A list of the most recent deficiencies for Houston House. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-14 | 2024-01-28 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-12-14 | 2024-01-28 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-12-14 | 2024-01-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-14 | 2024-01-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-14 | 2024-01-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-12-14 | 2024-01-28 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-12-14 | 2024-01-28 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-12-14 | 2024-01-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-12-14 | 2024-01-28 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-12-14 | 2024-01-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-14 | 2024-01-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-14 | 2024-01-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-12-14 | 2024-01-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-14 | 2024-01-28 | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-08-01 | 2023-09-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-05 | 2023-03-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-05 | 2023-03-17 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-30 | 2022-05-13 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-10-19 | 2021-12-02 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-10-19 | 2021-12-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-19 | 2021-12-02 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-10-19 | 2021-12-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-19 | 2021-12-02 | 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 | 2021-10-19 | 2021-12-02 | 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 | 2021-10-19 | 2021-12-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-19 | 2021-12-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-19 | 2021-12-02 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-10-19 | 2021-12-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-19 | 2021-12-02 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2021-10-19 | 2021-12-02 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-10-19 | 2021-12-02 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-10-19 | 2021-12-02 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-10-19 | 2021-12-02 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-10-19 | 2021-12-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-19 | 2021-12-02 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-10-19 | 2021-12-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-19 | 2021-12-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-10-19 | 2021-12-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-24 | 2019-07-08 | N |
