Focused Care at Westwood: Catheter Care Failure - TX
Inspectors visiting Focused Care at Westwood on November 6, 2025, found that a resident identified in records as Resident 1 had a Foley catheter drainage bag that was not being kept below the level of the bladder. That positioning is not incidental. When the bag rides too high, urine can flow back toward the bladder rather than away from it, and that backflow is a direct route to urinary tract infection.
The facility's own policy said exactly what should have been done. A catheter and care policy revised in April 2021 instructed nurses and aides to secure the urinary drainage bag below the level of the bladder and keep it off the floor, with extra tubing coiled and secured. The instruction was written down. It was not followed.
When inspectors spoke with the director of nursing on November 5, she confirmed the bag should have been hung below the resident's bladder. She said the purpose was to prevent backflow of urine, which could result in Resident 1 acquiring a urinary tract infection. She said she would begin randomly monitoring certified nursing assistants going forward. She also said the facility holds monthly in-service training sessions on Foley catheter care and incontinence care.
The monthly training sessions and the written policy both existed before inspectors arrived. Neither prevented the error.
Urinary tract infections are among the most common and serious complications for nursing home residents with indwelling catheters. In older adults, a UTI can escalate quickly, moving from localized discomfort to confusion, sepsis, and hospitalization. Residents with catheters are already at elevated risk simply by virtue of having the device. Proper bag positioning is one of the most basic ways to reduce that risk, taught in every nursing assistant certification course and reinforced, the director of nursing said, every single month at this facility.
CMS rated the deficiency as causing minimal harm or potential for actual harm, and noted it affected few residents. The complaint inspection was completed November 6, 2025.
What the report does not say is how long the bag had been positioned incorrectly before inspectors arrived, or whether Resident 1 developed any symptoms as a result. Those details are not in the record. What is in the record is that the error was visible to inspectors on arrival, that the director of nursing acknowledged it immediately when asked, and that her response was to promise closer supervision of the aides responsible for the resident's daily care.
Focused Care at Westwood is located at 8702 Course Drive in southwest Houston.
The director of nursing did not say how often the random monitoring would occur, or whether any aide would face consequences for the lapse. She said she would be watching.
For Resident 1, the watching started after the fact.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Focused Care At Westwood from 2025-11-06 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 9, 2026 · Our methodology
Focused Care at Westwood in Houston, TX was cited for violations during a health inspection on November 6, 2025.
That positioning is not incidental.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.