Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Continuing Care At Eagles Trace during CMS and state inspections, most recent first.
The facility failed to follow professional standards for food safety, including improper labeling and dating of food items, and inadequate storage practices. Observations revealed unlabeled blue cheese, expired Swiss cheese and mushrooms, and food stored on the floor in the freezer. Scoops were improperly left in bulk food bins, violating facility policies.
The facility failed to properly dispose of garbage in one of its dumpsters, with a bag of garbage left on top of the lid instead of inside. The General Manager of Dining Services confirmed that the dumpster doors should be kept closed to prevent pests. The responsibility for proper disposal was shared among dietary staff, nursing, and housekeeping. Facility policies indicated that trash should be secured and deposited in the designated dumpster.
A resident with a suprapubic catheter was found with unsecured tubing, contrary to the facility's policy requiring a statlock to prevent dislodgement. Despite staff training, the CNA was unaware of the issue, and the nurse responsible did not ensure compliance. The DON confirmed the necessity of securing catheter tubing to prevent injury.
A resident receiving IV antibiotic therapy for cellulitis was found to have expired cefepime in the medication room fridge. Despite the facility's policy on medication management, the expired medication was not discarded, potentially affecting the resident's treatment. Interviews with the ADON and DON indicated that nurses are expected to check for expired medications, but the expired cefepime was not identified and removed.
The facility failed to maintain an infection prevention and control program, as infection control gowns and pillows were found on the floor in two storage rooms. Interviews revealed that staff were unaware of the requirement to keep these items off the floor. The facility's policy mandates maintaining a clean and orderly environment, which was not adhered to.
Food Safety and Storage Deficiencies in Kitchen
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as observed during a survey of the kitchen. Specifically, the facility did not ensure that foods were properly labeled with dates when opened or prepared, and did not discard them after 72 hours as required. During the inspection, a plastic container of blue cheese was found without a label or use-by date, and a container of sliced Swiss cheese and a case of fresh sliced mushrooms were found with use-by dates that had already passed. These oversights in food labeling and dating could potentially lead to the use of expired food items. Additionally, the facility did not maintain proper food storage practices. Several cases of food, including wheat bread, breaded chicken, ice cream cups, and sausage, were stored directly on the floor in the walk-in freezer, contrary to the facility's policy that requires food to be stored at least six inches above the floor. Furthermore, scoops were left inside bins of cornbread, flour, and sugar, instead of being stored separately in a holder as per the facility's procedures. These storage failures could increase the risk of contamination and compromise food safety.
Improper Garbage Disposal in Facility Dumpster
Penalty
Summary
The facility failed to properly dispose of garbage and refuse in one of the two dumpsters reviewed for Food and Nutrition Services. During an observation, a commercial-sized dumpster located behind the dietary department was found to be three-quarters full, with a bag of garbage left on top of the dumpster lid instead of inside. In an interview, the General Manager of Dining Services acknowledged that the garbage bag should have been placed inside the dumpster and emphasized the importance of keeping the dumpster doors closed to prevent vermin, pests, and insects from accessing the garbage and potentially entering the facility. The responsibility for ensuring proper disposal and closing of the dumpster doors was shared among dietary staff, nursing, and housekeeping. A review of the facility's waste disposal policies, dated June 2023, indicated that trash container liners should be secured, collected, and deposited in the designated dumpster.
Failure to Secure Suprapubic Catheter Tubing
Penalty
Summary
The facility failed to provide appropriate care for a resident with a suprapubic catheter, which is necessary to prevent urinary tract infections and ensure the resident's safety. The resident, a 90-year-old male with severe cognitive impairment and a history of hemiplegia, dysarthria, and benign prostatic hyperplasia, was observed with unsecured catheter tubing, which could lead to dislodgement. The facility's policy requires the use of a statlock to secure the catheter tubing, but this was not done for the resident. Interviews with staff revealed a lack of awareness and adherence to the facility's policy. A CNA, who had been trained on catheter care, was unaware that the resident's catheter was not secured. The nurse responsible for the resident acknowledged the policy requirement but failed to ensure compliance. The Director of Nursing confirmed that securing catheter tubing is necessary to prevent injury. The facility's policy, dated July 2021, mandates securing suprapubic catheters to prevent accidental dislodgement, which was not followed in this case.
Expired Medication Not Discarded
Penalty
Summary
The facility failed to ensure that drugs and biologicals were labeled in accordance with currently accepted professional principles, specifically regarding the expiration date of medications. This deficiency was observed in the case of a resident who was receiving intravenous antibiotic therapy with cefepime for cellulitis. The medication, which was stored in the medication room fridge, was found to have expired on 08/14/2024, yet it was still present and available for administration on 08/15/2024. This oversight could potentially compromise the effectiveness of the antibiotic therapy being administered to the resident. The resident involved was an elderly female with a diagnosis of cellulitis and lymphedema, who was receiving cefepime 1 gram intravenously every 8 hours as part of her treatment plan. Despite the facility's policy on medication management, which includes proper storage and checking for expired medications, the expired cefepime was not discarded. Interviews with the Assistant Director of Nursing (ADON) and the Director of Nursing (DON) revealed that nurses are expected to check for expired medications, and audits are conducted in the medication room. However, the expired medication was not identified and removed in a timely manner.
Infection Control Deficiency: Items Found on Floor
Penalty
Summary
The facility failed to maintain an infection prevention and control program, as evidenced by the presence of infection control gowns and pillows on the floor in two storage rooms. During an observation of the laundry room and linen closets, two yellow gowns were found on the floor of Room A, and three blue plastic resident pillows were on the floor of Room B. Interviews with the Facility Manager and the Director of Housekeeping revealed that they were unaware of the requirement to keep these items off the floor. The Administrator suggested that the items might have fallen from the shelves, while the Director of Nursing confirmed that the items should not have been on the floor, as everything should be elevated to prevent infection. The facility's policy, dated May 2021, mandates maintaining a clean and orderly environment, which was not adhered to in this instance.
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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) |
|---|---|---|---|---|
| Avir At Houston | 1 mi | ★★★★★ | 17 | 2 |
| Parkway Place | 1.3 mi | ★★★★★ | 1 | 0 |
| St Dominic Village Rehabilitation And Nursing Cent | 2.6 mi | ★★★★★ | 2 | 0 |
| Park Manor Of Westchase | 3 mi | ★★★★★ | 1 | 1 |
| West Oaks Nursing & Rehab Center | 3.2 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 July 2026) and official state health department websites.