Magnolia Crossing Nursing And Rehabilitation Cente

F 0607 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

already gone for the day. She said she had not heard back from anyone about her reported abuse allegation as of today, 08/19/25. During an interview on 08/19/25 at 8:14 a.m., Resident #1 said the care at

the facility was not good. He said about 3 or 4 days ago (was not sure of the exact date), a nurse aide (said

he did not know her name) hit him on the right side of his face in the eye. He said a nurse aide was changing him. He said the nurse aide turned him on his right side, and when she turned him, it caused him pain. He said the nurse aide had her hand on his left arm, and he told her he wanted her to lay him flat, and

he tried to get her hand off him. He said that was when she hit him. He said he did not say anything to the nurse aide. He said she finished changing him and she left his room. He said he told his family member what happened, on a different day (he did not know what day). He said he did not tell anyone else. He said

it made him mad when the nurse aide hit him. He said no staff had come to talk to him about the nurse aide hitting him. During a telephone interview on 08/19/25 at 9:56 a.m., Nurse A said on Saturday, 08/16/25, she was in the middle of taking care of a critical resident when Resident #1's family member came up to her and told her the CNAs were in the resident's room changing him and cleaning him up when one of the aides had hit him in the face. She said the resident's family member could not name the CNA, but the two CNAs in the room were, CNA A and CNA B. She said she asked CNA B if they had encountered anything

in the room, and CNA B said Resident #1 told his family member that they had hit him in the face, but CNA B said she was by the bed with the other aide the whole time and it did not happen. She said CNA B told her they washed the resident's face with a washcloth. She said CNA B told her Resident #1 alleged she was the one who hit him in the face. She said after their conversation, she went into her critical resident's room to provide care. She said she sent out the critical resident to the hospital, stayed very late, forgot about the reported allegation of abuse from the resident's family member until this Investigator called her for this interview. She said she did not report the alleged abuse to anyone because she was juggling the allegation of abuse and the critical resident at the same time. She said when there was an alleged allegation of abuse, the Administrator, was to be called immediately. She said abuse should be reported immediately because there was alleged harm to the resident. She also said the resident would not trust staff, or could have sustained a serious injury, or their family would not trust staff. She said she did not ask Resident #1 anything about the alleged abuse because CNA A was still in the room picking up the linens off

the floor. She said she received training on abuse, neglect, and exploitation. She said unfortunately she forgot to report the allegation of abuse and apologized for forgetting to report. During an interview on 08/19/25 at 12:25 p.m., the DON said when a nurse received an allegation of potential harm to a resident,

they secured the resident, removed the potential harm, and notified the Administrator. He said they would notify the family/next of kin and the provider as well. He said he was not aware that Resident #1's family member reported an allegation of resident abuse to Nurse A this past Saturday, 08/16/25. He said failure to report abuse could cause a delay of treatment, if needed, and a delay of an investigation. During an

interview on 08/19/25 at 1:19 p.m., the Administrator said she was not aware that Resident #1's family member reported an allegation of resident abuse to Nurse A on Saturday, 08/16/25. She said she was going to report it to the state today. She said staff members CNA A, CNA B, and Nurse A, had been suspended until the investigation was completed, and they would be in-servicing staff on Abuse/neglect and reporting.

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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

08/19/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Magnolia Crossing Nursing and Rehabilitation Cente

10800 Flora Mae Meadows Rd Houston, TX 77089

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 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

said she hit him in the eye but then told his family member CNA A hit him, as she was walking out of his room. She said CNA A was walking out behind her. She said CNA A and she walked out of the resident's room, went to the nurse's station, and told Nurse A that Resident #1 was claiming she hit him in the eye and then changed his story and said CNA A hit him in the eye. She said she did not recall what Nurse A said but she said they laughed about it and then went their different ways. She said she had never hit Resident #1. During an interview on 08/19/25 at 1:19 p.m., the Administrator said she was not aware that Resident #1's family member reported an allegation of resident abuse to Nurse A on Saturday, 08/16/25.

She said she was going to report it to the state today. She said staff members CNA A, CNA B, and Nurse A, had been suspended until the investigation was completed, and they would be in-servicing staff on Abuse/neglect and reporting. Record review of the facility's Abuse, Neglect and Exploitation policy, date implemented 7/11/25, reveled in part .It is the policy of this facility to provide protections for the health and welfare and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent abuse.Abuse.it includes physical abuse.Alleged Violation is a situation or occurrence that is observed or reported by.resident, relative.but has not yet been investigated.V. A. An immediate investigation is warranted when.reports of abuse.occur.VII. A.1. Reporting of all alleged violations to the Administrator, state agency.within specified timeframes: a. Immediately, but not later than 2 hours after the allegation is made, if the events that cause that allegation involve abuse or result in serious bodily injury, or.

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