Focused Care At Webster

F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

said he could not locate the daily room rounding sheets for Resident #2's room or the 200-hallway housekeeping assignment sheet. The Administrator said the housekeeping and laundry departments had a recent large turnover with several housekeepers and the former housekeeping supervisor all quitting at the same time. The Administrator said he t hired a new laundry and housekeeping supervisor and was trying to slowly get the department back on track. He said the new supervisor was not at the facility and he would be

the person to answer any surveyor questions because the new manager had no information. The Administrator said staff should report any repairs to himself or the maintenance director. The Administrator said the Maintenance Director was also new. He said that all staff were trained and knew how to submit a repair request and where to locate the maintenance repair book for Resident #2's closet door, overhead light, and footboard. The Administrator said he did not know why staff had not reported the need for those repairs. The Administrator said the resident rooms should be cleaned daily to minimize bugs and pests. He said the facility had a pest control program that came in monthly and as needed. Interview with the DON on 11/18/25 at 4:55 p.m. said most of the residents on 200 hallway were more independent and had their own snacks and food items. The DON said she did not know why Resident #2's room was not cleaned for the first time all day until after 1:00 p.m. and was not familiar with the housekeeping schedules. The DON said that Resident #1 could be confused at times and may not have noticed if a housekeeper had cleaned the room. The DON said all of the resident rooms should be cleaned daily and that the Administrator and Housekeeper supervisors were responsible for ensuring the cleanliness of the facility and that the Administrator oversaw the pest control program at the facility. The DON said Resident #2 never told her about having an ant crawling on him and had no other reports about the alleged incident saying she learned about it at the same time the surveyor did. In an interview with LVN A on 11/18/25 at 6:33 p.m. said

she worked the 6pm-6am shift fulltime for about one year. LVN A said her regularly assigned hallway was 200 and there were housekeeping issues since she started. LVN A said she was unsure if the housekeeper had adequate supplies or training and the dirty rooms were repeatedly reported to administration, and it would get better for a little while and revert to being dirty. LVN A said none of the residents ever complained to her about dirty rooms, but she would prefer not to work in a dirty environment and usually brought her own cleaning supplies to work including wipes, hand sanitizer and garbage bags. LVN A said she felt sorry for the residents sometimes because they lived there and deserved a clean and healthy environment. LVN

A said if the environment was dirty, it could spread bugs and infection. LVN A said she noticed the broken closet in Resident #2's room and reported it in the maintenance log but the facility did not have a maintenance director. LVN A said she had not noticed Resident #2's splintered foot board on his bed or the cracked overhead light. LVN A said the pest control program at the facility was ineffective because she and other staff saw roaches and bugs regularly throughout the facility. Record Review of the facility's policy titled Cleaning and Disinfection of Environmental Services, dated August 2019, revealed in part: 10.

Environmental services will be disinfected or cleaned on a regular basis (e.g., daily, three times per week) and when surfaces are visibly soiled. Requested a policy and procedure on Maintenance Services from the Administrator on 11/18/25 at 5:15 p.m. and did not receive one prior to facility exit.

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If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/18/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Focused Care at Webster

17231 Mill Forest Webster, TX 77598

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

Federal health inspectors cited Focused Care at Webster in Webster, TX for a deficiency under regulatory tag F-F0925 during a complaint investigation conducted on 2025-11-18.

Category: Environmental Deficiencies

The facility was found deficient in the following area: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 2 deficiencies cited during this inspection of Focused Care at Webster.

Correction Status: Deficient, Provider has no plan of correction.