Health inspection·November 21, 2025

F 0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews, and record review, the facility failed to maintain an effective pest control program so that the facility was free of pests for 1 of 3 hallways, (Hall 200), conference room, and Resident #1 and #2's shared room. The facility had live flies in the room of Resident #1 and #2 located on Hall 200. The facility had live gnats in and outside the conference room located on Hall 200. This failure has the potential to place residents at risk for disease and a decline in their physical health. Findings included: Record review of Resident #1's Electronic Health Record revealed a [AGE] year-old male admitted to the facility on [DATE] with a principal diagnosis of Unspecified Psychosis not due to a substance or known psychological condition (when an individual exhibits psychotic symptoms such as hallucinations, delusions, or disorganized thinking, but the underlying cause is not attributable to substance use or a known physiological condition). Record review of Resident #1's Quarterly MDS dated [DATE] revealed a BIMS score of 3, which indicates a severe cognitive impairment. Record review of Resident #2's Electronic Health Record revealed an [AGE] year-old male admitted to the facility on [DATE] with a principal diagnosis of Chronic Obstructive Pulmonary Disease (a term for lung and airway diseases that restrict breathing). Record review of Resident #2's Quarterly MDS dated [DATE] revealed a BIMS score of 3, which indicates a severe cognitive impairment. In an observation on 11/18/2025 at 8:45 am, 2 gnats were observed in the conference room located on the 200 hall. In an observation on 11/18/2025 at 8:50am, 1 gnat was observed in the hallway of 200 hall outside of the conference room. In an observation on 11/18/2025 at 1:46pm of room [ROOM NUMBER] shared by Resident#1 and #2 located on the 200 hall there were 2 flies flying in the room. One fly was observed to fly above both residents and to land on Resident#2's linen, and the second fly was observed on the bedside table of Resident#2. In an effort to interview on 11/18/2025 at 1:46pm, Resident#1 decline to be interviewed. In an interview and observation on 11/18/2025 at 1:50pm, Resident #2 said he saw one fly in his room. Resident#2 pointed to his bedside table where a fly was located. He said that he saw flies all the time but had not told anyone about the flies. In an interview on 11/18/2025 at 1:55pm, the ADON said that she saw a fly on the bedside table of Resident#2. She said that a pest control company came to the facility monthly, and she thought the facility's pest control was effective. She said that she would report the fly she observed in the room of Resident#1 and #2 to the Administrator. In an interview on 11/18/2025 at 3:15pm with the Administrator and DON, both were made aware of observation of flies in room [ROOM NUMBER] and gnats in the conference room. The Administrator said that the facility's pest control company was scheduled to service the facility each month, and the pest control company was scheduled to return to the facility on [DATE] for targeted concerns. In an observation on 11/20/2025 at 1:17pm, 1 gnat was seen to fly in the conference room. In an interview on 11/20/2025 at 1:17pm with the Maintenance Director, she said that when there is a sighting for a pest control problem it should be reported to her. She said she then goes to assess the area of concerns, Residents Affected - Some Page 1 of 2 675231 675231 11/21/2025 Cascades at Jacinto Rehab LP 1405 Holland Houston, TX 77029

F 0925 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some and she notifies the pest control company to schedule a visit to address the targeted area. She said that the pest control company is scheduled to service the facility monthly to maintain effective pest control. She said that she does not feel that pest control is effective, and she frequently has seen gnats and roaches. She said that she started at the facility on 08/28/2025, and she requested that the pest control company increase the monthly visits to twice each month, but the pest control company declined with no reason provided. She said that she had been working with the Administrator to get a new contract for pest control, but it had not been approved. She said that she had not been told that gnats were seen in the conference room, and she only saw gnats in the conference room on 11/20/2025 while being interviewed. She said that she would request that pest control to return on 11/21/2025 to address the concern for gnats. She said that an effective pest control system was needed as insects like flies and gnats can carry bacteria and cause residents to become sick. In an interview on 11/21/2025 at 11:51am with the DON, she said that the facility should have an effective pest control system. She said that the pest control company comes to service the facility monthly. She said that there had been an issue with flies, gnats, and roaches. She said that the Administrator has been trying to get a new contract for pest control. She said that an ineffective pest control system can cause illness and problems with infection control. In an interview on 11/21/2025 at 12:05pm with the Administrator, she said that the facility has had an issue with gnats since she started on 08/25/2025. She said that she had not been aware of roaches to be an issue, and she was only aware of there to be an issue with flies on 11/18/2025. She said that she is in the process of getting a new contract for pest control, and the corporate office is getting quotes, but it had not been finalized. She said that the facility should have an effective pest control system, and the facility's environment should be pest free. She said that an ineffective pest control system can cause illness and problems with infection control. Record review of the facility's pest control invoices revealed the facility received monthly pest control services on 11/05/2025, 10/01/2025, and 09/03/2025 for ant, spider, and roach prevention. Record review of a pest control invoice dated 11/19/2025 that did not detail the treatment provided on 11/19/2025. Record review of the facility's policy titled pest control dated 2001 read in part, .Our facility shall maintain an effective pest control program. 1. This facility will maintain an on-going pest control program to ensure that the building is kept free of insects and rodents . 675231 Page 2 of 2