A list of the most recent deficiencies for North Houston Transitional Care. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-29 | 2023-01-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-29 | 2023-01-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-17 | 2022-01-13 | Y |
| Provide appropriate foot care. | Health | 2021-12-17 | 2022-01-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-17 | 2022-01-13 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-10-12 | 2021-11-05 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2021-09-17 | 2021-10-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-17 | 2021-10-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-17 | 2021-10-12 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-09-17 | 2021-10-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-17 | 2021-10-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-17 | 2021-10-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-21 | 2021-09-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-21 | 2021-09-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-21 | 2021-09-13 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-08-21 | 2021-09-13 | Y |
| 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 | 2019-09-24 | 2019-10-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-24 | 2019-10-25 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-09-24 | 2019-10-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-24 | 2019-09-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-24 | 2019-09-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-24 | 2019-09-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-24 | 2019-09-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-24 | 2019-09-25 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2019-09-24 | 2019-09-25 | N |
