Health inspection·March 28, 2025

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 ensure, in accordance with State and Federal laws, all drugs and biologicals were stored in locked compartments under proper temperature controls and permitted only authorized personnel to have access to the keys for 1 of 3 medication carts reviewed for medication storage. The facility failed to ensure medications were properly stored and labled when Resident #4's medications were popped into a pull cup and left unattended. This failure could place residents at risk for drug diversion, lack of drug efficacy, and adverse reactions. Findings include: During an observation on 3/27/25 at 9:32am revealed a medication aide cart with a medication cup labeled Resident #4 (name) with at least 7 pills inside. During an interview on 3/27/25 at 9:37am CMA E stated the resident was taking a shower, and she would have to go back to give her medications. During an interview on 3/27/25 at 10:55am LVN A stated you should never leave any open pills on the cart. You never know what could happen to those pills during that time. They should be destroyed, and you start over. During an interview on 3/27/25 at 11:06am LVN B stated you should stand there and wait for the resident to be done. You should never leave them open medications on the cart. Training for CMAs was done with the pharmacist monthly. Medication administration was a part of their training. Monthly. Will do a one to one with medication aide. During an interview on 3/27/24 at 11:11am the administrator stated staff should follow the protocol. They should not be pre popping medications. During an interview on 3/27/24 at 11:11am the regional RN C stated if they knew the resident and medication, they put it in a cup then it should ok. First and last name should be labeled on the cup also timed and dated. If they were destroyed that could be costly to the resident. During an interview on 3/27/24 at 12:55 pm RN D stated medications were to be given on time. Staff (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 4 Event ID: 676470 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 676470 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/28/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Caraday of Houston 6534 Stuebner Airline Road Houston, TX 77091 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)