Capacity 60. 2-17
| Severity | Date | Standard / narrative | Corrected |
|---|
| 4 | — |
748.2203(c)(2) - Medication Error-Document the medication error
In reviewing medication logs for two youth, it was observed that several medication errors were not documented accordingly. Medication errors were observed on various logs in relation to missed/skipped medications, medications given at the incorrect time, and relating to wrong dosage given. |
— |
| 4 | — |
748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
It was observed while reviewing the medication records for both children, that a time was not included on the documentation of when the medication was administered. |
— |
| 5 | — |
748.1205(a)(13) - Include any risk factors/warning signs and safety plan staff/caregivers will implement related to the risk factors and warning signs
It was discovered that the suicide risk assessment was not conducted in one of two child records. |
— |
| 3 | — |
748.3303(a)(2) - Physical Site- Buildings must be clean and in good repair.
It was observed during a walk through that a electrical outlet did not have a wall cover. |
— |
| 4 | — |
748.3445(d) - Food Preparation-Food must be protected from contamination
Food was observed to be expired in pantry, and left out exposed in cottage kitchen area as it was not properly stored. |
— |
| 2 | — |
748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
It was discovered in review of two child records that a service plan was not created within 45 days of admission. |
— |
| 4 | — |
748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
It was observed while reviewing medical record documentation and medication administration reports that the cumulative records for both children was not updated with the date of administration, time of administration and the signature of who administered the medication within the time frame required by minimum standards. |
— |
| 3 | — |
748.3273(3) - First Aid Kits-Each one must contain antiseptic solution or wipes
Multiple First Aide Kits were observed to be expired in both the cottage home and in the vehicles used to transport the children in care. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Concerta Medication Log (date ranges 04/28/21-07/18/21) did not include the reason the medication was prescribed. |
— |
| 1 | — |
748.1207(a)(3) - Placement agreement-Must include the reason for placement & anticipated length of time in care
Missing time and reason for placement in the admission assessment for two of two child records. |
— |
| 4 | — |
748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
Missing the contraidications in the admission assessment. |
— |
| 1 | — |
748.1207(a)(3) - Placement agreement-Must include the reason for placement & anticipated length of time in care
Missing time and reason for placement in the admission assessment for two of two child records. |
— |
| 4 | — |
748.2203(c)(2) - Medication Error-Document the medication error
In reviewing medication logs for two youth, it was observed that several medication errors were not documented accordingly. Medication errors were observed on various logs in relation to missed/skipped medications, medications given at the incorrect time, and relating to wrong dosage given. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Concerta Medication Log (date ranges 04/28/21-07/18/21) did not include the reason the medication was prescribed. |
— |
| 5 | — |
748.1205(a)(13) - Include any risk factors/warning signs and safety plan staff/caregivers will implement related to the risk factors and warning signs
It was discovered that the suicide risk assessment was not conducted in one of two child records. |
— |
| 4 | — |
748.3445(d) - Food Preparation-Food must be protected from contamination
Food was observed to be expired in pantry, and left out exposed in cottage kitchen area as it was not properly stored. |
— |
| 3 | — |
748.3273(3) - First Aid Kits-Each one must contain antiseptic solution or wipes
Multiple First Aide Kits were observed to be expired in both the cottage home and in the vehicles used to transport the children in care. |
— |
| 4 | — |
748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
Missing the contraidications in the admission assessment. |
— |
| 4 | — |
748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
It was observed while reviewing the medication records for both children, that a time was not included on the documentation of when the medication was administered. |
— |
| 2 | — |
748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
It was discovered in review of two child records that a service plan was not created within 45 days of admission. |
— |
| 3 | — |
748.3303(a)(2) - Physical Site- Buildings must be clean and in good repair.
It was observed during a walk through that a electrical outlet did not have a wall cover. |
— |
| 4 | — |
748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
It was observed while reviewing medical record documentation and medication administration reports that the cumulative records for both children was not updated with the date of administration, time of administration and the signature of who administered the medication within the time frame required by minimum standards. |
— |
| 4 | — |
748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
It was observed while reviewing medical record documentation and medication administration reports that the cumulative records for both children was not updated with the date of administration, time of administration and the signature of who administered the medication within the time frame required by minimum standards. |
— |
| 4 | — |
748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
Missing the contraidications in the admission assessment. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Concerta Medication Log (date ranges 04/28/21-07/18/21) did not include the reason the medication was prescribed. |
— |
| 4 | — |
748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
It was observed while reviewing the medication records for both children, that a time was not included on the documentation of when the medication was administered. |
— |
| 4 | — |
748.3445(d) - Food Preparation-Food must be protected from contamination
Food was observed to be expired in pantry, and left out exposed in cottage kitchen area as it was not properly stored. |
— |
| 2 | — |
748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
It was discovered in review of two child records that a service plan was not created within 45 days of admission. |
— |
| 1 | — |
748.1207(a)(3) - Placement agreement-Must include the reason for placement & anticipated length of time in care
Missing time and reason for placement in the admission assessment for two of two child records. |
— |
| 3 | — |
748.3303(a)(2) - Physical Site- Buildings must be clean and in good repair.
It was observed during a walk through that a electrical outlet did not have a wall cover. |
— |
| 5 | — |
748.1205(a)(13) - Include any risk factors/warning signs and safety plan staff/caregivers will implement related to the risk factors and warning signs
It was discovered that the suicide risk assessment was not conducted in one of two child records. |
— |
| 3 | — |
748.3273(3) - First Aid Kits-Each one must contain antiseptic solution or wipes
Multiple First Aide Kits were observed to be expired in both the cottage home and in the vehicles used to transport the children in care. |
— |
| 4 | — |
748.2203(c)(2) - Medication Error-Document the medication error
In reviewing medication logs for two youth, it was observed that several medication errors were not documented accordingly. Medication errors were observed on various logs in relation to missed/skipped medications, medications given at the incorrect time, and relating to wrong dosage given. |
— |
| 5 | — |
748.1205(a)(13) - Include any risk factors/warning signs and safety plan staff/caregivers will implement related to the risk factors and warning signs
It was discovered that the suicide risk assessment was not conducted in one of two child records. |
— |
| 4 | — |
748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
Missing the contraidications in the admission assessment. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Concerta Medication Log (date ranges 04/28/21-07/18/21) did not include the reason the medication was prescribed. |
— |
| 3 | — |
748.3303(a)(2) - Physical Site- Buildings must be clean and in good repair.
It was observed during a walk through that a electrical outlet did not have a wall cover. |
— |
| 3 | — |
748.3273(3) - First Aid Kits-Each one must contain antiseptic solution or wipes
Multiple First Aide Kits were observed to be expired in both the cottage home and in the vehicles used to transport the children in care. |
— |
| 4 | — |
748.3445(d) - Food Preparation-Food must be protected from contamination
Food was observed to be expired in pantry, and left out exposed in cottage kitchen area as it was not properly stored. |
— |
| 2 | — |
748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
It was discovered in review of two child records that a service plan was not created within 45 days of admission. |
— |
| 4 | — |
748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
It was observed while reviewing the medication records for both children, that a time was not included on the documentation of when the medication was administered. |
— |
| 4 | — |
748.2203(c)(2) - Medication Error-Document the medication error
In reviewing medication logs for two youth, it was observed that several medication errors were not documented accordingly. Medication errors were observed on various logs in relation to missed/skipped medications, medications given at the incorrect time, and relating to wrong dosage given. |
— |
| 4 | — |
748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
It was observed while reviewing medical record documentation and medication administration reports that the cumulative records for both children was not updated with the date of administration, time of administration and the signature of who administered the medication within the time frame required by minimum standards. |
— |
| 1 | — |
748.1207(a)(3) - Placement agreement-Must include the reason for placement & anticipated length of time in care
Missing time and reason for placement in the admission assessment for two of two child records. |
— |
| 4 | — |
748.3445(d) - Food Preparation-Food must be protected from contamination
Food was observed to be expired in pantry, and left out exposed in cottage kitchen area as it was not properly stored. |
— |
| 1 | — |
748.1207(a)(3) - Placement agreement-Must include the reason for placement & anticipated length of time in care
Missing time and reason for placement in the admission assessment for two of two child records. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Concerta Medication Log (date ranges 04/28/21-07/18/21) did not include the reason the medication was prescribed. |
— |
| 5 | — |
748.1205(a)(13) - Include any risk factors/warning signs and safety plan staff/caregivers will implement related to the risk factors and warning signs
It was discovered that the suicide risk assessment was not conducted in one of two child records. |
— |
| 4 | — |
748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
It was observed while reviewing the medication records for both children, that a time was not included on the documentation of when the medication was administered. |
— |
| 4 | — |
748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
It was observed while reviewing medical record documentation and medication administration reports that the cumulative records for both children was not updated with the date of administration, time of administration and the signature of who administered the medication within the time frame required by minimum standards. |
— |
| 4 | — |
748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
Missing the contraidications in the admission assessment. |
— |
| 3 | — |
748.3273(3) - First Aid Kits-Each one must contain antiseptic solution or wipes
Multiple First Aide Kits were observed to be expired in both the cottage home and in the vehicles used to transport the children in care. |
— |
| 2 | — |
748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
It was discovered in review of two child records that a service plan was not created within 45 days of admission. |
— |
| 4 | — |
748.2203(c)(2) - Medication Error-Document the medication error
In reviewing medication logs for two youth, it was observed that several medication errors were not documented accordingly. Medication errors were observed on various logs in relation to missed/skipped medications, medications given at the incorrect time, and relating to wrong dosage given. |
— |
| 3 | — |
748.3303(a)(2) - Physical Site- Buildings must be clean and in good repair.
It was observed during a walk through that a electrical outlet did not have a wall cover. |
— |
| 4 | — |
748.2203(c)(2) - Medication Error-Document the medication error
In reviewing medication logs for two youth, it was observed that several medication errors were not documented accordingly. Medication errors were observed on various logs in relation to missed/skipped medications, medications given at the incorrect time, and relating to wrong dosage given. |
— |
| 4 | — |
748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
Missing the contraidications in the admission assessment. |
— |
| 3 | — |
748.3303(a)(2) - Physical Site- Buildings must be clean and in good repair.
It was observed during a walk through that a electrical outlet did not have a wall cover. |
— |
| 4 | — |
748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
It was observed while reviewing the medication records for both children, that a time was not included on the documentation of when the medication was administered. |
— |
| 1 | — |
748.1207(a)(3) - Placement agreement-Must include the reason for placement & anticipated length of time in care
Missing time and reason for placement in the admission assessment for two of two child records. |
— |
| 3 | — |
748.3273(3) - First Aid Kits-Each one must contain antiseptic solution or wipes
Multiple First Aide Kits were observed to be expired in both the cottage home and in the vehicles used to transport the children in care. |
— |
| 5 | — |
748.1205(a)(13) - Include any risk factors/warning signs and safety plan staff/caregivers will implement related to the risk factors and warning signs
It was discovered that the suicide risk assessment was not conducted in one of two child records. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Concerta Medication Log (date ranges 04/28/21-07/18/21) did not include the reason the medication was prescribed. |
— |
| 2 | — |
748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
It was discovered in review of two child records that a service plan was not created within 45 days of admission. |
— |
| 4 | — |
748.3445(d) - Food Preparation-Food must be protected from contamination
Food was observed to be expired in pantry, and left out exposed in cottage kitchen area as it was not properly stored. |
— |
| 4 | — |
748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
It was observed while reviewing medical record documentation and medication administration reports that the cumulative records for both children was not updated with the date of administration, time of administration and the signature of who administered the medication within the time frame required by minimum standards. |
— |
| 3 | — |
748.3303(a)(2) - Physical Site- Buildings must be clean and in good repair.
It was observed during a walk through that a electrical outlet did not have a wall cover. |
— |
| 2 | — |
748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
It was discovered in review of two child records that a service plan was not created within 45 days of admission. |
— |
| 3 | — |
748.3273(3) - First Aid Kits-Each one must contain antiseptic solution or wipes
Multiple First Aide Kits were observed to be expired in both the cottage home and in the vehicles used to transport the children in care. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Concerta Medication Log (date ranges 04/28/21-07/18/21) did not include the reason the medication was prescribed. |
— |
| 4 | — |
748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
It was observed while reviewing medical record documentation and medication administration reports that the cumulative records for both children was not updated with the date of administration, time of administration and the signature of who administered the medication within the time frame required by minimum standards. |
— |
| 1 | — |
748.1207(a)(3) - Placement agreement-Must include the reason for placement & anticipated length of time in care
Missing time and reason for placement in the admission assessment for two of two child records. |
— |
| 4 | — |
748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
Missing the contraidications in the admission assessment. |
— |
| 4 | — |
748.2203(c)(2) - Medication Error-Document the medication error
In reviewing medication logs for two youth, it was observed that several medication errors were not documented accordingly. Medication errors were observed on various logs in relation to missed/skipped medications, medications given at the incorrect time, and relating to wrong dosage given. |
— |
| 4 | — |
748.3445(d) - Food Preparation-Food must be protected from contamination
Food was observed to be expired in pantry, and left out exposed in cottage kitchen area as it was not properly stored. |
— |
| 4 | — |
748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
It was observed while reviewing the medication records for both children, that a time was not included on the documentation of when the medication was administered. |
— |
| 5 | — |
748.1205(a)(13) - Include any risk factors/warning signs and safety plan staff/caregivers will implement related to the risk factors and warning signs
It was discovered that the suicide risk assessment was not conducted in one of two child records. |
— |
| 4 | — |
748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
Missing the contraidications in the admission assessment. |
— |
| 4 | — |
748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
It was observed while reviewing the medication records for both children, that a time was not included on the documentation of when the medication was administered. |
— |
| 5 | — |
748.1205(a)(13) - Include any risk factors/warning signs and safety plan staff/caregivers will implement related to the risk factors and warning signs
It was discovered that the suicide risk assessment was not conducted in one of two child records. |
— |
| 4 | — |
748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
It was observed while reviewing medical record documentation and medication administration reports that the cumulative records for both children was not updated with the date of administration, time of administration and the signature of who administered the medication within the time frame required by minimum standards. |
— |
| 3 | — |
748.3303(a)(2) - Physical Site- Buildings must be clean and in good repair.
It was observed during a walk through that a electrical outlet did not have a wall cover. |
— |
| 4 | — |
748.2203(c)(2) - Medication Error-Document the medication error
In reviewing medication logs for two youth, it was observed that several medication errors were not documented accordingly. Medication errors were observed on various logs in relation to missed/skipped medications, medications given at the incorrect time, and relating to wrong dosage given. |
— |
| 3 | — |
748.3273(3) - First Aid Kits-Each one must contain antiseptic solution or wipes
Multiple First Aide Kits were observed to be expired in both the cottage home and in the vehicles used to transport the children in care. |
— |
| 4 | — |
748.3445(d) - Food Preparation-Food must be protected from contamination
Food was observed to be expired in pantry, and left out exposed in cottage kitchen area as it was not properly stored. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Concerta Medication Log (date ranges 04/28/21-07/18/21) did not include the reason the medication was prescribed. |
— |
| 2 | — |
748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
It was discovered in review of two child records that a service plan was not created within 45 days of admission. |
— |
| 1 | — |
748.1207(a)(3) - Placement agreement-Must include the reason for placement & anticipated length of time in care
Missing time and reason for placement in the admission assessment for two of two child records. |
— |
40 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.