed for pressure ulcers. 1. The facility failed to ensure Resident #1, who admitted on [DATE] with a stage 4 pressure wound of the sacrum, stage 3 pressure wound of the right heel, stage 3 pressure wound of the left heel, stage 3 pressure wound of the right elbow, and skin tear wound of the left elbow, had documented and individualized wound care orders until 08/17/2023. […]

• Immediate jeopardy, patternF695Feb 15, 2023

  Based on observation, interview, and record review, the facility failed to ensure that residents who needs respiratory care is provided such care consistent with professional standards of practice, the comprehensive person-centered care plan, the residents goals, and preference for 3 of 19 residents (CR #1, Resident #2 and Resident #23) reviewed for tracheostomy care in that: -The NF failed to ensure all Nursing staff caring for residents with tracheotomies had been trained on maintaining artificial airway if a trach dislodged. […]

• Immediate jeopardy, isolatedF678Feb 9, 2024

  Based on interviews and record reviews, the facility failed to provide basic life support, including CPR (Cardiopulmonary Resuscitation), to a resident requiring such emergency care and subject to related physician orders and the resident's advance directives for 1 of 2 residents (CR #1) reviewed for basic life support, including CPR. The facility failed to ensure that a resident received CPR in accordance with professional standards of practice. The facility failed to immediately initiate CPR at about 3:28 AM on [DATE] when CR#1 was found unresponsive, by waiting an additional 7 minutes. The facility failed to ensure CPR was performed appropriately and accurately for approximately 10 minutes once initiated by staff. An Immediate Jeopardy (IJ) was identified on [DATE] at 3:20pm. […]

• No harm, potential for more than minimal, widespreadF880Feb 19, 2026

  Based on interviews and record reviews, the facility failed to establish and 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 diseases and infections for all 89 residents.The facility failed to demonstrate its measures to minimize the risk of legionella (bacteria naturally found in water that can cause a type of lung infection called legionellosis (legionnaires' disease and Pontiac fever; a milder flu-like illness) when people inhale tiny water droplets containing the bacteria) in the building's water system, when the facility's Water Management Program team failed to develop and implement an adequate water management policy and procedure to reduce the… […]

• No harm, potential for more than minimal, patternF755Feb 19, 2026

  Based on observations, interviews and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 2 of 7 residents (Resident #33, Resident #85) reviewed for medication storage and labeling.The facility failed to ensure nurses dated Residents #33 and 85's opened insulin glargine (a medication prescribed to help the body manage blood sugar levels) pens and discarded them within 28 days of opening, on [DATE].This failure could place residents at risk of receiving medications that were less effective or expired and the risk of contamination or chemical degradation (change of a substance into something else, often… […]