Kingwood Rehabilitation And Healthcare Center

Penalties

• Jun 3, 2025 — Fine ($72,573)

Inspection findings

1. Jun 29, 2025 Health · 8 findings
   • Not serious Scope/severity D

     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 Jul 1, 2025 · CMS health inspection

   • Serious Scope/severity J

     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 Jul 1, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0685 Quality of Life and Care Deficiencies

     Assist a resident in gaining access to vision and hearing services.

     Corrected Jul 1, 2025 · CMS health inspection

   • Serious Scope/severity J 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 1, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Jul 1, 2025 · CMS health inspection

   • 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 Jul 1, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jul 1, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Jul 2, 2025 · CMS fire safety

2. Jun 3, 2025 Health · 5 findings
   • Serious Scope/severity K Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Jun 28, 2025 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

     Corrected Jun 28, 2025 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected Jun 28, 2025 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0686 Quality of Life and Care Deficiencies

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

     Corrected Jun 28, 2025 · CMS health inspection

   • Serious Scope/severity K 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 28, 2025 · CMS health inspection

3. May 16, 2024 Health · 9 findings
   • Not serious Scope/severity D Complaint

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Jul 1, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0645 Resident Assessment and Care Planning Deficiencies

     PASARR screening for Mental disorders or Intellectual Disabilities

     Corrected Jul 1, 2024 · 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 Jul 1, 2024 · CMS health inspection

   • Not serious Scope/severity E 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 Jul 1, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0758 Pharmacy Service Deficiencies

     Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

     Corrected Jul 1, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Jul 1, 2024 · 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 Jul 1, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Jun 6, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0929 Gas, Vacuum, and Electrical Systems Deficiencies

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

     Corrected Jun 6, 2024 · CMS fire safety

4. Sep 7, 2023 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Oct 3, 2023 · CMS health inspection

5. Mar 16, 2023 Health · 10 findings
   • Not serious Scope/severity D

     F0640 Resident Assessment and Care Planning Deficiencies

     Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

     Corrected Apr 24, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0684 Quality of Life and Care Deficiencies

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

     Corrected Apr 24, 2023 · CMS health inspection

   • Not serious Scope/severity E

     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 Apr 24, 2023 · CMS health inspection

   • 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 Apr 24, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0727 Nursing and Physician Services Deficiencies

     Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

     Corrected Apr 24, 2023 · CMS health inspection

   • Not serious Scope/severity E

     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 Apr 24, 2023 · CMS health inspection

   • Not serious Scope/severity D

     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 Apr 24, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0919 Environmental Deficiencies

     Make sure that a working call system is available in each resident's bathroom and bathing area.

     Corrected Apr 24, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0921 Environmental Deficiencies

     Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

     Corrected Apr 24, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

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

     Corrected Apr 14, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• APOLINAR, ADAM — corporate director, NOT APPLICABLE, since 03/01/2024
• CHAVA, RAMAKRISHNA — adp of the snf, NOT APPLICABLE, since 09/17/2024
• FELLBAUM, ERNEST — adp of the snf, NOT APPLICABLE, since 09/17/2024
• FELLBAUM, ERNEST — 5% or greater mortgage interest, NOT APPLICABLE, since 09/17/2024
• MARTEL, MICHAEL — adp of the snf, NOT APPLICABLE, since 09/17/2024
• MARTEL, MICHAEL — 5% or greater mortgage interest, NOT APPLICABLE, since 09/17/2024
• POTTS, KATHERINE — adp of the snf, NOT APPLICABLE, since 09/17/2024
• STUDER, STANLEY — adp of the snf, NOT APPLICABLE, since 09/17/2024
• STUDER, STANLEY — 5% or greater mortgage interest, NOT APPLICABLE, since 09/17/2024
• THREADGILL, FORREST — 5% or greater mortgage interest, NOT APPLICABLE, since 09/17/2024
• THREADGILL, FORREST — adp of the snf, NOT APPLICABLE, since 09/17/2024
• THREADGILL, MORGAN — adp of the snf, NOT APPLICABLE, since 09/17/2024
• THREADGILL, MORGAN — 5% or greater mortgage interest, NOT APPLICABLE, since 09/17/2024
• THREADGILL, SHARLYN — 5% or greater mortgage interest, NOT APPLICABLE, since 09/17/2024
• THREADGILL, SHARLYN — operational/managerial control, NOT APPLICABLE, since 09/17/2024
• THREADGILL, SHARLYN — adp of the snf, NOT APPLICABLE, since 09/17/2024
• THREADGILL, WADE — adp of the snf, NOT APPLICABLE, since 09/17/2024
• THREADGILL, WADE — 5% or greater mortgage interest, NOT APPLICABLE, since 09/17/2024
• FUZE VENTURES, LP — adp of the snf, NOT APPLICABLE, since 09/17/2024
• FUZE VENTURES, LP — 5% or greater mortgage interest, NOT APPLICABLE, since 09/17/2024
• HEALTHCARE INVESTMENTS RC, LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 09/17/2024
• HEALTHCARE INVESTMENTS RC, LLC — adp of the snf, NOT APPLICABLE, since 09/17/2024
• KRHC RE, LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 09/17/2024
• KRHC RE, LLC — adp of the snf, NOT APPLICABLE, since 09/17/2024
• KRHC, LLC — operational/managerial control, NOT APPLICABLE, since 09/17/2024
• M VENTURES 111, LLC — adp of the snf, NOT APPLICABLE, since 09/17/2024
• M VENTURES 111, LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 09/17/2024
• MMT REALTY-KINGWOOD, LLC — adp of the snf, NOT APPLICABLE, since 09/17/2024
• MMT REALTY-KINGWOOD, LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 09/17/2024