Inspection Reports for Caraday of Houston
6534 Stuebner Airline Rd, Houston, TX 77091, United States, TX, 77091
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
6.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
91% worse than Texas average
Texas average: 3.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Nov 21, 2025
Visit Reason
The inspection was conducted due to complaints regarding the facility's failure to provide hot water for resident showers, impacting resident rights and self-determination.
Complaint Details
The complaint investigation was substantiated, confirming that residents, including CR#1, experienced lack of hot water for showers for periods ranging from about one week to a month. Multiple residents and staff confirmed the issue, and maintenance identified a failed circular pump as the cause. The problem was addressed with repairs during the investigation timeframe.
Findings
The facility failed to promote and facilitate resident self-determination by not providing hot water for showers, affecting at least one resident's ability to exercise their rights and maintain hygiene. The issue was linked to plumbing problems, including a failed pump, which was repaired during the investigation period.
Deficiencies (1)
Failure to promote and facilitate resident self-determination through support of resident choice by not having hot water in the facility, preventing residents from taking showers.
Report Facts
Water temperature readings: 102
Water temperature readings: 106
Water temperature readings: 108
Water temperature readings: 109
Resident count reviewed: 6
BIMS score: 15
Dates of shower water issues: 21
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Mar 28, 2025
Visit Reason
The inspection was conducted due to a complaint investigation regarding a resident-to-resident altercation involving physical abuse between two residents on 04/07/2024.
Complaint Details
The complaint investigation was substantiated. Resident #2 hit Resident #1 in the eye causing bleeding. Police were called, and Resident #2 was arrested and transported to jail. Resident #1 refused hospital treatment. Interviews with staff and residents confirmed the incident.
Findings
The facility failed to protect residents from abuse, neglect, and exploitation, as Resident #2 physically assaulted Resident #1 causing injury. The incident was documented, police were involved, and Resident #2 was arrested and discharged. The facility's policy on abuse prevention was reviewed and found to be in place.
Deficiencies (1)
Failure to protect residents from all types of abuse including physical abuse by another resident.
Report Facts
BIMS score: 9
BIMS score: 12
Incident time: 1755
Incident time: 1810
Incident time: 1934
Incident date: Apr 7, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LVN C | Licensed Vocational Nurse | Documented incident, assessed Resident #1, reported incident to administrator and police |
Inspection Report
Routine
Deficiencies: 2
Date: Mar 27, 2025
Visit Reason
The inspection was conducted to evaluate compliance with medication storage and administration protocols, as well as the effectiveness of the pest control program in the facility.
Findings
The facility failed to ensure medications were properly stored and labeled, with medications left unattended on a medication cart, risking drug diversion and adverse reactions. Additionally, the facility failed to maintain an effective pest control program, resulting in persistent gnats in resident rooms, which could cause infection risk and discomfort.
Deficiencies (2)
Failed to ensure all drugs and biologicals were stored in locked compartments with proper temperature controls and restricted key access; medications were left unattended in a medication cup on a cart.
Failed to maintain an effective pest control program resulting in gnats present in resident rooms.
Report Facts
Residents Affected: 1
Residents Affected: 2
Medication pills observed: 7
Pest control treatment frequency: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LVN A | Licensed Vocational Nurse | Stated medications should never be left unattended on the cart |
| LVN B | Licensed Vocational Nurse | Stated staff should wait for resident and never leave open medications unattended |
| RN D | Registered Nurse | Stated medications should be given on time and no premedication popping |
| MAINT | Maintenance staff who treated the room weekly for gnats and tracked treatments | |
| ADMN | Administrator who stated pest control was ongoing and efforts to encourage resident independence |
Inspection Report
Routine
Census: 12
Deficiencies: 6
Date: Dec 14, 2023
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident care, medication management, staffing, and facility environment.
Findings
The facility was found deficient in multiple areas including failure to maintain a safe and homelike environment, improper respiratory care without physician orders, inadequate RN coverage, medication storage and labeling issues, failure to act on pharmacist recommendations for medication consent forms, and medication administration errors including failure to check vital signs before administering blood pressure medications.
Deficiencies (6)
Failed to provide a safe, functional, sanitary, comfortable, and homelike environment for residents, including a broken light in a resident's room and unsafe seating in the smoking area.
Administered oxygen to a resident without a physician order.
Failed to have RN coverage for eight consecutive hours a day for 36 of 92 days reviewed.
Medication aide cart had discontinued medications and undated opened eye drops; medication room refrigerator contained personal items; nurse's medication cart had opened and undated medications.
Failed to act on pharmacist's recommendation to use the correct consent form for psychotropic medication for a resident.
Medication error rate was 7%, including failure to check blood pressure before administering blood pressure medications.
Report Facts
Residents affected: 12
Residents affected: 1
Days without RN coverage: 36
Medication error rate: 7
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MA B | Medication Aide | Involved in medication error for failing to check blood pressure before administering medication |
| LVN J | Licensed Vocational Nurse | Interviewed regarding oxygen administration and medication administration monitoring |
| LVN MDS | Licensed Vocational Nurse | Prepared MDS and care plan, admitted failure to obtain oxygen order |
| Acting DON | Acting Director of Nursing | Interviewed regarding oxygen order, medication regimen review, and RN coverage |
| Interim DON | Interim Director of Nursing | Interviewed regarding oxygen administration, medication storage, and medication errors |
| Admin | Administrator | Interviewed regarding facility policies, RN coverage, and medication regimen review |
| MA T | Medication Aide | Interviewed regarding discontinued medications and medication storage |
| LVN R | Licensed Vocational Nurse | Interviewed regarding medication storage and labeling |
| Consultant Pharmacist | Interviewed regarding medication regimen review and consent forms |
Inspection Report
Routine
Deficiencies: 7
Date: Dec 14, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, medication management, staffing, and facility maintenance.
Findings
The facility was found deficient in multiple areas including failure to maintain a safe and homelike environment, improper respiratory care without physician orders, inadequate RN coverage, medication storage and labeling issues, failure to act on pharmacist recommendations for medication consents, and medication administration errors including failure to check vital signs before administering blood pressure medications.
Deficiencies (7)
Failure to provide a safe, functional, sanitary, comfortable, and homelike environment including a broken light in a resident's room and unsafe seating in the smoking area.
Administered oxygen to a resident without a physician order.
Failed to have RN coverage for eight consecutive hours a day for 36 of 92 days reviewed.
Drugs and biologicals were not stored or labeled according to professional principles, including undated opened eye drops, discontinued medications on medication aide cart, personal items in medication refrigerator, and undated medications on nurse's cart.
Failed to act on pharmacist's recommendation to use the correct consent form for psychotropic medication for a resident.
Medication error rate was 7% due to medication aide attempting to administer blood pressure medications without checking vital signs as ordered.
Failed to ensure residents were free from significant medication errors; medication aide failed to check blood pressure before administering blood pressure medications.
Report Facts
Days without RN coverage for 8 consecutive hours: 36
Medication error rate: 7
Residents reviewed for medication errors: 11
Residents reviewed for respiratory care: 3
Residents reviewed for medication regimen review: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MA B | Medication Aide | Failed to check blood pressure before administering blood pressure medications to Resident #31 |
| LVN J | Licensed Vocational Nurse | Checked blood pressure and clarified medication administration parameters for Resident #31 |
| LVN R | Licensed Vocational Nurse | Discussed medication storage and labeling issues, and responsibilities for medication cart maintenance |
| Acting DON | Acting Director of Nursing | Provided interviews regarding oxygen administration, medication regimen review, and RN coverage |
| Interim DON | Interim Director of Nursing | Provided interviews regarding oxygen administration, medication administration errors, and medication storage |
| Admin | Administrator | Provided interviews regarding facility policies, RN coverage, and medication regimen review follow-up |
| MA T | Medication Aide | Discussed discontinued medications and medication storage in medication aide cart and medication room |
| Consultant Pharmacist | Provided telephone interview regarding medication consent forms and medication regimen review |
Inspection Report
Routine
Deficiencies: 3
Date: Sep 29, 2022
Visit Reason
The inspection was conducted to assess compliance with professional standards of quality, medication storage and security, dietary staff competencies, and implementation of dietitian recommendations.
Findings
The facility failed to follow the dietitian's order for weekly weights for a resident, failed to secure a medication cart when unattended, and had dietary staff working without current food handler certifications. These deficiencies posed risks to resident care quality, medication safety, and food safety.
Deficiencies (3)
Failed to follow the dietitian's order for weekly weights x4 for Resident #29.
Medication Cart #1 was observed unlocked and unattended, risking medication loss and drug diversion.
Dietary staff DC-A and DC-B were working without current food handler certifications.
Report Facts
Weight loss percentage: 7.2
Weight loss percentage: 7.8
Weight loss percentage: 1
Weight measurements: 182.1
Weight measurements: 179.8
Weight measurements: 166.9
Food Manager Certification expiration: Mar 7, 2021
Food Manager Certification expiration: May 13, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| DC-A | Dietary Cook | Working without current food handler certification; Food Manager's Certification expired 3/07/2021 |
| DC-B | Dietary Staff | Working without current food handler certification; Food Manager's Certification expired 5/13/2022 |
| Director of Nursing | DON | Admitted failure to ensure weekly weights were taken as recommended; stated medication carts must be locked when unattended |
| Administrator | Administrator | Reported policy and education regarding locked medication carts; acknowledged staff education on certification requirements |
| Dietician | Dietician | Recommended weekly weights x4 for Resident #29; stated expectation for physician approval and implementation within 72 hours |
| HR | Human Resources | Responsible for certification/licensure checks during hiring; confirmed lack of policy on dietary certifications |
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