Falcon Point Post Acute
Falcon Point Post Acute in Katy, TX — inspection on January 10, 2025.
Found 1 citation. 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
Findings included:
Record review of the facility's Abuse, Neglect, Exploitation and Misappropriation Prevention Program policy statement last revised revealed that the facility's abuse, neglect, and exploitation prevention program consisted of developing and implementing policies and protocols to prevent and identify abuse or mistreatment and conducting employee background checks and not unknowingly employ or otherwise engage any individual who has been found guilty of abuse, neglect or had a finding entered into the state nurse aide registry concerning abuse, neglect, exploitation or mistreatment of residents or had a disciplinary action in effect against his or her professional license by a state licensure body as a result of a finding of abuse, neglect, exploitation, or mistreatment of residents or resident property .
Record review of the DON's personnel file, he was hired on 06/20/2023 and his annual EMR check in his file was 07/28/2023 which showed he was employable.
His next check was 01/09/2025 which was completed after it was brought to the facility's attention, and it showed the DON was employable.
Interview with the HR Coordinator on 1/9/2025 at 2:50pm, she said that the DON's last background check was completed at 7/28/2023.
She said she conducted a background check on 01/09/2025 because this was brought to her attention and the Administrator told her to go ahead and do the check.
She said background checks are to be done annually and that she is responsible for completing them.
The HR Coordinator said the facility did annual checks to make sure there was nothing on a person's record and to avoid accidentally hiring a criminal.
She also said that her missing it must have been an oversight.
Interview with the ED (Executive Director) on 1/10/2025 at 1:33pm, he said he was not sure if employee background checks needed to be completed on an annual basis.
But if that was a requirement by the State, then anyone who had been barred from employment would continue to be able to work and that would put the facility out of compliance.
676195
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 676195 B.
Wing 01/10/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Falcon Point Post Acute 23553 West Fernhurst Drive Katy, TX 77494
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.