Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Treemont Health Care Center during CMS and state inspections, most recent first.
The facility failed to ensure the dishwashing machine in the main kitchen was operating with functioning thermometers, leading to unverified sanitization temperatures. Despite the thermometers being non-functional for a week, the machine continued to be used for cleaning silverware and glassware. The Dishwasher Temperature Log showed no recorded temperatures for several weeks, contrary to facility policy and FDA guidelines.
A resident with Parkinson's Disease and other health issues did not receive timely incontinence care, leading to extended periods in soiled briefs. Despite a care plan requiring regular checks, the resident's call light often went unanswered, and staff interviews revealed communication breakdowns and non-adherence to care protocols. The DON acknowledged the risk of skin breakdown and UTIs from such delays.
The facility failed to ensure RN coverage for at least 8 consecutive hours a day, 7 days a week during July and August 2024, particularly lacking on weekends. The Administrator acknowledged the issue, citing difficulties in retaining RNs, although new hires were made at the end of August. The DON highlighted the importance of RNs for performing specific medical procedures and assessments that LVNs cannot, which was not met during the deficiency period.
The facility reported an 11% medication error rate, exceeding the acceptable 5% threshold. Errors included incorrect dosages of Nicotine gum and Acetaminophen, and an incorrect IV rate for Cefepime. These errors involved three residents and two staff members, highlighting issues with medication administration and verification processes.
The facility failed to implement its policies to prevent abuse, neglect, and exploitation of residents, as well as misappropriation of property. Background checks and EMR reviews for three staff members were not conducted annually as required, with delays of 24 to 28 months. The oversight was due to a lack of follow-up by the previous HR Director, and the current HR Director plans to conduct checks annually to ensure compliance.
Dishwashing Machine Temperature Monitoring Deficiency
Penalty
Summary
The facility failed to maintain the dishwashing machine in the main kitchen in accordance with professional standards for food service safety. During an observation and interview, it was noted that the thermometers on the low-temperature dishwashing machine were not functioning, and had not been working for a week. Despite this, the machine was still in use for cleaning silverware and glassware. The Dining Supervisor mentioned that the dishwashing company had visited two weeks prior but did not address the issue, and there was uncertainty about any documentation from that visit. The Chef acknowledged that without a working thermometer, the kitchen staff could not verify if the machine was reaching the necessary temperatures for sanitization. The facility's Dishwasher Temperature Log showed no recorded wash or rinse temperatures from the beginning of the month until the day of the observation, indicating a lack of monitoring. The facility's policy requires that dishwashing machines using hot water for sanitization must maintain specific temperatures, and operators are to record these temperatures with each cycle. The policy also mandates immediate cessation of machine use if temperatures or chemical sanitation concentrations do not meet requirements. The U.S. Food and Drug Administration Food Code specifies minimum wash solution temperatures for machines using chemical sanitizers, which were not being verified due to the malfunctioning thermometers.
Failure to Provide Timely Incontinence Care
Penalty
Summary
The facility failed to provide timely incontinence care to a resident who was unable to perform activities of daily living independently. The resident, a female with a history of muscle weakness, osteoporosis, and Parkinson's Disease, was dependent on staff for assistance with toileting and personal hygiene. Despite having a care plan in place that required regular checks and changes to prevent skin breakdown, the resident reported that her call light often went unanswered for hours, and she had not been changed since 3:00 am on the day of the interview. The resident expressed that she frequently had to wait for extended periods to be changed and felt that reporting the issue did not result in any improvement. Interviews with facility staff revealed a breakdown in communication and adherence to care protocols. A CNA admitted to not having time to change the resident due to other duties and claimed to have informed a nurse, who denied receiving such information. The nurse stated that CNAs were expected to round every 2 hours and change residents as needed, and if unable, they should inform a nurse who would assist. The DON confirmed that residents should not wait more than 30 minutes for care and acknowledged the risk of skin breakdown and UTIs if residents remained in soiled briefs for extended periods. The facility's policy emphasized the importance of providing necessary care to maintain residents' hygiene and prevent complications, which was not adhered to in this case.
Failure to Maintain Required RN Coverage
Penalty
Summary
The facility failed to maintain the required registered nurse (RN) coverage for at least 8 consecutive hours a day, 7 days a week during the months of July and August 2024. This deficiency was identified through interviews and record reviews, revealing that the facility did not have an RN on duty during weekends for these months. The Administrator acknowledged the lack of RN coverage on weekends, citing difficulties in retaining RNs, although she had recently hired an RN Supervisor and an RN floor nurse at the end of August. The Director of Nursing (DON) confirmed that she worked Monday through Friday and emphasized the importance of having RNs on-site due to their ability to perform specific medical procedures that Licensed Vocational Nurses (LVNs) cannot, such as removing PICC lines and placing suprapubic catheters. The absence of RNs was noted to potentially put residents at risk due to the lack of advanced assessment skills and procedures that RNs provide. The facility's policy stated the requirement for RN coverage, but the staffing records submitted to the CMS payroll-based journal system did not reflect compliance with this requirement during the specified months.
Medication Errors Exceed Acceptable Rate
Penalty
Summary
The facility failed to maintain a medication error rate below 5%, resulting in an 11% error rate. This was due to three medication errors involving three residents and two staff members. The errors included incorrect dosages and administration rates, which were observed during a survey. One error involved a resident who was supposed to receive Nicotine gum 4 mg every four hours but was given a 2 mg dose by a medication aide. The aide admitted to not concentrating on the dose due to a busy medication pass. The Director of Nursing (DON) noted that the facility had 2 mg gum on hand and the aide should have clarified the dosage. Another error involved a resident who was prescribed Acetaminophen 650 mg but was given two 325 mg tablets instead. The medication aide misunderstood the dosage instructions on the Medication Administration Record (MAR). Additionally, a resident receiving Cefepime IV was administered the medication at an incorrect rate due to a miscalculation by the LVN, who did not verify the bag size. The DON and other staff acknowledged the errors and the need for clarification in such situations.
Failure to Implement Abuse Prevention Policies
Penalty
Summary
The facility failed to develop and implement their written policies and procedures that prohibit and prevent abuse, neglect, and exploitation of residents, as well as the misappropriation of resident property. This deficiency was identified for three staff members (LVN C, LVN D, and LVN E) whose background checks and EMR reviews were not conducted annually as required by the facility's policies. The facility's policy on Background Screening Investigations mandates employment background screening checks, reference checks, and criminal conviction investigation checks on all applicants for positions with direct access to residents. However, the records showed that these checks were not performed annually for the staff members in question, with delays ranging from 24 to 28 months. Interviews with the Human Resources Director and the Administrator revealed that the oversight occurred due to a lack of follow-up on the part of the previous Human Resources Director, who no longer worked at the facility. The current Human Resources Director, who started after the oversight, acknowledged the lapse and planned to conduct checks at the beginning of each year to ensure compliance. The Administrator was unaware of the missed checks and could not provide an explanation for the oversight. This failure to adhere to the facility's policies could place residents at risk of abuse, neglect, and misappropriation of property.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Houston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Buckingham | 1 mi | — | 0 | 0 |
| Woodway Nursing & Rehab | 1.6 mi | — | 6 | 2 |
| The Lev At Town Park | 2 mi | — | 2 | 2 |
| Sharpville Residence And Rehabilitation Center | 2.1 mi | — | 0 | 0 |
| The Vosswood Nursing Center | 2.2 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.