Deficiency Records for West Houston Rehabilitation and Healthcare Center
Updated as of January 01, 2021
This is not the most recent data for West Houston Rehabilitation and Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for West Houston Rehabilitation and Healthcare 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-10-20 | 2020-10-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-22 | 2020-02-07 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-01-22 | 2020-02-07 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-10-29 | 2019-11-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-29 | 2019-11-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-29 | 2019-11-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-29 | 2019-11-25 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-10-29 | 2019-11-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-29 | 2019-11-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-29 | 2019-11-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-29 | 2019-11-25 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-10-29 | 2019-11-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-01 | 2019-11-25 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-24 | 2019-10-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-24 | 2019-10-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-24 | 2019-10-28 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2019-10-24 | 2019-10-28 | 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 | 2019-05-22 | 2019-05-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-14 | 2019-03-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-02-14 | 2019-03-20 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-09-28 | 2018-10-17 | 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 | 2018-09-28 | 2018-10-17 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-09-28 | 2018-10-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-28 | 2018-10-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-25 | 2018-09-27 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-09-25 | 2018-09-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-25 | 2018-09-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-09-25 | 2018-09-26 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-24 | 2017-09-21 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-08-24 | 2017-09-21 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-24 | 2017-09-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-08-22 | 2017-09-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-08-22 | 2017-09-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-08-22 | 2017-09-15 | N |
