A list of the most recent deficiencies for Conroe Health Care 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? |
|---|---|---|---|---|
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-01-31 | 2024-02-26 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-02-01 | 2024-02-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-01 | 2024-02-23 | 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 | 2024-02-01 | 2024-02-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-31 | 2024-02-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-31 | 2024-02-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-31 | 2024-02-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-09 | 2022-11-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-09 | 2022-11-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-11-09 | 2022-11-25 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-11-08 | 2022-11-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-08 | 2022-11-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-30 | 2021-10-29 | Y |
| 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 | 2021-09-30 | 2021-10-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-30 | 2021-10-29 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-09-30 | 2021-10-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-30 | 2021-10-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-30 | 2021-10-29 | 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 | 2021-09-30 | 2021-10-29 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-09-28 | 2021-10-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-28 | 2021-10-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-28 | 2021-10-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-16 | 2021-09-10 | Y |
