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NATIONAL NURSING HOME WATCH LIST

CYPRESSWOOD HEALTH AND REHABILITATION: Actual Harm and/or Immediate Jeopardy

10851 CRESCENT MOON DR

HOUSTON TX

TELEPHONE: 2818900171

TYPE OF OWNERSHIP: For profit - Partnership

NUMBER OF BEDS / PERCENT OCCUPIED: 202 / 93

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Based on the annual and complaint survey data reported by CMS as of 02/27/08 , this home is listed because in at least one area they caused actual harm to a patient and/or subjected the patients to immediate jeopardy. More recent reports/corrections may be available. Check with the nursing home administrator. Actual harm is indicated by a score of G, H, I, while J, K, L indicate immediate jeopardy. The color coding scheme is below:
RATING DEFINITION
actual harm and/or immediate jeopardy: score= G,H,I,J,K,L
potential for more than minimal harm: score= D, E, F
potential for minimal harm: score= A, B, C
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NOTE: THIS HOME ALSO FOUND TO HAVE CAUSED ACTUAL HARM OR PLACED
PATIENTS IN IMMEDIATE JEOPARDY ON AT LEAST: 1 ADDITIONAL SURVEY(S)
RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 05/16/2007
RATING VIOLATION SCOPE/SEVERITY CODE
1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. E
Make sure that the nursing home area is free of dangers that cause accidents. E
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. E
Make sure that staff members wash their hands when needed. E
Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. D
Properly mark drugs and other similar products. E
Be administered in a way that leads to the highest possible level of well being for each resident. K
Store, cook, and give out food in a safe and clean way. E
Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. D
Make sure that residents are safe from serious medication errors. K
Allow residents to easily see the results of the nursing home's most recent survey. B
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. D
Assess the resident when the resident enters the nursing home, in a timely manner. D
Let residents complain without being treated differently or badly. D
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
Keep assessments completed in the preceding 15 months in the resident's active record. B
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. F
Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. E
Provide services to meet the needs and preferences of each resident. E

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
10/25/2005 Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. B
10/25/2005 Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. B
01/23/2006 Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. D
01/23/2006 Keep accurate and appropriate medical records. E
02/10/2006 Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. D
10/26/2006 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. D
10/26/2006 Give professional services that follow each resident's written care plan. D
10/26/2006 Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. D
11/03/2006 Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. D
11/03/2006 Give each resident enough fluids to keep them healthy and prevent dehydration. G
11/03/2006 Make sure that staff members wash their hands when needed. D
12/05/2006 Get rid of garbage properly. D
12/05/2006 Have a program to keep infection from spreading. D
08/20/2007 Provide needed housekeeping and maintenance. D
08/20/2007 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update th D
08/20/2007 Make sure that the nursing home area is free of dangers that cause accidents. D
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