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Inspection visit

Health inspection

FOCUSED CARE AT HUMBLECMS #6751271 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

F 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Based on observation, interview, and record review, the facility failed to store all drugs and biologicals in locked compartments, including the storage of schedule II medications in separately locked, permanently affixed compartments, permitting only authorized personnel to have access except when the facility uses single unit medication distribution systems in which the quantity stored was minimal and a missing dose can be readily detected for 1 of 6 medication carts (600 hall) reviewed.The facility's medication cart was not kept locked or under direct observation of authorized staff in an area where residents could access it. No medications were taken by residents but the potential for more than minimal harm exists for 1 of 6 medication carts (600 hall) reviewed.The facility failed to ensure medications were stored and secured from unauthorized residents. Findings included:During an observation on 01/02/2026 at 10:22am, 1 lidocaine patch and 2 unidentifiable pills were observed on the top of the nurse medication cart on the 600 hall, in front of a resident room. The medication cart was also observed to be unlocked.In an interview on 01/02/2026 at 10:27am with RN R, she stated the expectation is to not leave medications unattended and medication cart must be locked. RN R stated she was trying to quickly assist another staff member with another resident, and she did not have enough time to put medications away and lock the medication cart. RN R stated the risk of medications being left out and the medication cart being unlocked was residents could take the medications and could possibly get into any needles. In an interview on 01/02/2026 at 10:48am the ADMN stated the expectation was there should be no medications of top of the medication cart. Medication should be locked, along with the medication cart. The risk of medications being left out was that anyone passing by could possibly consume medications that were not prescribed and the same for the medication cart being unlocked. In an interview on 01/02/2026 at 11:11am with MA J stated the expectation for medication pass was to wash hands, compare medications, MAR match, pour medications into cup, lock the cart, provide medications to the resident, and make sure residents are taking their medications. If the medication cart is left unlocked, she would lock it and inform the person who the medication cart belonged to that it was left unlocked and unattended. The last in-service for medication storage was last week. In an interview on 01/02/2026 at 11:27am MA R stated the expectation for medication pass was the resident having the right route, right time, and right to refuse. They are to sanitize hands, check blood pressure if required, lock the medication cart, and speak to the residents to inform them of what they are being given. She stated that she has a habit of locking the medication cart and has never left it unlocked and unattended, but if she did witness medications left out, she would inform the staff. If the medications were left unattended, she would take the medication to the nurse and ensure the cart was locked. The last in-service for medication storage was 01/02/2026.In an interview on 01/02/2026 at 11:47am ADON L stated the expectation for passing medication was to make sure the staff are using the 7 rights when (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 675127 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 675127 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/02/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Focused Care at Humble 93 Isaacks Rd Humble, TX 77338 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0761 Level of Harm - Minimal harm or potential for actual harm administering medications to the residents, ensure the cart is always locked, and document refusals. If medications are left on top of the medication cart she would take the medications and store them safely and make sure everything is secure. The risk of leaving medications on the cart unattended along with leaving the medication cart unlocked could result in a resident taking the medications, which could cause harm.Medication Storage/Labeling policy requested but was not received by the facility. Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675127 If continuation sheet Page 2 of 2

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Citations

1 citation recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0761GeneralS&S Dpotential for harm

    F761 - Labeling of Drugs and Biologicals

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

FAQ · About this visit

Common questions about this visit

What happened during the January 2, 2026 survey of FOCUSED CARE AT HUMBLE?

This was a inspection survey of FOCUSED CARE AT HUMBLE on January 2, 2026. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at FOCUSED CARE AT HUMBLE on January 2, 2026?

Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional princip..."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

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Next steps

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.