The Grace Care Center Of Katy

23553 West Fernhurst Drive
Katy, TX 77494
Harris County
Phone: 281-394-1300
Provider Number: 676195
Last Inspection: 08/07/2015

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
130
Number of Residents
Number of
Residents
107
Number of Beds Available
Beds Available
23
Percent Occupancy
Percent Occupancy
82%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Both
Type of Ownership
Type of Ownership
For profit - Corporation
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • TX
  • USA
  • 42
  • 26
  • 22
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2015
  • 2014
  • 2013
  • 42
  • 33
  • 14
Lower Numbers are Better

Details by Inspection Date

 

8/7/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 8/27/2015
Failed To: Provide activities to meet the interests and needs of each resident. Pattern : Minimal 4 8/25/2015
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Widespread : Minimal 5 8/21/2015
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 8/27/2015
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Pattern : Minimal 4 8/27/2015
Failed To: Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Pattern : Minimal 4 8/27/2015
Failed To: Evaluate a resident’s decrease in social interaction or increase in depressive behaviors and determine if the behavioral changes were avoidable if these problems did not exist before. Pattern : Minimal 4 8/27/2015
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 8/27/2015
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 8/27/2015
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 8/27/2015
 

8/8/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 8/22/2014
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern : Minimal 4 8/22/2014
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 8/22/2014
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 8/22/2014
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 8/22/2014
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 8/22/2014
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 8/19/2014
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 8/19/2014
Failed To: Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. Isolated : Minimal 3 8/19/2014
 

9/5/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated : Minimal 3 10/11/2013
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Pattern : Minimal 4 10/11/2013
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 10/11/2013
Failed To: Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Isolated : Minimal 3 10/11/2013


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

4/8/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 4/9/2015
 

12/9/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 12/20/2014
 

12/31/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Protect each resident from mistreatment, neglect and misappropriation of personal property. Isolated : Minimal 3 1/25/2014
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 1/25/2014
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 1/25/2014
Failed To: Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated : Minimal 3 1/25/2014
 

4/17/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 5/1/2013
Failed To: Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor. Isolated : Minimal 3 5/1/2013
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 5/1/2013

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TX State Avg
Number of Residents 107 86.48 76.40
Registered Nurses 1.26 0.84 0.60
Licensed Practical / Vocational Nurses 1.16 0.89 0.92
Certified Nursing Assistants 3.14 2.29 2.18
Total Staff Hours 5.56 4.02 3.70

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% TX State Avg%
High Risk Long Stay Residents With Pressure Ulcers 3 8 6
Long Stay Residents Experiencing One or More Falls with Major Injury 5 2 3
Long Stay Residents Who Have Depressive Symptoms 2 4 6
Long Stay Residents Who Lose Too Much Weight 10 7 6
Long Stay Residents Who Received an Antipsychotic Medication 12 22 22
Long Stay Residents Who Self Report Moderate to Severe Pain 2 5 8
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 5 17 12
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 1 17 9
Long Stay Residents Who Were Physically Restrained 0 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 28 18 19
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 5 3 3
Long Stay Residents With a Urinary Tract Infection 11 6 5
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 77 59 46
Short Stay Residents Who Newly Received an Antipsychotic Medication 1 3 3
Short Stay Residents Who Self Report Moderate to Severe Pain 7 13 16
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 2 30 28
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 3 33 28
Short Stay Residents With Pressure Ulcers That Are New or Worsened 1 0 1