Focused Care At Beechnut
Focused Care at Beechnut in Houston, TX — inspection on July 2, 2024.
Found 2 citations. 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
The facility failed to prevent a disposable razor and hygiene products from being located unsupervised in Resident #86's room.
This deficient practice could result in residents coming into contact with dangerous materials which could place them at risk of injury or death.
Findings:
Record review of Resident #86's face sheet revealed a [AGE] year-old who was originally admitted on [DATE].
His medical diagnoses included hyperlipidemia (high amount of fats in the blood), dementia (unspecified), Major Depressive Disorder, Rhabdomolysis (breakdown of skeletal muscle), cognitive communication deficit, and abnormalities of gait and mobility.
Record review of Resident #86's Quarterly MDS dated [DATE] revealed a BIMS (a brief interview which assesses mental status) score of 11, indicating mild cognitive deficit.
Further review showed Resident #86 required supervision or touching assistance throughout the following activities: personal hygiene (shaving, washing/drying face and hands), oral hygiene, showering, toileting, and eating.
Record review of Resident #86's care plan last reviewed 06/06/2024 revealed:
-Resident #86 has an ADL self-care performance deficit due to Dementia. He required supervision and set up assist from staff to eat, dress, and for personal hygiene and oral care to maximize independence.
Observation and interview with Resident #86 on 7/1/2024 at 12:25pm revealed he was sitting on his bed, fully dressed.
There was a disposable uncovered razor on Resident #86's dresser, there were 3 bottles of body wash, and 2 deodorant sticks on his window ledge. Resident #86 stated he had no concerns and felt safe at the facility.
In an interview with CNA C on 7/1/2024 at 12:29pm, she observed the disposable razor on Resident #86's dresser and the hygiene products on the ledge and said it should not be there. CNA C said Resident #86's family member usually helped him get ready for doctor's appointments and most likely brought the hygiene products into the room. CNA C said it could be dangerous to have the razor in the room for his roommate who could hurt himself.
She would tell the charge nurse who would talk to the family about taking hygiene products with them when they're done.
675000
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 675000 B.
Wing 07/02/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Focused Care at Beechnut 12777 Beechnut St Houston, TX 77072
The surveyors confirmed the plan of removal had been implemented sufficiently to remove the IJ by the following:
Observation and interview on 6/30/2024 at 11:00 am with Resident #72 was sitting in wheelchair eating a snack. He was well-groomed with no odors. Resident #72 said he is feeling okay but wondered why it took the facility so long to address his catheter. He said he was now afraid of an infection from his stoma to g-tube. Resident #72 raised his shirt at that time and a small pea-sized area was observed in what appeared to be a white cream. Resident #72 consented for the DON to come assess him with another staff member. He was then transported back to his room.
The DON later came and said that the white substance was not an infection but a cream that they used to treat the stoma called theravox, which was confirmed by viewing the container and conducting a record review of Resident #72's physician orders.
In an interview on 6/29/2024 at 10: 20 AM RN A said she had been working with the facility for 8 months 6:00 AM to 6:00 PM shift.
She had in-services on incontinent care, indwelling catheter care, securing catheter, hanging foley bag below the bladder, and reporting any abnormalities to the charge nurse like skin irritation. If there were any changes in the site notify the NP and check indwelling catheter every shift.
They were assessing catheter before daily but now every shift and for any slit to the penis they should document in the progress note.
In an interview on 6/29/2024 at 10: 49 AM LVN A said she had been working with the facility for 1 year on the 6:00 AM to 2:00 PM shift.
She had in-services on incontinent care, indwelling catheter placement, securing the catheter, and reporting any abnormalities to the doctor like skin irritation and document.
675000
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 675000 B.
Wing 07/02/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Focused Care at Beechnut 12777 Beechnut St Houston, TX 77072