Health inspection·July 7, 2025

F 0732 Post nurse staffing information every day. Level of Harm - Potential for minimal harm Based on observation, interview, and record review, the facility failed to ensure that the daily staffing was posted and readily accessible for review for 1 of 1 facility reviewed for required postings. - The facility failed to update and post the daily nursing staffing information on Saturday 06/28/25, Sunday 06/29/25, Monday 06/30/25 and at the beginning of the 1st shift on 07/01/25. The last revision was made on 06/27/25. This failure could affect residents, facility visitors, vendors, and emergency personnel by placing them at risk of not having access to information regarding daily nursing staffing in a timely manner. Findings Include:An observation on 07/01/25 at 07:51 to 08:00AM revealed, the facility Daily Nurse Staffing Report posting on the top of a pony wall located in front of the receptionist desk that read Date: 06-27-25. The posting indicated the facility had three shifts, 1st, 2nd, and 3rd, but the time the shift began and ended for RNs, LVNs and CMAs was not included; only Nursing Assistants were indicated as working 6AM-2 PM (1st shift), 2 PM-10 PM (2nd shift), 10PM-6AM (3rd shift). The posting indicated the number of staff scheduled for each category: 1st shift: RN-1, LVN-3, CMA-1, Nursing Assistant-6; 2nd Shift: RN-0, LVN-3, CMA-1, Nursing Assistant-6; 3rd shift: Nursing Assistant-4. The posting did not have the total number of hours worked for their direct care licensed and unlicensed nursing staff. In an interview on 07/02/25 at 12:29 PM, the DON said she started working in the facility in May of 2025. She said the Staffing Coordinator was responsible for the nursing staffing posting, the posting was put up in the morning, and it should include the facility name, census, and direct care staffing numbers. She said she did not know who was responsible for updating the posting on the weekends and when the staffing coordinator did not work but she would find out. The DON said the purpose of the posting was to notify families of the number and type of direct care nursing staff were in the building so they know what services could be provided. She said failure to update the nursing staffing posting would leave families unaware of what direct care nursing staff were working on that day. The DON said she did not know what time the posting had to be updated but she assumed it was during business hours. In an interview on 07/07/25 at 11:37 AM, the Administrator said the Staffing Coordinator was responsible for the facility daily nursing posting and it should contain the facility name, date, census, and the number of each type of staff. She said the staff shifts are varied with nurses working 12-hour shifts at 6AM-6PM & 6PM-6AM; CNAs- 8 hours, Med Aides 12 hours either 7-7 or 8-8. The Administrator said the Staffing Coordinator's schedule was Monday through Friday typically 8AM-5 PM with little variation in hours depending on the facility's needs and some varied weekend shifts. She said on the weekends when the Staffing Coordinator was not available the MOD was responsible for the nursing posting, and the MOD (department heads such as SW, Medical Records, HR, Dietary Manager etc.) worked rotating weekends. The administrator said she did not know why the posting was not updated over the weekend and on Monday (06/28/25, 06/29/25, 06/30/25), but the posting was not yet updated on Tuesday (07/01/25) because the surveyors arrived at the facility before the staffing coordinator did. She said the purpose of the staffing posting was to show the ratio of staff to residents and Residents Affected - Some Page 1 of 2 676208 676208 07/07/2025 Eagle Crest Rapid Recovery 9602 Huffmeister Rd Houston, TX 77095

F 0732 Level of Harm - Potential for minimal harm Residents Affected - Some failure to update it timely could result in visitors being unaware of the number of staff available in the building. In an interview on 07/07/25 at 11:49 AM, the Staffing Coordinator said she was responsible for the facility nursing posting and her scheduled hours were Monday- Friday 8 AM to 5 PM or sometimes 6 PM. She said the purpose of the posting was to inform anyone who enters the building of the number of the direct care staff, and it should be updated in the morning around 8 AM. The Staffing Coordinator said on days she does not work, the staff member who worked as the receptionist was responsible for updating the nursing posting. She said she worked over the weekend of 06/28/25 -06/29/25 as a CNA on the floor and in her regular position as the Staffing Coordinator on 06/30/25 and she could not remember any issues that arose that prevented her from updating the nursing posting on those days. The Staffing Coordinator said over the weekend she must have just forgotten because she was working as a CNA but did not have a reason for Monday, she said it was just a mistake. She said failure to update the nursing staffing posting could result in visitors/residents being unaware of the staff present in the building during a particular shift. Record review of the facility policy Nursing Staffing information with no revision date revealed, Purpose: Make nurse staffing information readily available in a readable format to residents and visitors at any given time. Procedure: Data RequirementsThe facility must post the following information daily: 1. Facility name; 2. The current date; 3. The total number and the actual hours worked by the following categories of licensed and unlicensed nursing staff directly responsible for resident care per shift: a. Registered nurses; b. Licensed practical nurses or licensed vocational nurses (as defined under State law); c. Certified nurse aides4. Resident census. Posting Requirements: 1. The facility must post the nurse staffing data as specified above daily at the beginning of each shift. 2. Date must be posted as follows: a. Clear and readable format. b. In a prominent place readily accessible to residents, staff, and visitors. 676208 Page 2 of 2