Mason Creek Transitional Care of Katy

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to maintain clinical records in accordance with accepted professional standards and practices on each resident that are complete and accurately documented for 1 of 5 (CR#1) residents reviewed for clinical records. The facility failed to maintain a complete and accurately documented clinical record for CR#1. This failure could place residents at risk of not getting the care and services to improve their quality of life due to not maintaining complete and accurate clinical records.Record review of CR#1's face sheet dated 5/14/2026 revealed the resident was admitted to the facility on [DATE]. His diagnoses included disorders of kidney and ureter(impair urine production filtration or drainage), muscle spasm (involuntary contraction of the muscles), urinary tract infection (bacterial infection of the urinary system), severe sepsis with septic shock(a severe infection that triggers an extreme immune response where blood to vital organs is reduced), benign…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to store all drugs and biologicals in locked compartments for two of eight medication carts observed for medication security. -An unlocked and unattended medication cart was observed in a resident hall (Hall 400). -An unlocked medication cart (Hall 300 Nurse's medication cart) was observed near the nurses' station, with the assigned nurse in another room with her back turned.The failure placed the residents at risk of drug diversion by staff, residents, and visitors, overdose, or residents' medications not being available when needed. Findings included:Observation and interview on 03/12/2026 at 08:19 a.m. revealed an unlocked and unattended medication cart in front of a resident's room. The room was the most distant from the nurses' station, located near the hall exit. The doors of the residents' rooms near the medication cart were observed to be closed. There were no staff within sight of the cart. At 08:21 a.m., LVN A exited room [ROOM…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, record review and interview, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for food procurement. - The facility failed to ensure food was labeled and dated. - The facility failed to ensure that food was off the floor in the dry food area. These failures could place residents who ate food from the kitchen at risk of food borne illness and disease. Findings Included: Observation on 12/10/2024 at 08:53 AM, revealed in 1 of 1 walk in refrigerator a metal bowl with clear plastic wrap with a with no date or item description. [NAME] B took the bowl out of the refrigerator. Observation on 12/10/2024 at 08:56 AM, revealed on the floor of 1 of 1 walk in pantry a 24-ounce (oz), less than a 25 precent (%) full bottle of syrup dated 3/17 between 1 of 3 shelves on the right side of pantry and an 1-oz bag of chips was observed on the floor between the shelves near the wall. [NAME] A removed the syrup and bag of chips from the dry food storage area. Observation on…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review the facility failed to develop and implement a comprehensive, person-centered care plan for each resident that included describing the services to be furnished to attain or maintain measurable objectives to meet the resident's highest practicable physical, mental, and psychosocial well-being, for 1 of 18 residents (Residents #66) reviewed for care plans. Resident #66 did not have a care plan in place for the care and monitoring of her midline. This failure could affect residents by placing them at risk of not receiving individualized care and services to meet their needs. The findings included: Record review of Resident #66's face sheet dated 12/2024 revealed she was an [AGE] year-old female that was admitted to the facility on [DATE] with diagnoses of pressure ulcer of sacral region stage 4 (full thickness tissue loss with exposed bone, tendon, or muscle) dementia, abnormal weight loss, chronic kidney disease, constipation, dysphagia (difficulty or discomfort swallowing),…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review the facility failed to ensure residents received parenteral fluids administered consistent with professional standards of practice and in accordance with physician orders for 1 (Residents #66) of 1 Residents reviewed for peripheral intravenous care. The facility failed to ensure Resident #66 had a physician order or care plan for the care and monitoring of her midline. The facility failed to ensure Resident #66's midline dressing was changed every 7 days per facility policy. The failures placed residents at risk of developing an infection. Findings included: Record review of Resident #66's face sheet dated 12/2024 revealed she was an [AGE] year-old female that was admitted to the facility on [DATE] with diagnoses of pressure ulcer of sacral region stage 4 (full thickness tissue loss with exposed bone, tendon, or muscle) dementia, abnormal weight loss, chronic kidney disease, constipation, dysphagia (difficulty or discomfort swallowing), cognitive communication…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to provide pharmaceutical services that assured the accurate acquiring, receiving, and administering medications for 1 (Resident #78) of 8 residents reviewed for pharmaceutical services. -Medication Aide A failed to administer the correct dosage for Resident #78's transdermal nicotine patch. -Medication Aide A failed to rotate the transdermal nicotine patch on Resident #78's body. This failure placed the resident at risk for skin irritation and not receiving the full intended therapeutic dosage of the medication. Findings: Resident #78 Record review of Resident #78's face sheet dated 12/12/24 revealed a [AGE] year-old male admitted to the NF on 10/22/24 with the diagnoses that included the following: fatigue, dysphagia (difficulty swallowing), gastro-esophageal reflux disease (when stomach acid or bile {fluid produced by the liver and stored in the gallbladder that helps with digestion} that irritates the food pipe lining, respiratory…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to maintain an infection and prevention control program that included, at a minimum, a system for preventing and controlling infections for 2 residents (Resident #78 and Resident #777) of 8 residents reviewed for infection control. -Mediation Aide A failed to sanitize blood pressure equipment after taking Resident #777's blood pressure. Medication Aide proceeded to take Resident #78's blood pressure. This failure placed the residents at risk for cross contamination, infections, and a decrease in quality of life. Findings: Resident #777 Resident #777 was a [AGE] year-old male admitted to the NF on 11/30/34. Resident #777's diagnoses included the following: hypotension (low blood pressure), dementia (memory loss and judgement), Alzheimer's disease (progressive disease that destroys memory and other mental functions), and hypertension (high blood pressure). Resident #78 Record review of Resident #78's face sheet dated 12/12/24 revealed a [AGE]…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to maintain an effective pest control program so that the facility was free of pests in 1 of 1 kitchen reviewed: - A roach was observed on a wall in the kitchen where food was being prepared for residents. These failures could place residents at risk for infections. The findings included: In an observation on 12/10/2024 at 11:39 AM, while [NAME] B was preparing soft mechanical food a semi-large roach crossed the wall in front of her and went behind a food mixer on the counter less than an arm's reach away. In an interview on 12/10/2024 at 11:39 AM, [NAME] B stated that she seen the roach on the wall while preparing food. She stated that she had seen roaches in the kitchen, but not a lot. She stated she last saw a roach about 1.5 months ago. She stated that when she saw pests in the kitchen, she informed the DM who informed maintenance. In an interview on 12/10/2024 at 11:41 AM, the DM stated that she had seen the roach on the wall while [NAME] B was preparing food. She stated that pest control services the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for food procurement in that: -The facility failed to dispose of expired food items and keep Scoops stored outside of food bins. These failures could place residents at risk of food borne illness and diseases. Findings include: Observation of the facility's kitchen and interview on 11/07/23 between 8:30 am and 8:40 am with the Food Service Manager revealed the following: Sliced American Cheese in a plastic container dated 10/27/23 stored in the refrigerator. Sliced Swiss Cheese in a plastic container dated 10/03/23 stored in the refrigerator. Cheese Parmigiana in a plastic container dated 9/07/23 stored in the refrigerator. Scoops for bulk food were left in the sugar and flour bins stored in the storeroom. Interview with the Dietary Food Service Manager on 11/07/23 at 8:35 AM, stated that the plastic containers with cheese should have been used or discarded prior to the used…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure a resident who was unable to carry out activities of daily living (ADLs) received the necessary services to maintain nutrition, grooming, and personal and oral hygiene for 1 of 6 residents (Resident #60) reviewed for ADL care. 1. The facility failed to ensure Resident #60 was provided incontinent care in a timely manner . 2. The facility failed to ensure Resident #60 was provided grooming (dry skin) causing her skin to be dry and flaky. These failures could place residents at risk for discomfort, and dignity issues. Findings included: 1. Record review of Resident #60's face sheet, dated 11/10/23, reflected a [AGE] year-old female who was admitted to the facility on [DATE] and readmitted on [DATE]. Resident #60 had diagnoses which included Morbid (severe) obesity (weight is more than 80 to 100 pounds above ideal body weight), hypertension (a condition in which the blood vessels have persistently raised pressure), and diaper…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure residents who were incontinent of bladder received appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible for 1 of 6 residents (Resident #60) reviewed for incontinent care. - The facility failed to ensure CNA M completely cleaned Resident #1 during incontinent care. This failure could place residents at risk for pain, infection, injury, and hospitalization. Findings included: Record review of Resident #60's face sheet, dated 11/10/23, reflected a [AGE] year-old female who was admitted to the facility on [DATE] and readmitted on [DATE]. Resident #60 had diagnoses which included Morbid (severe)obesity (weight is more than 80 to 100 pounds above ideal body weight), hypertension (a condition in which the blood vessels have persistently raised pressure), and diaper dermatitis (a form of irritated skin ). Record review of Resident #60's quarterly MDS assessment, dated…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.