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 Sharpville Residence And Rehabilitation Center during CMS and state inspections, most recent first.
An unlocked and unattended medication cart was observed on the 200 Hall while the assigned LVN was away from the unit. The cart contained OTC meds, RX meds, syringes, lancets, pen needles, inhalation solutions, inhalers, topical creams, and a locked narcotics box. The CMA, LVN, and DON all acknowledged the cart should have been locked when not under direct supervision, and the facility policy required drugs and biologicals to be stored in locked compartments.
The facility failed to provide proper respiratory care for two residents, leading to deficiencies in oxygen therapy and tracheostomy care. One resident did not receive the prescribed oxygen level, and another resident's tracheostomy care was not performed with sterile technique. Despite recent staff training, these practices did not meet professional standards.
A LTC facility reported a 9% medication error rate involving three residents. Errors included incorrect dosages of Sodium Chloride and Valproic Acid, and a missed dose of Losartan Potassium. Staff acknowledged the errors, and the importance of following physician orders was emphasized by the DON and Administrator.
The facility's kitchen failed to meet food safety standards, with expired foods not discarded, improper labeling and dating, and incorrect thawing of ground beef. Observations included food stored on the floor, an uncovered sugar bin, and a scoop left in a flour bin. The Dietary Food Service Manager confirmed these lapses.
A long-term care facility failed to maintain an effective infection prevention and control program, as evidenced by improper wound cleaning techniques, inadequate hand hygiene during incontinence and catheter care, and failure to clean the accu-check machine between residents. These deficiencies involved multiple residents and staff, highlighting significant lapses in infection control practices.
A facility failed to obtain necessary CBC levels for a resident as ordered, despite the resident's complex medical conditions requiring close monitoring. The oversight was due to staff being unaware of the lab order, and the facility could not provide the lab results by the end of the survey.
Unattended Medication Cart Left Unlocked
Penalty
Summary
The facility failed to ensure that drugs and biologicals were stored in locked compartments and accessible only to authorized personnel when a 200 Hall medication cart was found unlocked and unattended. During observation, the cart was left open on the 2nd floor while the assigned LVN was not present on the unit. The cart contained multiple drawers with OTC medications, syringes, prescription medications, lancets, pen needles, liquid OTC and RX medications, solid-form resident prescription medications, inhalation solutions, inhalers, topical creams, and a locked narcotics box inside. In interview, the CMA stated the cart should be locked when unsupervised to prevent unauthorized access, and the LVN later stated she had gone downstairs and thought she had locked the cart. The LVN also stated she had received in-service training two weeks earlier on abuse and neglect and on securing medication carts. The DON stated the medication cart should never have been unlocked and unattended, and the facility policy required all drugs and biologicals to be stored in locked compartments under proper temperature controls and under direct observation during medication pass or otherwise not in the medication storage area cart.
Deficiencies in Respiratory Care for Two Residents
Penalty
Summary
The facility failed to provide appropriate respiratory care for two residents, leading to deficiencies in oxygen therapy and tracheostomy care. For one resident, the facility did not adhere to the physician's orders for oxygen administration. The resident was supposed to receive continuous oxygen at 2 liters per minute, but observations revealed the concentrator was set at 1.5 liters. Despite the resident appearing comfortable and not in respiratory distress, the discrepancy between the prescribed and actual oxygen levels was noted, and the issue had not been reported to the Director of Nursing (DON). Another resident with a tracheostomy required specific care, including tracheal suctioning and changing of the trach tie and inner cannula. However, during an observation, a Licensed Vocational Nurse (LVN) failed to maintain sterile technique while performing tracheostomy care. The LVN did not wash hands or use hand sanitizer between glove changes and did not follow sterile procedures while handling the tracheostomy equipment. This lapse in technique was acknowledged by the LVN, who admitted to not performing the suctioning correctly. Interviews with the DON and Respiratory Therapist (RT) confirmed that the facility's staff had received recent in-service training on tracheostomy care, but the observed practices did not align with the professional standards of practice. The DON acknowledged that improper tracheostomy care could lead to infections and emphasized the importance of following procedures correctly. The facility's policies on oxygen administration and tracheostomy care were not adhered to, resulting in the identified deficiencies.
Medication Administration Errors in LTC Facility
Penalty
Summary
The facility failed to maintain a medication error rate below 5%, resulting in a 9% error rate based on 3 errors out of 32 opportunities. These errors involved three residents who did not receive their medications as prescribed by their physicians. The errors were identified through observation, interviews, and record reviews. Resident #29, who has severe cognitive impairment and multiple health issues, did not receive the correct dosage of Sodium Chloride as ordered. RN A administered only 500 mg instead of the prescribed 1 gram via peg-tube twice a day. This error was acknowledged by RN A, who admitted to not checking the order properly despite having received training on medication administration. Resident #14, who has no cognitive impairment but requires extensive assistance, did not receive Losartan Potassium for hypertension as ordered. MA A failed to administer the medication but initialed the medication administration record as if it had been given. Similarly, Resident #6, with severe cognitive impairment and epilepsy, received an incorrect dosage of Valproic Acid. RN B administered 12 ml instead of the prescribed 10 ml via G-Tube. Both staff members acknowledged their errors, and the Director of Nursing and Administrator emphasized the importance of following physician orders and ensuring correct medication administration.
Food Safety Deficiencies in Facility Kitchen
Penalty
Summary
The facility failed to adhere to professional standards for food service safety in its kitchen, as observed during a survey. Expired foods were not discarded, and foods were not properly labeled and dated. Specifically, a plastic container of pureed sausage was found with a use-by date that had passed, and a container of sour cream was found without a use-by date. Additionally, a plastic container of ground beef was improperly thawed, submerged in water at 78.8 degrees Fahrenheit, with the beef itself at 67.4 degrees Fahrenheit, which is above the recommended safe temperature. Further observations revealed several boxes of food stored on the floor in the kitchen, walk-in refrigerator, freezer, and storeroom, contrary to the facility's policy of storing items at least 6 inches above the floor. A scoop was left in a flour bin, and the sugar and thickener bins were not covered. These practices were confirmed by the Dietary Food Service Manager, who acknowledged the lapses in food safety protocols, including the improper thawing of meat and the failure to store food correctly.
Infection Control Deficiencies in LTC Facility
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by several deficiencies observed during the survey. One significant issue involved the improper technique used by RN A in cleaning a pressure ulcer on Resident #186. Instead of cleaning from the center outward, RN A cleaned the wound in a circular motion, which is contrary to the facility's policy. This improper technique was acknowledged by RN A, who could not recall when she last received in-service training on wound care. Another deficiency was observed with CNA A, who did not perform hand hygiene before or after providing incontinence and indwelling catheter care for Residents #10 and #13. During the care of Resident #13, CNA A failed to open the labia to clean properly and did not change gloves between tasks, which could lead to cross-contamination. Similarly, while caring for Resident #10, CNA A did not clean the perineal area thoroughly and used the same gloves throughout the procedure. These actions were contrary to the facility's hand hygiene policy, which emphasizes the importance of hand hygiene before and after glove use. Additionally, LVN B did not follow proper infection control procedures when using the accu-check machine for blood glucose monitoring. LVN B failed to clean the machine between checks for Residents #136 and #5, which could result in contamination. This lapse in protocol was acknowledged by LVN B, who admitted to having received in-service training on infection control. The facility's Director of Nursing (DON) confirmed that the accu-check machine should be cleaned between resident checks to prevent infection, highlighting a gap in adherence to infection control practices.
Failure to Obtain Timely Laboratory Services
Penalty
Summary
The facility failed to obtain necessary laboratory services for a resident, specifically not obtaining CBC levels as ordered on 6/6/2024. This oversight was identified during a review of the resident's medical records, which showed that the last CBC labs were conducted on 02/08/2024, 01/25/2024, and 10/12/2023. The resident, an elderly female with multiple medical diagnoses including Alzheimer's Disease, dementia, and acute kidney failure, was scheduled for a CBC test on 6/6/2024, but the test was not performed. The resident was also on Eliquis, requiring anticoagulant monitoring, which further necessitated the CBC test. Interviews with facility staff revealed a lack of awareness regarding the lab order. RN B, responsible for the resident, was unaware of the CBC test ordered for 6/6/2024 and did not recall signing off on it. The DON also confirmed the presence of a lab order for 6/24/2024 but was unaware of the 6/6/2024 order, suggesting it might have been a routine lab or preparation for a doctor's visit. The facility was unable to provide the lab results by the end of the survey, indicating a lapse in following through with the necessary laboratory services for the resident.
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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) |
|---|---|---|---|---|
| Clarewood House Extended Care Center | 0.2 mi | ★★★★★ | 2 | 0 |
| University Place Nursing Center | 1.5 mi | — | 0 | 0 |
| The Lev At Town Park | 1.6 mi | ★★★★★ | 2 | 2 |
| Woodway Nursing & Rehab | 1.7 mi | — | 6 | 2 |
| The Buckingham | 2 mi | ★★★★★ | 8 | 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.