Above average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
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 Oak Bend Medical Center during CMS and state inspections, most recent first.
A CNA did not change gloves or perform hand hygiene while providing incontinent and catheter care to a resident with a compromised immune system, despite facility policy and the resident's care plan requiring these infection control measures. Staff interviews confirmed knowledge of proper procedures, but the observed care did not meet infection prevention standards.
Failure to Follow Infection Control and Hand Hygiene During Incontinent Care
Penalty
Summary
Certified Nursing Assistant (CNA) B failed to follow proper infection control and hand hygiene procedures while providing incontinent and catheter care to a male resident with a history of septic arthritis and a compromised immune system. During the observed care, CNA B did not change gloves or perform hand hygiene after removing a soiled brief and before applying a clean one, despite facility policy and the resident's care plan requiring these steps to prevent infection. Both CNA B and another CNA initially washed their hands and donned personal protective equipment, but CNA B continued to use the same gloves throughout the entire process, only removing them and washing hands after care was completed. Interviews with staff revealed that they were aware of the correct procedures, including the need to change gloves and perform hand hygiene when moving from dirty to clean tasks, but CNA B acknowledged not following these protocols during the observed care. The facility's infection control policy, revised in June 2024, requires standard precautions for all residents, including proper hand hygiene and glove changes to prevent cross-contamination. The failure to adhere to these procedures was confirmed through observation, staff interviews, and record review.
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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 Richmond
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Richmond Health Care Center | 0.5 mi | ★★★★★ | 0 | 0 |
| Paradigm At The Brazos | 0.8 mi | ★★★★★ | 0 | 0 |
| Cambridge Health And Rehabilitation Center | 1.2 mi | ★★★★★ | 8 | 0 |
| Rosenberg Health & Rehabilitation Center | 2.1 mi | ★★★★★ | 5 | 1 |
| Fort Bend Healthcare Center | 4.1 mi | ★★★★★ | 6 | 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.