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Complaint Investigation

Solera At West Houston

Inspection Date: November 17, 2025
Total Violations 2
Facility ID 676310
Location Houston, TX
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Inspection Findings

F-Tag F0641

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0641

pigmented skin indicators were:1. Bogginess2. Skin discoloration

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

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

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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

11/17/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Solera at West Houston

2101 Greenhouse Road Houston, TX 77084

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)

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F-Tag F0686

Quality of Life and Care Deficiencies
Harm Level: Immediate Jeopardy

F 0686 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some

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

11/14/2025 by the RDCS and DON on this protocol.Monitoring: DON/Designee will monitor new admissions

during daily clinical IDT Stand Up meeting to ensure skin assessments has been completed upon admission and interventions and treatment orders are in place, as applicable. RN Weekend Supervisor will monitor new admissions on the weekend to ensure skin assessments has been completed upon admission and interventions and treatment orders are in place, as applicable.Policy and Procedures: Facility policies & procedures were reviewed by the DON, RDCS, VP of Operations, VP of Clinical Services and Director of Education on 11/14/2025. The following policies and procedures were reviewed and determined to be compliant with meeting the needs of residents. The policies and procedures were included in the staff in-servicing. Patient Care Management System #1 Skin Guidelines.Monitoring Day 1:Reviewed the QAPI and reflected that a facility wide skin sweep was completed on 11/13/25. QAPI and revisit the list for all staff

in attendance. Reviewed all CNAs was in serviced on skin patient care management. Utilized the skin assessment policy for the in-service learning materials. WCN was in-serviced on 11/14/25 on skin patient care management. RN's and LVN's were also in serviced. Also had post skin assessment test completed by all RN's. Record review of all residents had skin sweeps on head-to-toe skin assessments completed on 11/14/25. Reviewed the residents with pressure ulcers or skin issues list with charting. Charting showed resident name, admission date, if a skin assessment was completed upon admittance, if there was a pressure ulcer on admission, if there was a tx order in place, and listed out what the preventative measures that have implemented. Staff Interviews: 11/15/2510:20 am- Interview with ADON. She stated that all facility staff had been in-service on Pressure Ulcers. Record review of the accepted POR, no concerns. 10

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📋 Inspection Summary

Solera at West Houston in Houston, TX inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 Solera at West Houston or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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