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NATIONAL NURSING HOME WATCH LIST

HERITAGE SAM HOUSTON GARDENS: Actual Harm and/or Immediate Jeopardy

1615 HILLENDAHL RD

HOUSTON TX

TELEPHONE: 7133650561

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 198 / 69

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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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RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 08/29/2007
RATING VIOLATION SCOPE/SEVERITY CODE
Provide care in a way that keeps or builds each resident's dignity and self respect. E
Provide activities to meet the needs of each resident. E
Assess the resident when the resident enters the nursing home, in a timely manner. D
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. H
Keep assessments completed in the preceding 15 months in the resident's active record. E
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. K
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. E
Protect residents from mistreatment, neglect, and/or theft of personal property. E
1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. D
Keep accurate and appropriate medical records. 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. D
Be administered in a way that leads to the highest possible level of well being for each resident. K
Set up or keep a group of people to review and ensure quality. K
Make sure that the nursing home area is free of dangers that cause accidents. E

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
10/20/2004 Have a private telephone available for use. C
10/20/2004 Keep each resident free from physical restraints, unless needed for medical treatment. E
10/20/2004 Provide care in a way that keeps or builds each resident's dignity and self respect. E
10/20/2004 Provide needed housekeeping and maintenance. E
10/20/2004 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. D
10/20/2004 Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. D
10/20/2004 Make sure that the nursing home area is safe, easy to use, clean and comfortable. E
03/31/2005 Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
03/31/2005 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. D
03/31/2005 Make sure that the nursing home area is free of dangers that cause accidents. E
03/31/2005 Use a registered nurse at least 8 hours a day, 7 days a week. F
03/31/2005 Provide food in a way that meets a resident's needs. D
03/31/2005 Have a program to keep infection from spreading. F
03/31/2005 Stop employees, who have a disease that can spread, from having direct contact with residents or food. D
03/31/2005 Make sure that staff members wash their hands when needed. D
03/31/2005 Keep all essential equipment working safely. J
03/31/2005 Be administered in a way that leads to the highest possible level of well being for each resident. J
03/31/2005 Make sure that nurse aides show they have the skills to be able to care for residents. D
06/16/2005 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. D
08/11/2005 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. D
08/11/2005 Quickly tell the resident's doctor the results of x-rays and other tests. D
11/30/2005 Make sure that the nursing home area is free of dangers that cause accidents. D
12/29/2005 Provide needed housekeeping and maintenance. D
12/29/2005 Make sure there is a program to prevent/deal with mice, insects, or other pests. E
11/20/2006 Try to resolve each resident's complaints quickly. D
11/20/2006 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. B
01/16/2007 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
01/16/2007 Give professional services that follow each resident's written care plan. D
02/05/2007 Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can h K
02/05/2007 Provide activities to meet the needs of each resident. E
02/05/2007 Hire a qualified activities director. E
02/05/2007 Have licensed, certified, or registered staff to give needed services. F
03/16/2007 Protect residents from mistreatment, neglect, and/or theft of personal property. H
03/16/2007 Provide social services for related medical problems to help each resident achieve the highest possible quality of life. D
03/16/2007 Check and update (if needed) each resident's assessment every 3 months. D
03/16/2007 Give each resident care and services to get or keep the highest quality of life possible. G
03/16/2007 Give or get lab tests to meet the needs of residents. D
05/04/2007 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. E
05/04/2007 Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. E
05/04/2007 Have a program to keep infection from spreading. E
05/04/2007 Keep a resident apart from the others if the resident has an infection that can spread. E
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