Hca Houston Healthcare Southeast

Inspection findings

1. May 15, 2025 Health · 6 findings
   • Not serious Scope/severity D

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected Aug 31, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Develop and implement policies and procedures to prevent abuse, neglect, and theft.

     Corrected Aug 31, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Aug 31, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Aug 31, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Aug 31, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Jun 27, 2025 · CMS fire safety

2. Apr 12, 2024 Fire Safety · 9 findings
   • Not serious Scope/severity C

     E0039 Emergency Preparedness Deficiencies

     Conduct testing and exercise requirements.

     Corrected Nov 28, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0293 Egress Deficiencies

     Have properly located and lighted "Exit" signs.

     Corrected Nov 28, 2023 · CMS fire safety

   • Not serious Scope/severity C

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Nov 28, 2023 · CMS fire safety

   • Not serious Scope/severity C

     K0352 Smoke Deficiencies

     Properly install and monitor supervisory attachments on automatic sprinkler systems.

     Corrected Jan 19, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Nov 28, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Nov 28, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Nov 28, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Nov 28, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0923 Gas, Vacuum, and Electrical Systems Deficiencies

     Have proper medical gas storage and administration areas.

     Corrected Nov 28, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• GIBBERMAN, JEFFREY — adp of the snf, NOT APPLICABLE, since 05/19/2025
• GIBBERMAN, JEFFREY — operational/managerial control, NOT APPLICABLE, since 08/02/2023
• MAGOULAS, DEMETRIOS — operational/managerial control, NOT APPLICABLE, since 12/05/2025
• MAGOULAS, DEMETRIOS — corporate officer, NOT APPLICABLE, since 12/05/2023
• MCDANIEL, YASMENE — corporate officer, NOT APPLICABLE, since 10/17/2022
• MCDANIEL, YASMENE — operational/managerial control, NOT APPLICABLE, since 10/17/2022
• SMITH, ERIC — operational/managerial control, NOT APPLICABLE, since 03/01/2021
• WAGNER, JACKSON — operational/managerial control, NOT APPLICABLE, since 05/01/2023
• BAYSHORE PARTNER, LLC — limited partnership interest, NOT APPLICABLE, since 07/01/2011
• BAYSHORE PARTNER, LLC — 5% or greater direct ownership interest, 99%, since 07/01/2011
• COLUMBIA HOSPITAL CORPORATION - DELAWARE — 5% or greater indirect ownership interest, since 07/01/2011
• COLUMBIA HOSPITAL CORPORATION OF WEST HOUSTON — 5% or greater indirect ownership interest, since 07/01/2011
• COLUMBIA/HCA OF HOUSTON, INC — 5% or greater indirect ownership interest, since 07/01/2011
• FRISCO HOLDING II — 5% or greater indirect ownership interest, since 11/17/2006
• HCA HEALTH SERVICES OF TEXAS INC — 5% or greater indirect ownership interest, since 07/01/2011
• HCA HEALTHCARE INC — 5% or greater indirect ownership interest, since 07/01/2011
• HCA INC — 5% or greater indirect ownership interest, since 07/01/2011
• HCA SQUARED LLC — 5% or greater indirect ownership interest, since 10/24/2011
• HEALTHSERV ACQUISITION LLC — 5% or greater indirect ownership interest, since 07/01/2011
• HEALTHTRUST INC - THE HOSPITAL COMPANY — 5% or greater indirect ownership interest, since 07/01/2011
• HERCULES HOLDING II — 5% or greater indirect ownership interest, since 07/01/2011
• HOSPITAL CORP LLC — 5% or greater indirect ownership interest, since 07/01/2011
• HOUSTON HEALTHCARE HOLDINGS, INC — 5% or greater indirect ownership interest, since 07/01/2011
• HTI HOSPITAL HOLDINGS INC — 5% or greater indirect ownership interest, since 07/01/2011
• INDIANAPOLIS HOSPITAL PARTNER, LLC — 5% or greater indirect ownership interest, since 07/01/2011
• INDIANAPOLIS HOSPITAL PARTNER, LLC — limited partnership interest, NOT APPLICABLE, since 07/01/2011
• PASADENA BAYSHORE HOSPITAL, INC — general partnership interest, NOT APPLICABLE, since 07/01/2011
• PASADENA BAYSHORE HOSPITAL, INC — 5% or greater indirect ownership interest, since 07/01/2011
• WOMEN'S HOSPITAL INDIANAPOLIS, L.P. — limited partnership interest, NOT APPLICABLE, since 07/01/2011
• WOMEN'S HOSPITAL INDIANAPOLIS, L.P. — 5% or greater indirect ownership interest, since 07/01/2011