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.
|WEST OAKS HOSPITAL||6500 HORNWOOD HOUSTON, TX 77074||Nov. 4, 2019|
|VIOLATION: PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT||Tag No: A0145|
|Based on interview and record review, nursing staff failed to ensure patient (ID#5) was free from all forms of abuse or harassment in one (1) patient out of 22 sampled patients within the facility. The X-ray request was not faxed timely and patient (ID#5) did not receive the X-ray prior to discharge. Subsequently, patient (ID#5) was found to have a concussion as a result of the altercation.
Record review of the facility policy on "Nursing Documentation", dated 11/2018, stated:
In accordance with the Texas Nurse Practice Act, nursing documentation accurately and completely accounts for
nursing care rendered; any changes in the patient's status (to include behavioral, physical, emotional, special precaution, and/or variances in care or outcomes)
Record review of provider notes dated 07/30/2019 at 0915 documented by the Nurse Practitioner, (ID#72) revealed patient (ID#5) was in an altercation and was hit in the face and nose by another patient and a X-ray was ordered.
Record review of nurses noted dated 07/30/2019 at 1344 by staff nurse, RN (ID#70) who stated aggression, was verbally aggressive toward a peer, and got into a physical fight. She was hit in the face several times, by the peer.
Record review of the discharge safety plan was signed by the CPS staff at 07/20/2019 at 1330.
Interview with Director of Quality (ID#51) on 11/04/2019 at 1055 who was reviewing the medical record during this interview stated:
She might have not gotten an X-ray, it was not ordered stat.
The x-ray was ordered 07/30/2019 by (ID#72) Nurse Practitioner,
X-ray would not come before four (4) hours because it was not a stat, before discharge.