Harmony Care At Brookshire
Harmony Care at Brookshire in Brookshire, TX — inspection on February 14, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Resident was administered 100mg of Midodrine instead of the verbally ordered amount of 10mg.
Resident assessed by LVN and sent to ER for evaluation. (returned 2/11/2025)
Family called
MD/NP notified.
Audit all Midodrine orders by DON 2/10/2025
Resident #1 medication clarified/fixed 2/10/2025 (ultimately discontinued upon hospital return)
Notify Medical Director 2/10/2025 11:03am brief QAPI discussion to establish plan (this)
New orders will be reviewed by DON/designee daily to ensure accurately transcribed and that the computerized order matches the medication card.
Results of these audits will be discussed in morning meeting and any discrepancies will be rectified immediately.
LVN disciplinary action and 1:1 education 2/10/2025 related to transcription and medication administration to ensure the computerized order matches the medication card.
MA disciplinary action and 1:1 education 2/10/2025 related to medication administration to ensure the computerized order matches the medication card.
MA removed from MA role as of 2/10/2025 until further education and training occurs and she successfully completes 3 competency checks by DON.
Facility MAs and nurses re-educated on medication administration started 2/10/2025 by the DON.
Education was completed on 2/11/2025 and staff not allowed to work without training completion.
The education consisted of right person, right time, right dosage, right route, right drug.
Also included matching computerized order to medication card.
Nurses and MAs were provided education and post-test for Midodrine administration specifically by the DON on 2/10/2025 and no one can return to work unless education has been completed.
675700
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 675700 B.
Wing 02/14/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Harmony Care at Brookshire 710 Hwy 359 S Brookshire, TX 77423