Inspection Reports for
Treemont Senior Living
2501 Westerland Dr, Houston, TX 77063, United States, TX, 77063
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
14% worse than Texas average
Texas average: 3.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Deficiencies: 5
Date: Sep 19, 2024
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements for nursing home operations, including staff background checks, resident care, nursing coverage, medication administration, and food service safety.
Findings
The facility failed to conduct timely annual background checks for employees, provide adequate assistance with activities of daily living for a resident, maintain required RN coverage on weekends, ensure medication error rates were below 5%, and maintain proper sanitation temperatures in the dishwashing machine. These deficiencies posed risks of abuse, neglect, inadequate care, medication errors, and foodborne illness.
Deficiencies (5)
F 0607: The facility failed to develop and implement policies to ensure employee background checks, including EMR and criminal history, were conducted at least annually for 3 of 10 staff reviewed.
F 0677: The facility failed to provide timely incontinence care and assistance with activities of daily living for 1 of 12 residents reviewed, placing the resident at risk of skin breakdown and infection.
F 0727: The facility failed to have a registered nurse on duty for at least 8 consecutive hours a day, 7 days a week during July and August 2024, risking missed nursing assessments and care.
F 0759: The facility had a medication error rate of 11%, including incorrect dosing of nicotine gum, acetaminophen, and improper IV infusion rate for cefepime, risking inadequate therapeutic outcomes.
F 0812: The facility failed to ensure the thermometer on the low temperature dishwashing machine was working, resulting in no recorded wash or rinse temperatures for multiple days, risking foodborne illness.
Report Facts
Medication error rate: 11
RN coverage months: 2
Staff reviewed for background checks: 10
Residents reviewed for ADL care: 12
Dishwasher temperature log missing days: 18
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LVN C | Named in failure to conduct timely background checks. | |
| LVN D | Named in failure to conduct timely background checks. | |
| LVN E | Named in failure to conduct timely background checks. | |
| MA A | Medication Aide | Named in medication errors involving nicotine gum and acetaminophen. |
| LVN B | Named in medication error involving IV cefepime infusion rate. | |
| Human Resources Director | Interviewed regarding background check policies and failures. | |
| Administrator | Interviewed regarding RN coverage and background check failures. | |
| DON | Director of Nursing | Interviewed regarding RN coverage, medication errors, and ADL care expectations. |
Inspection Report
Life Safety
Deficiencies: 1
Date: Jan 5, 2024
Visit Reason
State-compiled facility profile showing multiple inspections including a recent comprehensive inspection in 2024 with deficiency history related to health and life safety codes.
Findings
The facility was cited for failure to maintain fire alarm system components in compliance with NFPA code during inspections in 2023 and 2024. No enforcement actions were found.
Deficiencies (1)
The facility failed to maintain the fire alarm system components in compliance with the requirements of the NFPA code.
Report Facts
Inspections on page: 2
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Jul 27, 2023
Visit Reason
The inspection was conducted due to complaints regarding unresolved resident grievances and concerns about care and services at the facility.
Complaint Details
The visit was complaint-related due to resident grievances about unresolved issues including call light delays, meal inaccuracies, laundry damage, and environmental concerns. The grievance logs for June and July 2023 showed no logged grievances despite resident complaints. The complaint was substantiated as the facility failed to document or follow-up on grievances.
Findings
The facility failed to resolve grievances raised by residents during council meetings from April to July 2023 and did not document follow-ups. Additionally, the facility failed to develop and implement a comprehensive care plan addressing a resident's repeated refusal of medication, potentially risking inadequate care.
Deficiencies (2)
F 0585: The facility failed to ensure grievances were resolved for 3 of 3 residents reviewed. Resident concerns about call light response times, meal errors, laundry damage, and environmental issues were not addressed or documented in grievance logs.
F 0656: The facility failed to develop and implement a care plan for Resident #22's repeated refusal of Dronabinol medication, risking inadequate guidance for resident care.
Report Facts
Medication refusal dates: 25
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Jun 16, 2022
Visit Reason
The inspection was conducted to investigate complaints related to resident supervision, food safety, hospice care documentation, and infection control practices at the nursing home.
Complaint Details
The investigation was complaint-driven, focusing on supervision failures leading to fall risks, food safety violations, missing hospice documentation, and infection control breaches. Specific substantiation status is not stated.
Findings
The facility failed to ensure adequate supervision and assistive devices for a resident at risk of falls, maintain sanitary food storage and preparation practices, obtain current hospice plans and certifications, and implement proper infection prevention and control procedures including hand hygiene and equipment handling.
Deficiencies (4)
F 0689: The facility failed to ensure Resident #16 received ordered bolsters and fall mats to prevent falls, placing the resident at risk of injury.
F 0812: The facility failed to maintain sanitary food storage and preparation practices, including improperly stored frozen foods and unsanitary freezers and refrigerators.
F 0849: The facility failed to obtain current hospice physician recertification and hospice plan of care for Resident #1, risking uncoordinated end-of-life care.
F 0880: The facility failed to maintain infection prevention and control, including staff not performing hand hygiene during eye drop administration and reusing contaminated nasal cannula tubing.
Report Facts
Residents reviewed for supervision and assistive devices: 16
Residents affected by supervision deficiency: 1
Kitchen reviewed: 1
Residents affected by food safety deficiency: Many
Residents reviewed for hospice services: 3
Residents affected by hospice documentation deficiency: 1
Staff observed for infection control: 2
Residents observed for infection control: 2
Residents affected by infection control deficiency: Some
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