The October 27 inspection focused on the facility's job descriptions for certified nursing assistants and certified medication aides. Inspectors found deficiencies in how the 9250 Humble-Westfield Road facility defined roles and responsibilities for these critical positions.
The facility's undated job description for certified nursing assistants states the primary purpose is "to provide each of your assigned residents with routine daily nursing care and services in accordance with the resident's assessment and car plan and as may be directed by your supervisors." Inspectors identified problems with this description that affected few residents.
For certified medication aides, the facility's undated job description reads: "The primary purpose of your job position is to assist in the administering of medications to residents as ordered by the attending physician, under the direction of the attending physician, the nurse supervisor or charge nurse, and the Director of Nursing Services."
The medication aide description continues: "The administration of medications shall be in accordance with established nursing standard's, the policies, procedures and practices of this facility and the requirements of this state. As a Certified Medication Aide, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties."
Federal regulations require nursing homes to clearly define staff roles and ensure proper delegation of duties, particularly for medication administration. Certified medication aides work under nursing supervision to help distribute medications to residents, while certified nursing assistants provide direct care services.
The inspection was conducted in response to a complaint, though the specific nature of the complaint was not detailed in available records. Complaint investigations typically focus on specific allegations about care quality, safety issues, or regulatory violations reported by residents, families, or staff members.
Deerbrook Skilled Nursing and Rehab Center serves residents requiring skilled nursing care and rehabilitation services in the Humble area, northeast of Houston. The facility must submit a plan of correction to address the identified deficiencies.
The Centers for Medicare and Medicaid Services classified the violations as causing minimal harm or potential for actual harm to residents. This represents the lowest level on the federal harm scale, which ranges from minimal harm to immediate jeopardy to resident health and safety.
Job description deficiencies can affect care quality when staff members lack clear understanding of their roles, responsibilities, and scope of practice. Proper job descriptions help ensure staff know their duties and work within appropriate professional boundaries.
The facility has not yet publicly released its plan of correction for the identified violations. Nursing homes typically have specific timeframes to address deficiencies and demonstrate compliance with federal requirements.
State survey agencies work with the Centers for Medicare and Medicaid Services to conduct nursing home inspections and monitor compliance with federal health and safety standards. Complaint investigations supplement regular annual inspections to address specific concerns about facility operations.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Deerbrook Skilled Nursing and Rehab Center from 2025-10-27 including all violations, facility responses, and corrective action plans.
Additional Resources
- View all inspection reports for Deerbrook Skilled Nursing and Rehab Center
- Browse all TX nursing home inspections