Garden Terrace Healthcare Center Of Houston

Penalties

• Dec 9, 2025 — Fine ($32,819)
• Jul 10, 2024 — Fine ($54,094)
• Oct 5, 2023 — Fine ($51,630)

Inspection findings

1. May 22, 2026 Health · 5 findings
   • Not serious Scope/severity D Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Jun 19, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jun 19, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     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 Jun 19, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Jun 19, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jun 19, 2026 · CMS health inspection

2. Apr 6, 2026 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0655 Resident Assessment and Care Planning Deficiencies

     Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

     Corrected May 16, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected May 16, 2026 · CMS health inspection

3. Dec 9, 2025 Health · 1 finding
   • Serious Scope/severity K Complaint

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Dec 10, 2025 · CMS health inspection

4. Jun 19, 2025 Health · 4 findings
   • Not serious Scope/severity E

     F0628 Resident Rights Deficiencies

     Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

     Corrected Jul 11, 2025 · CMS health inspection

   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Jul 1, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0345 Smoke Deficiencies

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

     Corrected Jul 1, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0352 Smoke Deficiencies

     Properly install and monitor supervisory attachments on automatic sprinkler systems.

     Corrected Jul 1, 2025 · CMS fire safety

5. Jul 10, 2024 Health · 1 finding
   • Serious Scope/severity K Complaint

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Aug 7, 2024 · CMS health inspection

6. May 23, 2024 Health · 3 findings
   • Not serious Scope/severity D

     F0693 Quality of Life and Care Deficiencies

     Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

     Corrected Jun 21, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0803 Nutrition and Dietary Deficiencies

     Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

     Corrected Jun 21, 2024 · CMS health inspection

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Jun 21, 2024 · CMS fire safety

7. Nov 1, 2023 Health · 6 findings
   • Not serious Scope/severity D Complaint

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected Dec 9, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Dec 9, 2023 · CMS health inspection

   • Serious Scope/severity G Complaint

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Dec 9, 2023 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0726 Nursing and Physician Services Deficiencies

     Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

     Corrected Dec 9, 2023 · CMS health inspection

   • Serious Scope/severity H Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Dec 9, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Dec 9, 2023 · CMS health inspection

8. Oct 5, 2023 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0624 Resident Rights Deficiencies

     Prepare residents for a safe transfer or discharge from the nursing home.

     Corrected Nov 3, 2023 · CMS health inspection

9. Mar 24, 2023 Health · 4 findings
   • Not serious Scope/severity E

     F0761 Pharmacy Service Deficiencies

     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.

     Corrected May 6, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected May 6, 2023 · CMS health inspection

   • Not serious Scope/severity F

     K0352 Smoke Deficiencies

     Properly install and monitor supervisory attachments on automatic sprinkler systems.

     Corrected May 3, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0929 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

     Corrected May 3, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BUTNER, NANCY — managing control - governing body, NOT APPLICABLE, since 09/16/2018
• BUTNER, NANCY — operational/managerial control, NOT APPLICABLE, since 09/16/2018
• CAMACHO-ACEVEDO, ROBERTO — adp of the snf, NOT APPLICABLE, since 03/03/2025
• CAMACHO-ACEVEDO, ROBERTO — operational/managerial control, NOT APPLICABLE, since 05/01/2021
• CROSS, CINDY — corporate officer, NOT APPLICABLE, since 02/01/1997
• FLETCHER, TODD — operational/managerial control, NOT APPLICABLE, since 12/13/2024
• HENRY, TERRY — corporate officer, NOT APPLICABLE, since 08/16/1999
• LAY, LISA — corporate officer, NOT APPLICABLE, since 02/09/2018
• PRESTON, AUBREY — operational/managerial control, NOT APPLICABLE, since 12/13/2024
• PRESTON, FORREST — corporate officer, NOT APPLICABLE, since 09/22/1994
• PRESTON, FORREST — adp of the snf, NOT APPLICABLE, since 01/18/2005
• ROPER, CRISSY — managing control - governing body, NOT APPLICABLE, since 10/02/2023
• ROPER, CRISSY — adp of the snf, NOT APPLICABLE, since 03/03/2025
• ROPER, CRISSY — operational/managerial control, NOT APPLICABLE, since 10/02/2023
• SWANKER, RICHARD — corporate officer, NOT APPLICABLE, since 04/01/2011
• TAYLOR, TRACHEY — operational/managerial control, NOT APPLICABLE, since 09/09/2024
• TAYLOR, TRACHEY — managing control - governing body, NOT APPLICABLE, since 09/09/2024
• THURMOND, JOAN — corporate officer, NOT APPLICABLE, since 09/22/2000
• ZIEGLER, JAMES — operational/managerial control, NOT APPLICABLE, since 12/13/2024
• DEVELOPERS INVESTMENT COMPANY INC — operational/managerial control, NOT APPLICABLE, since 06/14/2006
• DEVELOPERS INVESTMENT COMPANY INC — direct ownership interest, NOT APPLICABLE, since 09/22/1994
• LIFE CARE CENTERS OF AMERICA, INC. — adp of the snf, NOT APPLICABLE, since 03/03/2025
• LIFE CARE CENTERS OF AMERICA, INC. — operational/managerial control, NOT APPLICABLE, since 02/01/1997