Thrive Rehabilitation Of Pearland
Thrive Rehabilitation of Pearland in Pearland, TX — inspection on October 5, 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
During an interview on 10/5/25 at 5:50PM with ADON who stated the DON conducted random audits of change of condition.
She stated she is aware of the policy for quality of care and change of condition.
The ADON stated she is aware of completing audits and ensuring the SBAR and all people are notified, provided in -services and required to follow up on issues and ensure that the documentation is completed properly.
She stated she felt like the nurses did what they needed to do during CR#1's event.
She stated the whole event taught her that there needs to be a follow up note/chart.
During an interview on 10/5/25 at 6:15PM the DON stated she took the initiative to ensure all the change of conditions were completed.
She stated she has learned that the nurses need to make sure that they are following through with all their charting.
She stated she is committed to doing random audits to ensure proper documentation has been completed.
She stated in-service training will be ongoing in all areas, especially areas of change of condition.
She stated the CNAs complete their charting on the ADL platform and she will be monitoring their documentation as well.
During an interview on 10/5/25 at 7:00PM the Admin stated it requires accountability in all areas from staff.
She stated she is a RN herself and able to read charts, diagnosis, protocols for change of conditions and assessments.
She stated this IJ has taught her that there needs to be an accountability system in place to ensure resident safety and maintain that person-centered care.
She stated the process that is in place for the change of condition, reporting, dietary intake monitoring will be continued on a daily basis. An Immediate Jeopardy (IJ) was identified on 10/03/2025 The IJ template was provided to the facility (Administrator) on 10/3/25 at 12:26pm While the IJ was removed on 10/04/2025, the facility remained out of compliance at a severity level of no actual harm with potential for more than minimal harm that is not immediate jeopardy and a scope of Isolated due to the facility's need to evaluate the effectiveness of the corrective systems.
676436 10/05/2025
Thrive Rehabilitation of Pearland 3406 Business Center Drive Pearland, TX 77584
During a telephone interview on 10/4/25 at 6:15pm RN B stated she was in-serviced on change in condition, and proper documentation.
She stated an example is a resident may have diarrhea or 3 or more stools in a day. It is a concern and should be reported as a change in condition.
She stated a dietary intake guide is a measurement of resident meal intake and must be reported if it is below 70% by the CNA.
She stated as a charge nurse she reports changes in condition to the DON, MD, and RP.
She stated it is important to report changes because the changes could be severe and detrimental to the resident up to death if not addressed.
There could be early signs that could lead to more serious conditions and reporting could reduce the risk.
The two signs of a glucose emergency are hypoglycemia and hyperglycemia.
She stated the protocol for hypoglycemic is to complete head to toe assessment, give juice honey, glucagon and recheck every 15 minutes and call 911 if the blood sugar is under 70.
Call the MD, RP; and the protocol for hyperglycemic is to ensure residents have lot of fluids, administer insulin, look for consciousness, complete head to toe assessments, notify the MD, RP.
During a telephone interview on 10/4/25 at 6:25pm CNA E stated she was in serviced this morning on changes in condition and reporting to charge nurse.
She stated that a change in condition regarding a resident is a sign or symptom that is a new onset out of the norm.
She stated like if a resident stopped talking all of a sudden. It should be reported to the charge nurse.
She stated a dietary intake guide measures the amount of food residents have eaten and gives a percentage that requires you to report to the charge nurse. It should be reported to the charge nurse if the food intake is below 70%.
During a telephone interview on 10/4/25 at 6:40pm RN C stated she received in-service yesterday on changes in condition, which was on signs and symptoms and a new onset of behaviors not in the resident's norm. It's out of character.
Also, the importance of documentation, and reporting to the MD, DON, and Resident Representative. An example of a change is a resident not eating or drinking like they did in the past.
The dietary intake guide should be used to measure resident meal intake and if the resident intake is below a 70% the CNA must report to the charge nurse who will report to the doctor after a head-to-toe assessment, then to the resident rep.
The changes could be severe and detrimental to the resident up to death if not
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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.