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Complaint Investigation

Thrive Rehabilitation Of Pearland

October 24, 2025 · Pearland, TX · 3406 Business Center Drive
Citations 4
CMS Rating 1/5
Beds 104
Provider ID 676436
Healthcare Facility
Thrive Rehabilitation Of Pearland
Pearland, TX  ·  View full profile →
Inspection Summary

Thrive Rehabilitation of Pearland in Pearland, TX — inspection on October 24, 2025.

Found 4 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.

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Inspection Findings

FF0628
Resident Rights Deficiencies
Potential for More Than Minimal Harm

facility is endangered.

Supporting information is documented in the resident's medical record.-The health of individuals in the facility would otherwise be endangered.- Supporting information is documented in the resident's medical record.- The facility ceases operating.-Refusal of treatment would not constitute grounds for transfer.-A discharge order is obtained by nursing from the physician indicating where the resident is being discharged , why the resident is being discharged , and if the resident is to be discharged with or without medication.-Nursing notifies the business office of the transfer or discharge so that appropriate procedures can be implemented.

Provide the information in wring and in a language and manner they understand.-Explain the residents' right to appeal the transfer/discharge.-Provide the name, address, and phone number of the state long term care ombudsman- Review the plan with the resident, and/or his or her family or responsible party, at least 24 hours before the resident's discharge from the facility.-The interdisciplinary team prepares the discharge summary-On the day of transfer or discharge, nursing prepares the resident-Provide notice, in writing, of the facility's bed-hold and readmission policies to the resident and an immediate family member, surrogate or representative.-Residents who were transferred for hospitalization or therapeutic leave, and whose absence exceeds the bed-hold period are permitted to return to the facility in the first available bed.

The progress notes must include at least the following, as they may apply:-The reason(s) for the transfer or discharge.- That an appropriate notice of discharge was provided to the resident and/or representative.- That the residents and/or representative participated in a pre-discharge orientation program.-The date and time of the transfer or discharge. -The mode of transportation.- A summary of the resident's overall medical (including the condition of the skin), physical, and mental condition.- If medications are sent with the resident (list names, dosages, and amounts if medications are given to the resident).-Disposition of personal effects.- The signature of the person recording the data in the medical record

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/24/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Thrive Rehabilitation of Pearland

3406 Business Center Drive Pearland, TX 77584

SUMMARY STATEMENT OF DEFICIENCIES

Observation of CNA H and CNA I on 10/24/2025 at 2:03 pm, revealed they successfully completed a gait belt transfer from wheelchair to bed and vice versa.

Observation and examination on 10/24/2025 at 11:48 a.m., revealed all mechanical lift devices were functioning properly, including charging locations on the halls. A total of fifteen direct care staff were trained.

Interviews were conducted with CNAs , therapists, and nurses on 10/24/2025 at 12:119 p.m., to 10/24/2025 at 4:35 p.m., CNA B, CNA G, CNA H, CNA I, CNA J, RN B, RN C, LVN A, LVN B, LVN C, revealed they were reeducated on the use of mechanical lift, gait belt, one-two persons transfer, reviewing the Kardex prior to Resident transfer.Administrator was informed that the IJ was removed on 10/24/2025 at 05:39 p.m.

The facility remained out of compliance at a severity of removed.

The facility remained out of compliance potential for more than minimal harm that is immediate treat due to the facility's need to evaluate the effectiveness of the corrective systems that were put in place.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/24/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Thrive Rehabilitation of Pearland

3406 Business Center Drive Pearland, TX 77584

SUMMARY STATEMENT OF DEFICIENCIES

Observation of CNA H and CNA I on 10/24/2025 at 2:03 p.m., revealed they successfully completed a gait belt transfer from wheelchair to bed and vice versa.

Observation and examination on 10/24/2025 at 11:48 am, revealed all mechanical lift devices were functioning properly, including charging locations on the halls.

Interviews were conducted with CNAs , therapists, and nurses on 10/24/2025 at 12:119 p.m., to 10/24/2025 at 4:35 p.m., CNA B, CNA G, CNA H, CNA I, CNA J, RN B, RN C, LVN A, LVN B, LVN C, revealed they were reeducated on the use of mechanical lift, gait belt, one -two persons transfer, reviewing the Kardex prior to Resident transfer.

While the training was ongoing, a total of fifteen direct-care staff were in-serviced on proper transfer with the right equipment.Administrator was informed that the IJ was removed on 10/24/2025 at 05:39 p.m.

The facility remained out of compliance at a severity of isolation with potential for more than minimal harm due to the facility continuing to monitor the implementation and effectiveness of their Plan of Removal.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/24/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Thrive Rehabilitation of Pearland

3406 Business Center Drive Pearland, TX 77584

SUMMARY STATEMENT OF DEFICIENCIES

During an interview on 10/24/2025 at 4:32 p.m., Nurse 1 said pain assessment/monitoring was when the patient was complaining of pain.

She said an order for pain monitoring was an assessment of acute or chronic pain based on resident's health report.

She said she would ask residents on a scale 1 to 10 and note any facial expression or behavior and check vitals.

She said they were to complete an assessment every day according to a physician order.

She said the assessment was regarding any surgeries and all the components of the body.

She said for Resident # 2 she would check for pain in hip.

She said she was not sure if she completed an assessment for Resident # 2 on 07/07/2025 or 07/08/2025.

She said she may have completed pain monitoring on a pain assessment tool sheet.

She said the risk of not completing or documenting a pain assessment could aggravate other causes and triggers for the resident.

During an interview on 10/24/2025 at 4:38 p.m., Nurse C said there was an order on every shift for assessing pain and there was an option for 0 - 10, and documentation was located on the TAR.

Nurse C said if the resident's pain was level 0 that was to be entered.

She said if the resident was alert you took whatever the resident told you or observed if the resident was making an expression or holding on to the body part and make a note.

She said some residents did not tell you when they were in pain and would say they are not in pain.

She said an assessment was to reposition residents that cannot move themselves and to view any skin breakdowns document in progress notes.

She said she cannot remember and if Resident # 2 had pain medications or complained of pain.

She said if pain assessment was not completed it could be a risk, this could intervene with therapy which was why Resident # 2 was admitted to the facility.

Record review of the facility's pain screening and assessment policy dated 11/2024 revealed:-It is the policy of the facility to screen and assess each resident for pain.-Every shift, a pain score will be documented for each Resident.-Nursing will document a comprehensive pain assessment for Residents with a positive pain score. -Reassessments will occur at specific intervals following the initiation of a pain treatment plan.-Reassessment will minimally include pain location, intensity, side effects, functional status and adherence or substance abuse concerns.-Pain treatment effectiveness/outcomes and resulting revisions in the pain treatment plan will be documented in the medical records.-Anytime routine vitals are taken, the 0-10 pain intensity rating scale must be included as the 5th vital sign.-The screening of cognitively impaired residents may also required the observation of behavioral factors that signal pain or discomfort.-When possible, the [NAME] Faces pain rating scale may be used.

Facility ID:

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 Pearland, 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 Thrive Rehabilitation of Pearland or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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