Trend Health and Rehab of Houston

In the surveyor’s words

From the most serious findings on record at Trend Health and Rehab of Houston, in the surveyor’s own words.

• Actual harm, isolatedF600May 16, 2023

  Based on facility policy reviews, interviews, and record reviews the facility neglected to properly assess Resident #1 and manage pain after a fall with injury and delay of treatment for one (1) of four (4) residents reviewed for falls. Resident #1 Finding include: Review of the facility policy and procedure titled Abuse Neglect and Exploitation dated 9/19/2022 revealed .Neglect means failure of the facility, its employees, or service providers to provide goods and services to a resident that are necessary to avoid physical harm, pain, mental anguish, or emotional distress . The facility provided on letterhead dated 5/16/23 a statement that read: We do not have a policy on lifting after a fall. […]

• Actual harm, isolatedF656May 16, 2023

  Based on policy reviews, interviews, and record reviews the facility failed to implement approaches and interventions related to pain and control pain for one (1) of four (4) residents reviewed for care plans and pain management. Resident #1 Fndings include: Review of the facility policy and procedure titled Abuse Neglect and Exploitation dated 9/19/2022 revealed .Neglect means failure of the facility, its employees, or service providers to provide goods and services to a resident that are necessary to avoid physical harm, pain, mental anguish, or emotional distress . Record review of a statement on facility letterhead dated 5/16/23 and signed by the Administrator revealed,We do not have a policy on pain management. […]

• Actual harm, isolatedF697May 16, 2023

  Based on facility policy reviews, interviews, and record reviews the facility failed to treat pain for Resident #1 after a fall with vocalization of pain. The facility did not assess or provide pain management for the resident after voiced pain from 6:50-9:32 AM which was a minimum of two (2) hours and 42 minutes prior to leaving in the ambulance to travel 30 plus miles away to the emergency room (ER). Resident #1 was one (1) of four (4) residents reviewed for pain management. […]

• No harm, potential for more than minimal, patternF641Apr 2, 2025

  Based on staff interview and record review, the facility failed to accurately complete Section N of an Annual Minimum Data Set (MDS) Assessment for one (1) of 31 resident MDS assessments reviewed. Resident #24. Findings Include: Record review of the facility policy MDS (Minimum Data Set) Assessment revealed, It is the policy of this facility to follow the RAI (Resident Assessment Instrument) process as set forth by CMS (Centers for Medicare and Medicaid Services) protocol. Record review of Resident #24's Annual MDS with an Assessment Reference Date (ARD) of 01/13/25 revealed under Section N - Medications, revealed that a hypnotic medication was coded as Yes, the resident is receiving. […]

• No harm, potential for more than minimal, patternF656Apr 2, 2025

  Based on observations, staff interviews, record reviews, and facility policy reviews, the facility failed to implement a care plan for a resident's Activities of Daily Living (ADL) care for one (1) of 31 resident care plans reviewed. Resident #9. Findings include: Record review of facility policy titled Following the Care Plan Policy dated 1/2011, revealed, It is the policy of this facility to follow a written and approved care plan for each resident. All employees will be trained upon hire and be required to follow the care plan. Record review of the care plan, date initiated 7/16/24, revealed Resident #9 has an ADL self-care performance deficit related to hemiplegia, limited mobility, musculoskeletal impairment, stroke and has contractures to all extremities with associated spasticity. […]