Heritage Sam Houston Gardens - HOUSTON, TX - Nursing Home Abuse and Neglect Report  
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General Information
Category: Participating in Medicare and Medicaid
HERITAGE SAM HOUSTON GARDENS
(713) 365-0561
1615 HILLENDAHL RD
HOUSTON, TX 77055
 Last inspected: 09/15/05
Certified Bed Count: 156
Total Residents: 143
Occupancy: 92%
Ownership: For profit - Corporation
Inside Hospital: NO
 Resident Nurse: 0.2
LPN/LVN Care: 0.63
C.N.A. Care: 2.37
Total Staff: 0
Total Licensed Staff: 0
(All hours are per Resident per Day)
Resident Survey
Measure Score County Ave State Ave Updated
Percent of Residents Who are More Depressed or Anxious 0 %     09/15/05
Percent of Residents Who Have Moderate to Severe Pain 2 %     09/15/05
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder 5 %     09/15/05
Percent of Residents Who Lose Too Much Weight 8 %     09/15/05
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair 5 %     09/15/05
Percent of Residents Who Were Physically Restrained 14 %     09/15/05
Percent of Residents Whose Need for Help With Daily Activities Has Increased 3 %     09/15/05
Percent of Residents With a Urinary Tract Infection 2 %     09/15/05
Percent of Short-Stay Residents Who Had Moderate to Severe Pain 6 %     09/15/05
Percent of Short-Stay Residents With Delirium 0 %     09/15/05
Percent of Short-Stay Residents With Pressure Sores 12 %     09/15/05

Heritage Sam Houston Gardens - Nursing Home Treatment Deficiencies

Severity Scope Level of Nursing Home Neglect Updated
Category Deficiency
 
Isolated Immediate jeopardy to resident health or safety 03/31/05
Administration Deficiencies Be administered in a way that leads to the highest possible level of well being for each resident.
 
Isolated Immediate jeopardy to resident health or safety 03/31/05
Environmental Deficiencies Keep all essential equipment working safely.
 
Isolated Immediate jeopardy to resident health or safety 03/31/05
Quality Care Deficiencies Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.
 
Isolated Actual harm 03/18/04
Quality Care Deficiencies Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.
 
Widespread Minimal harm or potential for actual harm 03/18/04
Administration Deficiencies Be administered in a way that leads to the highest possible level of well being for each resident.
 
Widespread Minimal harm or potential for actual harm 03/31/05
Environmental Deficiencies Have a program to keep infection from spreading.
 
Widespread Minimal harm or potential for actual harm 03/31/05
Quality Care Deficiencies Use a registered nurse at least 8 hours a day, 7 days a week.
 
Pattern Minimal harm or potential for actual harm 03/18/04
Environmental Deficiencies Keep safe, clean and homelike surroundings.
 
Pattern Minimal harm or potential for actual harm 03/31/05
Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents.
 
Pattern Minimal harm or potential for actual harm 10/20/04
Environmental Deficiencies Make sure that the nursing home area is safe, easy to use, clean and comfortable.
 
Pattern Minimal harm or potential for actual harm 03/18/04
Environmental Deficiencies Provide needed housekeeping and maintenance.
 
Pattern Minimal harm or potential for actual harm 10/20/04
Environmental Deficiencies Provide needed housekeeping and maintenance.
 
Pattern Minimal harm or potential for actual harm 12/17/03
Mistreatment Deficiencies 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
 
Pattern Minimal harm or potential for actual harm 10/20/04
Mistreatment Deficiencies Keep each resident free from physical restraints, unless needed for medical treatment.
 
Pattern Minimal harm or potential for actual harm 03/18/04
Pharmacy Service Deficiencies Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
 
Pattern Minimal harm or potential for actual harm 10/20/04
Resident Rights Deficiencies Provide care in a way that keeps or builds each resident's dignity and self respect.
 
Pattern Minimal harm or potential for actual harm 12/17/03
Resident Rights Deficiencies Provide services to meet the needs and preferences of each resident.
 
Isolated Minimal harm or potential for actual harm 08/21/02
Administration Deficiencies Make sure that nurse aides show they have the skills to be able to care for residents.
 
Isolated Minimal harm or potential for actual harm 03/31/05
Administration Deficiencies Make sure that nurse aides show they have the skills to be able to care for residents.
 
Isolated Minimal harm or potential for actual harm 08/11/05
Administration Deficiencies Quickly tell the resident's doctor the results of x-rays and other tests.
 
Isolated Minimal harm or potential for actual harm 11/13/03
Environmental Deficiencies Keep a resident apart from the others if the resident has an infection that can spread.
 
Isolated Minimal harm or potential for actual harm 03/31/05
Environmental Deficiencies Make sure that staff members wash their hands when needed.
 
Isolated Minimal harm or potential for actual harm 03/31/05
Environmental Deficiencies Stop employees, who have a disease that can spread, from having direct contact with residents or food.
 
Isolated Minimal harm or potential for actual harm 03/18/04
Mistreatment Deficiencies 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
 
Isolated Minimal harm or potential for actual harm 05/21/03
Mistreatment Deficiencies 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
 
Isolated Minimal harm or potential for actual harm 05/21/03
Mistreatment Deficiencies Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.
 
Isolated Minimal harm or potential for actual harm 03/31/05
Nutrition and Dietary Deficiencies Provide food in a way that meets a resident's needs.
 
Isolated Minimal harm or potential for actual harm 08/21/02
Pharmacy Service Deficiencies Keep drugs and other similar products locked safely and properly stored.
 
Isolated Minimal harm or potential for actual harm 10/20/04
Pharmacy Service Deficiencies Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
 
Isolated Minimal harm or potential for actual harm 06/16/05
Pharmacy Service Deficiencies Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
 
Isolated Minimal harm or potential for actual harm 12/17/03
Pharmacy Service Deficiencies Provide drugs and related services needed by each resident.
 
Isolated Minimal harm or potential for actual harm 10/20/04
Pharmacy Service Deficiencies Provide drugs and related services needed by each resident.
 
Isolated Minimal harm or potential for actual harm 03/31/05
Quality Care Deficiencies Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
 
Isolated Minimal harm or potential for actual harm 02/20/03
Quality Care Deficiencies Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.
 
Isolated Minimal harm or potential for actual harm 09/21/04
Quality Care Deficiencies Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.
 
Isolated Minimal harm or potential for actual harm 12/17/03
Resident Assessment Deficiencies Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.
 
Isolated Minimal harm or potential for actual harm 03/31/05
Resident Assessment Deficiencies Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.
 
Isolated Minimal harm or potential for actual harm 03/18/04
Resident Rights Deficiencies Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.
 
Isolated Minimal harm or potential for actual harm 08/11/05
Resident Rights Deficiencies Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed when the resident temporarily leaves the facility.
 
Isolated Minimal harm or potential for actual harm 11/13/03
Resident Rights Deficiencies Try to resolve each resident's complaints quickly.
 
Widespread Potential for minimal harm 03/18/04
Administration Deficiencies Hire a qualified activities director.
 
Widespread Potential for minimal harm 10/20/04
Resident Rights Deficiencies Have a private telephone available for use.

Heritage Sam Houston Gardens - Nursing Home Inspections - Nursing Home Abuse Report

No inspection results have been reported.
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