Inspection·December 4, 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 interview and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one resident (CR #1) of four residents reviewed for infection control.The facility failed to implement enhanced barrier precautions when LVN A entered CR #1's room and administered IV medications without donning appropriate Personal Protective Equipment (PPE). The facility failed to implement infection control prevention when LVN A did not wash or sanitize his hands after entering CR#1's room.The facility failed to implement infection control prevention when LVN A did not sanitize the resident's overbed table.The failure placed CR #1 at risk for infection at the IV site as well as for sepsis, and placed other residents at risk for infection by cross-contamination. Findings include:Record review of CR #1's admission Record (copied 12/04/2025) revealed he was [AGE] years old and was admitted to the facility on [DATE]. Diagnoses included, but were not limited to, osteomyelitis (infection of the bone) of his left foot and ankle, Type 2 diabetes, and muscle weakness. CR #1 was discharged to an acute care hospital on [DATE]. Record review of CR #1's Physician Order dated 10/29/2025 revealed he was to receive Cefepime HCl (antibiotic) intravenous solution, 1 gm/50 ml, three times daily until 12/03/2025. Record review of CR #1's November 2025 MAR revealed the IV antibiotic was scheduled, and was administered on 11/05/2025, within one hour before or after 1:00 a.m. The initials were those of LVN A. Record review of the MDS dated [DATE] revealed CR #1 scored 13/15 on the BIMS, indicative of intact cognition. He did not exhibit any behavioral symptoms or resist care during the look-back period (minimum 6 days). CR #1 had limited range-of-motion to both upper and both lower extremities. Record review of CR #1's Care Plan dated 11/23/2025 revealed the resident was on EBP related to wounds and for having a feeding tube. The Care Plan dated 10/25/2025 reflected CR #1 had an infection. Interventions read, in part, .Maintain universal precautions when providing resdient (sic) care. The Care Plan dated 10/25/2025 reflected CR #1 required isolation due to MRSA in his wound. The Care Plan read, in part, .Hand washing to prevent the spread of infection.Provide protective equipment at entrance to room. Review of a video dated 11/05/2025 at 00:42 a.m. revealed CR #1 lying in his bed. A male staff, later identified as LVN A, entered the room. LVN A was wearing a mask. He was not wearing a gown or gloves when he entered the room, and he did not sanitize or wash his hands after entry. He was carrying the bag of intravenous medication. LVN A hung the bag on the IV pole and dropped the tubing onto a chair. LVN A did not sanitize the overbed table before he removed the cap from a syringe of flush, which he then set on the overbed table. Although LVN A was blocking the view of the camera, it appeared that he cleaned the connector, flushed, then connected the medication tubing to the IV connector hub. LVN A then started the flow. He collected the syringe and other discarded items from the overbed table. He moved the overbed table to bedside. He did not sanitize the overbed table. LVN A then exited the room without washing his hands. In an interview Residents Affected - Few (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: 676323 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 676323 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/04/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Crescent 11353 Sugar Park Lane Sugar Land, TX 77478 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)