Oakmont Healthcare And Rehabilitation Center Of Ka

Regular and is at risk for unplanned weight loss or gain.Goal: Resident will maintain ideal weight and receive proper nutrition daily x 90 days.Intervention: Determine food preferences and provide within dietary limitations.

Encourage meal completion and document amount consumed.

Monitor weight per facility protocol.

Offer substitute, if resident eats less than 50% or dislikes meal and offer supplement if a resident continues to eat less than 50%.

Praise resident for eating well. RD assess per facility protocol.

Serve diet and snacks as ordered. ST eval and Tx per Physicians orders as condition warrants.

The resident has a pureed diet.

Record review of nurse's notes dated 8/29/2025 revealed admission assessment done for weight, it was documented as zero (no documented weight).

Record review of Resident #1's weight record done at the facility revealed weight done on 9/9/2025 was 138 pounds.

Record review of the hospital discharge notes dated 8/29/2025 revealed the last weight prior to discharge was done 8/26/2025 was 154 pounds. In an interview on 9/16/2025 at 4:00pm the MDS Coordinator said she must have gotten the weight from the hospital records.

She said she had to close the MDS for billing purpose, and she just use the hospital weight. In an interview on 9/17/2025 at 1:15pm with LVN G she said she was the nurse who admitted Resident #1.

She said Resident #1 was very agitated and she was not able to do his weight.

She said she asked the person who does the weight to weigh him in the morning.

She said she was not aware that the weight was not done. In an interview on 9/17/2025 at 1:20pm the MDS Coordinator said she should weigh the resident or have one of the staff to weigh him to ensure his weight was correctly documented on the MDS.

She said when doing her MDS she usually gets her information from different disciplines.

She said she also looked at the nurse's notes and the CNA's documentation before completing their section of the MDS.

She said moving forward she will ensure that all documentation on the MDS was accurate.

Interview on 09/17/2025 at 2:30pm with the DON she said her expectation of the nurses were to do proper assessments that was to include talking with the CNA's, observe the residents and review nurses progress notes so they can capture all the change of the resident.

She said she will be in- servicing the staff.

Record review of the MDS policy and procedures dated 2024 read in part.Policy:Residents are assessed, using a comprehensive assessment process, to identify care needs and to develop an interdisciplinary care plan.

Policy Explanation and Compliance Guidelines: 1.According to federal regulations, the facility conducts initially and periodically a comprehensive, accurate and standardized assessment of each resident's functional capacity, using the RAI specified by the State. 4.

Care Plan Team Responsibility for Assessment Completion: Coding of Assessment:I All disciplines shall follow the guidelines in Chapter 3 of the current RAI Manual for coding each assessment.ii.

Within 7 days after completing a resident's MDS assessment or tracking record, the facility must encode the MDS data (i.e., enter the information into the facility MDS software).

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/06/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Oakmont Healthcare and Rehabilitation Center of Ka

1525 Tull Dr Katy, TX 77449

SUMMARY STATEMENT OF DEFICIENCIES