Copperfield Healthcare And Rehabilitation
Inspection Findings
F-Tag F0580
F 0580 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few Note: The nursing home is disputing this citation.
FORM CMS-2567 (02/99) Previous Versions Obsolete
changes, quality of care and changes of condition. The DON, ADONs, Administrator and Medical Director were in attendance.- On 09/10/25 the facility in-serviced all staff on Stroke Protocol/signs and symptoms of
a stroke. Residents #5, #24, #27, #120 and #126 were identified as having history of stroke without the appropriate care plan and their care plans were updated appropriately.- On 09/10/25 the facility in-serviced all staff on changes of condition, stop and watch early warning tool, documentation and notification of change.- On 09/11/25 the DON completed a 1on1 in-services with LVN J on CIC, Nursing Communication, Physician Notification, Stroke Police, Hospital Transport- On 09/10/25 the facility in-serviced all staff on documentation, change of condition and required charting.- On 09/10/25 the facility in-serviced all staff on Hospital Transport.- On 09/10/25 the facility in-serviced nurses on Nursing communication and 24-hour report/rounding.- On 09/10/25 the facility in-serviced all staff on Resident/Family concerns regarding a change in condition.- On 09/10/25 the facility completed competency assessments on stroke for both licensed and non-licensed staff.- On 09/10/25 the facility completed competency assessments with all licensed staff on Changes of Condition- On 09/10/25 the facility completed competency assessments on licensed and non-licensed staff for Head-to-Toe Assessments- On 09/10/25 the facility completed an audit of all changes of conditions from 07/10/25 to 09/10/25. All reported CIC had appropriately timed provider notifications.- On 09/10/25 the facility completed an audit on all residents with a stroke diagnosis:- Their Care Plans were audited - Residents #5, #24, #27, #120 and #126 were identified as having history of stroke without the appropriate care plan and their care plans were updated appropriately.- On 09/11/25 the DON completed a 1on1 in-services with LVN J on CIC, Nursing Communication, Physician Notification, Stroke Police, Hospital Transport- On 09/12/25 the facility completed an audit on the 24-hr. report for 09/11/25.- On 09/13/25 the facility completed an audit on the 24-hr. report for 09/12/25.- On 09/14/25 the facility completed an audit on the 24-hr. report for 09/13/25.The Administrator was informed the Immediate Jeopardy was removed on 09/10/25 at 01:06 PM. The facility remained out of compliance at a severity level of no actual harm with potential for more than minimal harm that was not immediate jeopardy and a scope of isolated due to the facility's need to evaluate the effectiveness of the corrective systems that were put into place.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/17/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Copperfield Healthcare and Rehabilitation
7107 Queenston Blvd Houston, TX 77095
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-Tag F0583
Federal health inspectors cited Copperfield Healthcare and Rehabilitation in Houston, TX for a deficiency under regulatory tag F-F0583 during a standard health inspection conducted on 2025-09-17.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Keep residents' personal and medical records private and confidential.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of Copperfield Healthcare and Rehabilitation.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-11.
F-Tag F0640
Federal health inspectors cited Copperfield Healthcare and Rehabilitation in Houston, TX for a deficiency under regulatory tag F-F0640 during a standard health inspection conducted on 2025-09-17.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of Copperfield Healthcare and Rehabilitation.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-11.
F-Tag F0656
F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
person-centered care plan for each resident that includes measurable objectives and timeframes to meet a resident's medical, nursing, mental and psychosocial needs that are identified in the comprehensive assessment. The IDT team will also develop and implement a baseline care plan for each resident, within 48 hours of admission, which includes minimum healthcare information necessary to properly care for each resident and instructions needed to provide effective and person-centered care that meet professional standards of quality care.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/17/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Copperfield Healthcare and Rehabilitation
7107 Queenston Blvd Houston, TX 77095
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-Tag F0684
F 0684
- On 09/12/25 the facility completed an audit on the 24-hr. report for 09/11/25.
Level of Harm - Immediate jeopardy to resident health or safety
- On 09/13/25 the facility completed an audit on the 24-hr. report for 09/12/25.
Residents Affected - Few
An IJ was identified on 09/10/25. The IJ template was provided to the Administrator on 09/10/25 at 01:06 PM. While the IJ was removed on 09/14/25 at 02:04 PM, the facility remained out of compliance at a scope of isolated and a severity level of no actual harm with potential for more than minimal harm that was not immediate jeopardy due to the facility continuing to monitor the implementation and effectiveness of their plan of removal.
Note: The nursing home is disputing this citation.
FORM CMS-2567 (02/99) Previous Versions Obsolete
- On 09/14/25 the facility completed an audit on the 24-hr. report for 09/13/25.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/17/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Copperfield Healthcare and Rehabilitation
7107 Queenston Blvd Houston, TX 77095
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-Tag F0689
Federal health inspectors cited Copperfield Healthcare and Rehabilitation in Houston, TX for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-09-17.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of Copperfield Healthcare and Rehabilitation.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-11.
F-Tag F0693
Federal health inspectors cited Copperfield Healthcare and Rehabilitation in Houston, TX for a deficiency under regulatory tag F-F0693 during a standard health inspection conducted on 2025-09-17.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of Copperfield Healthcare and Rehabilitation.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-11.
F-Tag F0694
Federal health inspectors cited Copperfield Healthcare and Rehabilitation in Houston, TX for a deficiency under regulatory tag F-F0694 during a standard health inspection conducted on 2025-09-17.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of Copperfield Healthcare and Rehabilitation.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-11.
F-Tag F0695
Federal health inspectors cited Copperfield Healthcare and Rehabilitation in Houston, TX for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-09-17.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of Copperfield Healthcare and Rehabilitation.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-11.
F-Tag F0700
Federal health inspectors cited Copperfield Healthcare and Rehabilitation in Houston, TX for a deficiency under regulatory tag F-F0700 during a standard health inspection conducted on 2025-09-17.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Scope/Severity Level K: pattern, immediate jeopardy to resident health or safety.
This represents an immediate jeopardy situation, the most serious level of deficiency.
This was one of 14 deficiencies cited during this inspection of Copperfield Healthcare and Rehabilitation.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-11.
F-Tag F0760
Federal health inspectors cited Copperfield Healthcare and Rehabilitation in Houston, TX for a deficiency under regulatory tag F-F0760 during a standard health inspection conducted on 2025-09-17.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure that residents are free from significant medication errors.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of Copperfield Healthcare and Rehabilitation.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-11.
F-Tag F0761
Federal health inspectors cited Copperfield Healthcare and Rehabilitation in Houston, TX for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-09-17.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of Copperfield Healthcare and Rehabilitation.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-11.
F-Tag F0880
F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Resident #12. After CNA V observed the wash pans on the commode chair, she said all resident personal care items should be labeled and bagged to prevent cross contamination and infections. CNA V said she would take care of the incident right away. Interview on 09/09/25 at 3:30 PM, RN E said he received in-service on fall preventions, infection control, and hand washing to prevent cross contamination and infections. RN E said it was important to wash hands before putting on gloves and washing hands after removing gloves, before touching a resident, after assisting residents with carer, and before leaving a resident room. RN E said he was in-serviced on sanitizing resident care equipment which included blood pressure devices and blood glucose machines after using and in between usage on each resident to prevent cross contamination and the spread of infections. RN E said the reason he was not practicing infection control regarding handwashing/sanitizing hands and sanitizing resident care equipment was because he must have gotten in a hurry and forgot. RN E said this placed the residents at risk for cross contamination and infections. Interview on 09/11/25 at 10:58 AM, LVN M said resident personal care items such as wash pans should be labeled and bagged separately to prevent cross contamination and infections. LVN M said it was the CNA's who were supposed to label resident wash pans and bag them separately. LVN M said it was the nurse's responsibility to ensure was being done. Interview on 09/11/25 at 11:09 AM, the DON said the resident personal care items were supposed to be labeled and bagged to prevent cross contamination. The DON said the facility had not designated this task to anyone yet. The DON said the facility had just hired a new staff member who would be taking the resident weights and this particular staff member would be assuming the role of making sure all resident personal care items were labeled and bagged. The DON said although this role had not been assigned to the new hire, the nurses and the CNA's were responsible in making sure residents personal care items were labeled and bagged.
Record review of the facility's policy on Equipment cleaning, revised May 2007, reflected in part: .It is the policy of this facility to implement the following procedures to ensure equipment is cleaned and care for appropriately. Durable medical equipment must be cleaned before reuse by another resident.Reusable resident items are cleaned and disinfected between residents . Record review of the facility's policy on Hand Hygiene, revised April 2025, reflected in part: .It is the policy of this facility to provide the necessary supplies, education, and oversight to ensure healthcare workers perform hand hygiene, which is one of the most effective measures to prevent the spread of infection, based on accepted standards. Residents, family, and visitors will be encouraged to practice hand hygiene.Hand hygiene after removing gloves.
Event ID:
Facility ID:
If continuation sheet
F-Tag F0921
Federal health inspectors cited Copperfield Healthcare and Rehabilitation in Houston, TX for a deficiency under regulatory tag F-F0921 during a standard health inspection conducted on 2025-09-17.
Category: Environmental Deficiencies
The facility was found deficient in the following area: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of Copperfield Healthcare and Rehabilitation.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-11.
Copperfield Healthcare and Rehabilitation in Houston, TX inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Houston, TX, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Copperfield Healthcare and Rehabilitation or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.