Below 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 Country Village Care during CMS and state inspections, most recent first.
A resident with multiple chronic conditions did not receive scheduled morning medications on time, as a medication aide administered all doses significantly later than ordered and failed to report the delay to nursing staff. The nurse and DON were unaware of the late administration, and facility policy requiring timely medication administration and communication was not followed.
A medication aide left a medication cart unlocked and unattended near common resident areas, with several residents present. The cart, containing all medications for a hall, was observed by an LVN to be unsecured. Both the LVN and DON confirmed that facility policy requires medication carts to be locked when not in use, and the aide acknowledged forgetting to lock the cart.
A resident with multiple comorbidities and a stage 4 sacral pressure ulcer experienced significant wound deterioration, infection, and exposed bone due to the facility's failure to administer prescribed antibiotics and provide consistent wound care. Despite clear orders for antibiotic therapy and wound management, staff did not ensure the medication was given or that repositioning and offloading were performed as required. The resident's condition worsened, leading to hospitalization for severe infection and osteomyelitis, with family members not adequately informed of the true extent of the resident's decline.
Two residents with indwelling catheters were observed in common areas without privacy covers on their urinary catheter bags, despite staff acknowledging that covers should always be used and physician orders specifying their use. Staff interviews revealed that covers were sometimes unavailable, misplaced, or removed, and the facility lacked a policy addressing privacy covers, resulting in a failure to maintain resident dignity and privacy.
A resident with heart failure and end stage renal disease did not receive a timely physician-ordered therapeutic diet and fluid restriction following dialysis. There was a delay in entering and implementing the fluid restriction order, and staff interviews revealed lapses in communication and follow-up between nursing, dietary, and medical staff.
A resident with severe cognitive impairment and multiple health issues was administered morphine and Norco too closely together, resulting in an accidental opioid overdose. The facility failed to ensure proper spacing of these medications, leading to the resident's hospitalization and subsequent death. The incident highlighted a lack of adherence to medication administration protocols and inadequate monitoring by the nursing staff.
A resident with severe cognitive impairment and multiple health issues was administered morphine and Norco too closely together, leading to an opioid overdose. Despite orders to space out the medications, the facility's records did not reflect this, resulting in the resident becoming lethargic and requiring emergency treatment. Interviews revealed a lack of awareness among staff regarding proper medication administration times.
A resident with a history of contractures and cognitive impairment was found with untreated skin issues, including redness and exudate on her contracted arm, due to the facility's failure to conduct regular skin assessments and address care refusals. Staff interviews revealed a lack of awareness and communication regarding the resident's condition, leading to a delay in treatment and potential risks of infection.
The facility failed to store dented cans properly, as seven dented cans of tomato soup were found in the dry storage room. The Dietary Supervisor confirmed the cans should have been stored separately, but they were missed due to being in a case. Staff interviews revealed that all dietary staff were responsible for checking for dents, but the oversight occurred. The risk of foodborne illness, such as botulism, was acknowledged by the staff.
A resident admitted to the facility did not have an active physician's order for code status documented in her records, which is essential for honoring her advance directives. Interviews with staff, including the MDS Nurse/LVN and DON, revealed that the responsibility for entering this information was unclear, leading to an oversight. This deficiency could result in delays in care and uncertainty during emergencies.
A resident with acute respiratory failure was not provided with properly labeled and dated oxygen tubing, as required by facility protocol. Despite scheduled changes, the tubing lacked proper documentation, and staff interviews revealed inconsistencies in following procedures, placing the resident at risk of infection.
A resident with hypotension and other health conditions was administered Midodrine despite having a systolic blood pressure above the prescribed limit on two occasions. The medication errors were acknowledged by the medical assistants involved, who cited possible documentation errors or misreading of orders. The facility's policy on medication administration was not followed, leading to these errors.
A treatment cart on the 200 Hall was left unattended and unlocked, containing various medications and supplies, including insulin and antibiotics. The cart was observed by the Administrator and Regional VP, who contacted RN C responsible for the cart. RN C admitted to possibly forgetting to lock it after being called away, acknowledging the importance of securing the cart to prevent unauthorized access. The facility's policy requires medication carts to be locked when not in use.
A resident with multiple health conditions did not receive proper infection control during wound and incontinence care. An LVN and a CNA failed to perform hand hygiene before entering the room and between tasks, risking cross-contamination. The facility's policies and staff interviews confirmed the expectations for hand hygiene, which were not followed.
Failure to Administer and Report Late Medication Administration
Penalty
Summary
The facility failed to provide pharmaceutical services that ensured the accurate and timely administration of medications for a resident with multiple complex medical conditions, including hypertension, epilepsy, heart failure, cerebral infarction, anxiety, dementia, and depression. The resident required maximal assistance with activities of daily living and had a moderately impaired cognitive status. According to the medication administration record, several medications were scheduled to be administered in the morning at specific times, including anticonvulsants, antidepressants, antihypertensives, and supplements. On the observed date, the medication aide (MA) did not administer the resident's morning medications at the scheduled times, instead giving all morning medications at 10:49 a.m., which was significantly later than the prescribed times ranging from 7:00 a.m. to 9:00 a.m. The MA acknowledged during interviews that she was late in passing medications and did not follow the physician's orders. She also admitted to not reporting the late administration to the nurse as required by facility policy. The nurse and DON confirmed they were not informed of the late administration, and both stated that timely medication administration is critical for the resident's conditions. Facility records indicated that medications are considered timely if given within one hour before or after the scheduled time, a standard that was not met in this instance. The facility's procedures require staff to report late medication administration to the nurse, who would then assess the resident and notify the physician for further instructions. The failure to administer medications on time and to communicate the delay to appropriate clinical staff constituted a deficiency in pharmaceutical services as required by facility policy and regulatory standards.
Unattended Unlocked Medication Cart
Penalty
Summary
A medication aide left an unlocked medication cart unattended near a TV room and dining area where several residents were present, including residents who were propelling themselves around the area. The cart contained medications for all residents in the 200 hall. The medication aide acknowledged that the cart should have been locked when not in use or out of sight but stated she forgot to lock it when she went to the restroom. Observations confirmed that the cart was left unlocked and unattended, and this was witnessed by a licensed vocational nurse (LVN), who stated that the cart should always be locked for safety to prevent residents from accessing medications. Interviews with the LVN and the Director of Nursing (DON) confirmed that facility policy requires medication carts to be locked when not in use to prevent unauthorized access, especially given the presence of residents with dementia. The facility's medication storage policy also specifies that compartments containing medications must be locked when not in use. The failure to secure the medication cart was identified through observation, record review, and staff interviews.
Failure to Administer Prescribed Antibiotics and Provide Standard Wound Care for Stage 4 Pressure Ulcer
Penalty
Summary
Facility staff failed to provide treatment and care in accordance with professional standards for a resident with a stage 4 sacral pressure ulcer. The resident, who had multiple comorbidities including cerebral infarction, hemiplegia, hypertension, peripheral vascular disease, and was dependent on staff for all activities of daily living, experienced a significant worsening of her pressure ulcer. The wound increased in size, exhibited signs of infection, and developed exposed bone, with documentation showing a progression from 2.20 cm x 1.10 cm x 0.10 cm to 5.40 cm x 6.00 cm x 2.30 cm over a short period. The wound was noted to have purulent, malodorous drainage and slough, and the resident showed signs of systemic infection, including elevated heart rate and withdrawal. Despite clear orders from the wound care nurse practitioner to start a new antibiotic regimen (Cefdinir), the medication was not administered as prescribed. There was confusion and miscommunication regarding the duration and documentation of the antibiotic order, with staff interviews revealing discrepancies between verbal and written orders. The resident did not refuse wound care or antibiotics according to multiple staff and family interviews, yet the antibiotic was not given, and wound care was inconsistently provided. The resident's care plan included interventions such as regular repositioning, wound treatments, and use of a low air loss mattress, but interviews and observations indicated that repositioning and offloading were not consistently performed. Family members were not adequately informed about the severity of the resident's condition, and staff repeatedly communicated that the resident was well, despite the worsening wound and infection. The resident was eventually transferred to a hospital, where she was found to have severe osteomyelitis and sepsis related to the untreated and deteriorating pressure ulcer. Hospital staff observed that the wound appeared not to have been treated for several days, and the resident was in severe pain. The failure to administer prescribed antibiotics and provide consistent wound care directly contributed to the resident's decline.
Failure to Provide Privacy Covers for Urinary Catheter Bags
Penalty
Summary
The facility failed to provide privacy covers for urinary catheter bags for two residents, both of whom had indwelling catheters due to neuromuscular dysfunction of the bladder. One resident, a male with paraplegia and intact cognition, was observed without a privacy cover on his catheter bag while staff stated that covers would be used when available. The other resident, a female with cerebral palsy and severe cognitive impairment, was also observed multiple times in common areas without a privacy cover on her catheter bag, despite physician orders specifying that a privacy bag should be in place at all times. Staff interviews confirmed that privacy covers were expected to be used, and that their absence was considered a dignity and privacy issue. Further observations revealed that privacy covers were sometimes found in residents' rooms but not in use, and staff indicated that covers could be misplaced, soiled, or removed by residents themselves. The Director of Nursing and other staff acknowledged the importance of privacy covers for maintaining resident dignity, but the facility did not have a policy addressing the use of privacy covers for urinary catheters. The lack of consistent use of privacy covers resulted in a failure to treat residents with respect and dignity, and did not promote the maintenance or enhancement of their quality of life.
Failure to Timely Implement Therapeutic Diet and Fluid Restriction
Penalty
Summary
The facility failed to ensure that a resident with significant medical conditions, including heart failure, end stage renal disease, and dependence on renal dialysis, was provided with a timely and appropriate therapeutic diet and fluid restriction as ordered by the healthcare provider. Documentation showed that after returning from dialysis, the resident had new orders for fluid restriction, but there was a delay in entering and implementing these orders. The physician's order for a 1500 cc fluid restriction was not entered until several days after the dialysis visit, and the care plan referenced the need for dietary interventions related to fluid overload, but timely action was not taken. Interviews with facility staff revealed gaps in communication and follow-up regarding the new diet and fluid restriction orders. The DON stated that new orders from dialysis should be referred to dietary and followed up by the next day, but this process was not completed as required. The physician and consultant dietician both indicated uncertainty about the delay and the process for implementing the orders. Additionally, there was a lack of documentation and follow-up from nursing staff involved in the resident's care, and the facility's policy emphasized the need for resident-centered care in accordance with professional standards, which was not met in this instance.
Failure in Medication Administration Leads to Opioid Overdose
Penalty
Summary
The facility failed to provide appropriate pharmaceutical services to meet the needs of a resident, leading to an incident of accidental opioid overdose. The resident, an elderly female with severe cognitive impairment and multiple health issues, including a recent femur fracture, was prescribed both morphine and Norco for pain management. On a specific day, both medications were administered too closely together, resulting in the resident becoming lethargic with decreased respiratory rate and altered mental status. Emergency services were called, and the resident was administered Narcan to counteract the opioid effects. The resident's medical records indicated that she was on a regimen of scheduled morphine and Norco for breakthrough pain. However, the administration times for these medications were not appropriately spaced, leading to the overdose. Interviews with the nursing staff revealed that the medication aides were responsible for administering narcotics, and there was a lack of clear communication and monitoring regarding the timing and effects of the medications. The physician had prescribed the medications with the understanding that they should be spaced out, but this was not reflected in the administration records. The incident was further complicated by the resident's refusal of food and care due to pain, which may have influenced the decision to administer both medications. The facility's policy on administering medications was not adequately followed, as there was no intervention when the dosage was believed to be inappropriate. The lack of adherence to proper medication administration protocols and monitoring led to the resident's hospitalization and subsequent death from acute toxic encephalopathy.
Medication Administration Error Leads to Resident Overdose
Penalty
Summary
The facility failed to ensure that a resident was free from significant medication errors, specifically involving the administration of morphine and Norco. The resident, an elderly female with severe cognitive impairment and multiple health issues, was admitted with orders for both morphine and Norco to manage her pain. On a particular day, both medications were administered at the same time, leading to the resident becoming lethargic with decreased respiratory rate and altered mental status. This prompted the nurse to call 911, and the resident was subsequently treated for an opioid overdose at the hospital. The resident's medical records indicated that she had been experiencing significant pain due to a femur fracture and was on a regimen of scheduled and PRN pain medications. Despite the administration of these medications, the resident continued to experience pain, which led to the concurrent administration of morphine and Norco. The physician had ordered these medications with the understanding that they should be spaced out, but the facility's medication administration records did not reflect this, resulting in the medications being given too closely together. Interviews with facility staff revealed a lack of awareness and understanding of the proper administration times for these medications. The nurse involved noted the resident's change in condition and took appropriate action by contacting the physician and emergency services. However, the facility's failure to properly schedule and monitor the administration of these medications contributed to the resident's adverse reaction and subsequent hospitalization.
Failure to Conduct Proper Skin Assessments and Provide Timely Care
Penalty
Summary
The facility failed to ensure that Resident #59 received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choices. Resident #59, an elderly female with a history of vascular Parkinson's, cerebral infarction, and contractures in her right elbow and hand, was found to have redness and brown exudate on her contracted right arm and forearm, accompanied by a pungent odor. This condition was not properly assessed or treated, as evidenced by the lack of documented skin assessments and the resident's refusal of care not being adequately addressed. The facility's records indicated that Resident #59 was at risk for developing pressure ulcers and required specific skin treatments, including the application of Nystatin and Interdry to her right elbow. However, the facility failed to conduct regular skin assessments as per the care plan, and there was no documentation of refusals or changes in the resident's condition. Interviews with staff revealed a lack of awareness and communication regarding the resident's skin condition, with some staff members unaware of the severity of the issue until it was brought to their attention by the surveyor. The deficiency was further highlighted by the facility's wound care policy, which required documentation and reporting of any changes in the resident's condition. Despite this policy, there was a failure to notify the appropriate medical personnel in a timely manner, leading to a delay in treatment. The facility's staff, including the DON and ADON, acknowledged the oversight and the potential risks associated with not following the skin assessment policy, such as infection or hospitalization.
Improper Storage of Dented Cans in Kitchen
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as evidenced by the improper storage of dented cans in the dry storage room. During an observation, seven dented cans of tomato soup were found on the rack, which were not stored separately as required. The Dietary Supervisor confirmed that these cans should have been stored away from the dry storage area with other dented cans. The supervisor was absent when the groceries were received, and the dented cans were missed because they were in a case, making the dents not visible. Interviews with the dietary staff revealed that all staff members were responsible for checking groceries for dents, but the oversight occurred due to the packaging. The Dietary Supervisor and aides acknowledged the risk of foodborne illness, specifically botulism, from using dented cans. The facility's Food Receiving and Storage policy, dated November 2022, mandates that dry food and goods be handled and stored to maintain packaging integrity until use, which was not followed in this instance.
Failure to Document Advance Directives for a Resident
Penalty
Summary
The facility failed to ensure that a resident's right to formulate advance directives was honored, as evidenced by the absence of an active physician's order for code status in the resident's records. Resident #165, an elderly female with a history of a femur fracture and type 2 diabetes, was admitted to the facility without a documented code status, such as Full Code or Do Not Resuscitate (DNR), in her medical records. This oversight was identified during a review of the resident's face sheet and physician order summary report, which lacked any indication of her advance directive preferences. Interviews with facility staff, including a CNA, MDS Nurse/LVN, and the Director of Nursing (DON), revealed a lack of clarity and responsibility regarding the entry of advance directives into the system. The MDS Nurse/LVN acknowledged that the admitting nurse was responsible for entering the code status, but upon review, it was found missing from the resident's records. The DON confirmed that the absence of a documented code status could lead to delays in care and uncertainty in emergency situations. The deficiency was attributed to an oversight, with all nursing staff being responsible for ensuring that advance directives are entered upon admission.
Failure to Label and Date Oxygen Tubing
Penalty
Summary
The facility failed to provide appropriate respiratory care for a resident, specifically by not labeling and dating the oxygen tubing as required. This oversight was identified during an observation and interview with the resident, who was using an oxygen concentrator. The resident, who had a diagnosis of acute respiratory failure with hypoxia, was unaware of how often the tubing was changed. The facility's records indicated that the oxygen tubing and humidifier were scheduled to be changed weekly on Mondays during the night shift, but there was no evidence that the tubing was labeled or dated as per protocol. Interviews with staff, including a CNA, MDS Nurse, Admissions Nurse/LVN, and the DON, revealed a lack of clarity and consistency in following the facility's procedures for oxygen administration. The staff acknowledged that the tubing should have been labeled and dated, and the failure to do so was attributed to oversight. The facility's policy required documentation of the date and time of oxygen setup or adjustment, but this was not adhered to, placing the resident at risk of infection and potential respiratory distress.
Medication Administration Error with Midodrine
Penalty
Summary
The facility failed to ensure that a resident was free from significant medication errors, specifically regarding the administration of Midodrine, a medication used to elevate low blood pressure. The resident, a female with a history of hypotension, heart failure, respiratory failure, and atrial fibrillation, was prescribed Midodrine with specific parameters to hold the medication if the systolic blood pressure (SBP) was 120 or higher. However, the medication was administered on two occasions when the resident's SBP was above the prescribed limit, on 10/05/2024 and 10/11/2024. The medication administration records (MAR) indicated that the resident received Midodrine despite having an SBP of 122 on both occasions. Interviews with the medical assistants (MAs) involved revealed that they were aware of the parameters but failed to adhere to them, possibly due to documentation errors or misreading the orders. Both MAs acknowledged the mistake and the potential risk of elevated blood pressure due to the medication being administered outside the prescribed parameters. The Director of Nursing (DON) and the facility administrator confirmed the error upon reviewing the records and acknowledged that the medication should not have been given under those circumstances. The facility's policy on medication administration, which mandates adherence to prescriber orders, was not followed, leading to the medication errors. The report highlights the failure to administer medications as ordered, which could potentially compromise the resident's health.
Unattended and Unlocked Treatment Cart on 200 Hall
Penalty
Summary
The facility failed to ensure that drugs and biologicals were stored and labeled according to professional principles on the 200 Hall and the treatment cart for that hall. On the specified date, the 200-hall treatment cart was left unattended and unlocked in the hallway between rooms, with no nursing staff present. The Administrator and Regional VP observed the unlocked cart and contacted RN C, who was responsible for the cart. Upon arrival, RN C confirmed that the cart should have been locked when not in use and admitted to possibly forgetting to lock it after being called away. An inventory of the treatment cart revealed various medications and supplies, including insulin flex pens, Tylenol pills, Ceftriaxone injectable vials, and Lidocaine vials, among others. RN C acknowledged the importance of locking the cart to prevent unauthorized access and stated she had been trained on this procedure. The Director of Nursing (DON) and the Administrator both confirmed the facility's policy that medication carts must be locked when not in use to prevent unauthorized access. The facility's policy, revised in April 2007, mandates that medication carts be securely locked at all times when out of the nurse's view.
Infection Control Deficiency in Resident Care
Penalty
Summary
The facility failed to establish and maintain an effective infection prevention and control program, as evidenced by the improper hand hygiene practices observed during wound care and incontinence care for a resident. The resident, a female with multiple diagnoses including cerebral palsy, multiple sclerosis, chronic kidney disease, and dysphagia, required extensive assistance with activities of daily living due to moderate cognitive impairment and physical limitations. The resident's care plan indicated the use of an indwelling catheter and assistance needed for personal hygiene. On the day of the observation, LVN A did not wash her hands before entering the resident's room and used the same gloves to adjust the bed and perform wound care, which is against proper infection control practices. After removing the old dressing, LVN A sanitized her hands and donned new gloves to clean the wound and apply a new dressing. However, she then assisted CNA A with incontinence care without proper hand hygiene between tasks. Similarly, CNA A failed to perform hand hygiene before entering the resident's room and before donning gloves for incontinence care. She used the same gloves to retrieve wipes from a multi-use packet multiple times without changing them, which could lead to cross-contamination. Both LVN A and CNA A washed their hands only after completing the care tasks and before leaving the room. Interviews with the staff and review of facility policies confirmed the expectations for hand hygiene, which were not met during these care activities.
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Illustrative
What surveyors actually found near you
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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.
Illustrative
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Angleton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Cypress Woods Care Center | 1 mi | ★★★★★ | 1 | 0 |
| Oak Village Healthcare | 9.2 mi | ★★★★★ | 0 | 0 |
| Creekside Village | 9.3 mi | ★★★★★ | 4 | 0 |
| Brazos Healthcare Center | 10.4 mi | ★★★★★ | 4 | 0 |
| Woodlake Nursing Center | 10.6 mi | ★★★★★ | 2 | 0 |
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