Caraday Of Houston

F 0761 During an interview on 3/27/24 at 11:11am the regional RN C stated if they knew the resident and medication, they put it in a cup then it should ok. First and last name should be labeled on the cup also timed Level of Harm - Minimal harm or and dated. If they were destroyed that could be costly to the resident. potential for actual harm

During an interview on 3/27/24 at 12:55 pm RN D stated medications were to be given on time. Staff should Residents Affected - Few be following the medication rights, right patient, dose, route. Before giving the medication, it should be verified. No premedication popping. If premedication was done, you don't know which medication it was. If there's a blood pressure medication staff need to check before the pressure before giving it. So, based on

the vitals it may not allow you to give the medication. This could cause a mix up in medication if staff premedicated and didn't know which one to pull.

Record review of the facility provided policy titled, Medication and Preparation Administration revealed the following:

Medications should be prepared for only one resident at a time. Facility staff should observe the 6 Rights and verify right resident, right drug, right dose, right route and right time, and right documentation for each medication being administered.

Abbreviations:

CNA-certified nursing assistant

LVN-Licensed vocational nurse

RN- registered nurse

CMA-certified medication aide

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 2 of 4 676470 Department of Health & Human Services Printed: 08/31/2025 Form Approved OMB Centers for Medicare & Medicaid Services No. 0938-0391

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. Building 676470 B. Wing 03/28/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Caraday of Houston 6534 Stuebner Airline Road Houston, TX 77091

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.

(X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0925 In an interview with MAINT on 03/27/2025 at 12:04 PM, MAINT stated the gnats came from Resident #404 and the urine being spilled on the floors. MAINT stated Resident #404 wanted to be independent and used Level of Harm - Minimal harm or the urinal and placed it back on the floor. MAINT stated pest control treated the room and the facility once a potential for actual harm month. MAINT stated he treated the room as well, once a week to try and prevent the gnats, but they were always present. MAINT stated he used a log to track every time he needed to treat the room or the facility for Residents Affected - Few gnats.

In an interview with the ADMN on 03/27/2025 at 2:54 PM, the ADMN stated pest control had been coming to treat the facility and resident rooms. The ADMN stated they were doing the best they could with the gnats, all while trying to encourage the resident to be independent. The ADMN believed Resident #404's urinal waste

on the floor and could contribute to the gnats being uncontrolled.

Record review of the facility's Pest Control Policy reflected Bed Bugs, Prevent and Managing Infestations of

In record review of the facility's maintenance log, on 03/28/2025, listed the issue/concern for a member of maintenance to follow up. On 03/17/2025, 03/19/2025, 03/21/2025, 03/24/2025, 03/25/2025, gnats were noticed and treated by MAINT for rooms [ROOM NUMBERS]. The risk to any resident with gnats could be their dignity and not feeling good about the facility for their care.

In record review of the facility's contract with pest control, on 03/28/2025, reflected the pest control company had been active since 07/01/2023. The contract stated pest specifically not covered to include Flying insects (flies, bees, wasps, and gnats) .Service for NON COVERED PESTS may be provided for a fee on a materials plus labor basis.

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 4 of 4 676470