A list of the most recent deficiencies for F W Huston Medical Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-06 | 2023-12-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-06 | 2023-12-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-06 | 2023-12-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-06 | 2023-12-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-06 | 2023-12-28 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-10-18 | 2023-11-30 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-18 | 2023-11-30 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-10-18 | 2023-11-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-18 | 2023-11-30 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-10-18 | 2023-11-30 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-10-18 | 2023-11-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-10-18 | 2023-11-30 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-10-18 | 2023-11-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-03-14 | 2022-04-13 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-03-14 | 2022-04-13 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-03-14 | 2022-04-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-03-14 | 2022-04-13 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-03-14 | 2022-04-13 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-03-14 | 2022-04-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-14 | 2022-04-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-03-14 | 2022-04-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-14 | 2022-04-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-14 | 2022-04-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-14 | 2022-04-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-14 | 2022-04-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-14 | 2022-04-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-14 | 2022-04-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-14 | 2022-04-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-14 | 2022-04-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-14 | 2022-04-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-03 | 2022-04-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-03 | 2022-04-09 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-03-03 | 2022-04-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-03-03 | 2022-04-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-25 | 2021-11-27 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-09-03 | 2020-10-16 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2020-09-03 | 2020-10-16 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2020-09-03 | 2020-10-16 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2020-09-03 | 2020-10-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-03 | 2020-10-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-03 | 2020-10-16 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2020-02-04 | 2020-03-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-02-04 | 2020-03-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-04 | 2020-03-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-04 | 2020-03-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-04 | 2020-03-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-02-04 | 2020-03-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-02-04 | 2020-03-04 | N |
