North Houston Transitional Care

Penalties

• Aug 20, 2024 — Fine ($11,508)

Inspection findings

1. May 21, 2026 Health · 1 finding
   • 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 Jun 9, 2026 · CMS health inspection

2. Apr 30, 2025 Fire Safety · 3 findings
   • Not serious Scope/severity F

     K0293 Egress Deficiencies

     Have properly located and lighted "Exit" signs.

     Corrected May 3, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0355 Smoke Deficiencies

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

     Corrected May 3, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected May 3, 2025 · CMS fire safety

3. Aug 28, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     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 Aug 30, 2024 · CMS health inspection

4. Aug 20, 2024 Health · 4 findings
   • Serious Scope/severity K 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 Aug 22, 2024 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0684 Quality of Life and Care Deficiencies

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

     Corrected Aug 22, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0686 Quality of Life and Care Deficiencies

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

     Corrected Aug 22, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Aug 22, 2024 · CMS health inspection

5. Jul 2, 2024 Health · 1 finding
   • 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 Jul 23, 2024 · CMS health inspection

6. Feb 22, 2024 Health · 4 findings
   • Not serious Scope/severity E 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 Apr 1, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Apr 1, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0355 Smoke Deficiencies

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

     Corrected Apr 1, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Apr 1, 2024 · CMS fire safety

7. Dec 1, 2022 Fire Safety · 2 findings
   • Not serious Scope/severity E

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Jan 10, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

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

     Corrected Jan 10, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• APT, FREDERICK — corporate officer, NOT APPLICABLE, since 01/01/2024
• CARNAGIE, RUSSELL — w-2 managing employee, NOT APPLICABLE, since 08/02/2023
• HANCOCK, MARK — corporate officer, NOT APPLICABLE, since 01/01/2024
• JERGENSEN, JOSHUA — corporate officer, NOT APPLICABLE, since 01/01/2024
• MITCHELL, JOHN — corporate officer, NOT APPLICABLE, since 01/01/2024
• PHAN, HOANG-ANH — contracted managing employee, NOT APPLICABLE, since 01/01/2020
• MAINSTREEIDENCE DEVELOPMENTS LLC — 5% or greater direct ownership interest, 100%, since 08/29/2016
• PROVIDENCE GROUP NH, LLC — 5% or greater indirect ownership interest, 100%, since 06/30/2023