The information below comes from the statement of deficiencies compiled by health inspectors and provided to AHCJ by the Centers for Medicare and Medicaid Services. It does not include the steps the hospital plans to take to fix the problem, known as a plan of correction. For that information, you should contact the hospital, your state health department or CMS. Accessing the document may require you to file a Freedom of Information Request. Information on doing so is available here.

HCA HOUSTON HEALTHCARE CLEAR LAKE 500 MEDICAL CENTER BLVD WEBSTER, TX 77598 Feb. 28, 2017
VIOLATION: INFECTION CONTROL OFFICER RESPONSIBILITIES Tag No: A0749
Based on observation, record review, and interview the facility failed to maintain an effective system to control infection. The facility failed to maintain cleanliness in 11 out of 11 exam rooms, (#1,#2,#5,#7,#17,#20,#21,#22,#23,#24,#25) in the emergency department.
Findings include:

Observation on 2/28/2017 at 9:05 am in the emergency department (ED) revealed heavy dust on top of the cardiac monitors and wall mounted call lights in rooms #1, #2, #5, #7, #17. #20, #21, #22, #23 #24, #25.

Dirt noted on the wheels of stretchers in room #17
Heavy stains on cloth chairs noted in room #1, #17
Rust noted on ceiling vents and stains noted on the floor in trauma room
Equipment dusty and dirty on rolling computer used for face-to-face with psychiatrist
Dusty with dirty bases - Portable otoscope and (2) portable suture lights
Base of intravenous (IV) poles dirty and stained
Heavy dust on wall vent of visitor bathrooms
Stained floor- visitor bathroom
Dirty gauze noted on the floor of the Psychiatry evaluation room
Dirty sink near room #20

Interview with ED Manager ID# 58, on 2/28/2017 at 9:00 a.m. stated there was no set cleaning schedule for the emergency department, and nursing staff are required to clean the area between patients. She also stated they see 100-120 patients per day.

Interview with Director of Environmental Care, (EVS) ID # 57 on 2/28/2017 at 11:45 a.m. stated that environmental care was responsible for cleaning the bedside tables, floors, wiping the cardiac monitors, and nurses are responsible for cleaning the stretchers, mattresses, and pulling the trash. One person is assigned per eight hour shifts. The environmental staff are not responsible for cleaning or dusting anything with wheels. The curtains are changed once a quarter, unless the patient is on contact isolation. We only mop the floor since they are wood. "This building is old but we can keep it clean. The last time the ED was terminally cleaned was December".

Record review of policy "Cleaning the emergency room " dated 4/2013 stated the EVS tech will scrub and wax the floor in each patient's room as needed, and change the curtain.

EVS staff will high dust the halls, waiting areas, nursing station and rooms
EVS is responsible for cleaning stretches,
Lights, vents, sinks, procedure stands