Bayou Pines Care Center
Bayou Pines Care Center in La Marque, TX — inspection on September 16, 2025.
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
to see her screen unless they were on the floor.
She said the harm in leaving the screen up would be someone viewing another's personal information and residents should not be able to see the information either.
She stated that sometimes she noticed nurses at the nurse's station would leave their computer screen unlocked, but they didn't realize that there was a screen they could click that would hide the information if they needed to walk away.
The policy was to keep personal information hidden while you were not at your laptop or computer at the nurse's station.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/16/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Bayou Pines Care Center
4905 Fleming Street LA Marque, TX 77568
SUMMARY STATEMENT OF DEFICIENCIES
Review of the in-service dated 9/15/25 educated all nursing staff and medication aids on what to do if they discovered additional medication packets on the medication cart.
During interviews on 9/16/25 between 11:00 am- 2:00pm, Nurses (9 LVN's, 3 RN's, 2 medications aides) stated that they were to document the reason medication was not administered, write the reason why medication was not administered on all extra medication packets, and store those packets in the locked cabinet inside of medication room. On 9/15/25, an in-service dated 8/22/25 reflected that all nursing staff were educated seizure protocols and what do if a resident was having a seizure.
During interviews on 9/16/25 from 11:00 am - 2:00 pm, nurses from the 7 am-7 pm and 7 pm-7 am shift were asked to review what was covered during their in-services.
Nurses stated that if a resident was experiencing a seizure, they were to make sure the resident was safe, PRN medication was checked, and the NP or doctor was contacted on what recommendations to implement.
Each seizure should be documented appropriately and additional notification should include the DON and family.
Review of the Safety Rounds Checklist completed 9/12/25 with all cognizant residents concluded that residents felt safe at the facility and had no issues with receiving medications. An interview attempt was made on 9/16/25 with Medical Director but he could not be reached.
Record review of POR and in-service dated 09/15/25 documented a signature of agreement from Medical Director. RN B was terminated on 8/29/25.
Review of the Employee Counseling Disciplinary Report documented that the reason for termination was substandard care and falsifying documentation.
The ADM and DON were notified on 9/16/25 2:18 pm that the IJ had been removed.
While the IJ was removed, the facility remained at a level of no actual harm at a scope of isolated that is not immediate jeopardy due to the facility's need to evaluate the effectiveness of the corrective systems.
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