Health inspection·March 27, 2025

F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to establish an infection prevention and control program that included handling of soiled linen, and patient care equipment as well as to help prevent the development of communicable diseases and infections, on 2 of 3 halls (Hall 100 and Hall 200) observed for infection control. Residents Affected - Some CNA D and CNA E were observed taking dirty linen and soiled brief to the trash can across the hallway and they were not in clear trash bag. Personal care basins and bed pans were on the bathroom floor not labeled with resident's name and not in plastic bags. These failures have the potential to affect all residents by placing them at risk of infections and diminishing quality of life. Findings included: Observation on 3/27/2025 between 9:30am and 10:30am revealed the following: In room [ROOM NUMBER], 118, 112, 218, 219, 209 and 208 personal care wash basins on the floor in the bathroom with no name and two residents share the rooms. In room [ROOM NUMBER] was a urinal and a bed pan on the floor in the bathroom not in a plastic bag with no name and two residents share the room. Observation on 3/27/2025 at 4:00pm revealed CNA D leaving room [ROOM NUMBER] with soiled brief with feces not in a clear bag to the trash can across the hallway. Further observation at that time revealed CNA E, at the doorway with soiled towels heading to the trash cannot in a bag. At that point the Surveyor asked what was going on and she stopped, and CNA D brought her a clear plastic bag and CNA E put the soiled linen in the bag and took it to the dirty barrel. In an interview on 3/27/2025 at 4:00pm with CNA E she said she was in training. She said that they should not be walking with the dirty linen and soiled brief. She said they should place the soiled linen and brief into plain plastic bags to dispose of them. In an interview on 3/27/2025 at 4:05pm with CNA D she said she should have clear plastic bags in the room during incontinent care. She said having to walk across the hallway with the soiled brief could cause waste to drop on the floor which could cause infection. She said she was in-serviced on infection control, and she should have bags in the room when incontinent was being provided. (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 7 Event ID: 675233 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 675233 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/27/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Harmony Care at Golfcrest 6150 S Loop East Houston, TX 77087 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)