High Hope Care Center of Brenham

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a resident who was unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for three of eight residents (Resident # 9, Resident #19, and Resident # 37) reviewed for ADL care. The facility failed to ensure Resident #9, Resident #19 and Resident #37's nails were cleaned on 03/24/2026. This failure could place residents at risk of not receiving services or care, diminished quality of life, and decreased self-esteem.

Inspectors wroteBased on interview and record review, the facility failed to provide an ongoing activity program to support residents in their choice of activities, both facility sponsored group and individual activities, and independent activities, designed to meet the interests of and support the physical, mental, and psychosocial well-being of each resident, encouraging both independence and interaction in the community for 2 (Residents #9, and #37) of 6 residents reviewed for activities. The facility failed to provide activities for Resident #9, and Resident #37to meet their psycho-social and mental well-being for the months of January, February and March 2026. This failure could place residents at risks of boredom, depression, behavior, diminished quality of life and decreased cognitive function.

Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure each resident was treated with respect, dignity and care for 1 of 4 residents ( Resident #9) observed for resident rights. The facility failed to ensure Resident # 9's privacy curtain was used or the door to her room was closed when she her private area was exposed when lying in bed. This failure could place residents at risk of feeling embarrassed and diminish the resident's quality of life.

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure that the resident environment remained as free of accident hazards as was possible and that each resident received adequate supervision and assistance devices to prevent accidents for 1 of 4 ( Resident #37) reviewed for accidents hazards and supervision. The facility failed to ensure Resident # 37's fall mat was in place on 03/19/2026. This failure could place resident at risk for falls with the possibility of injury, including fractures.

Inspectors wroteBased on interview and record review the facility failed to maintain an Antibiotic Stewardship program for 1 of 1 facility's reviewed for Antibiotic Stewardship. The facility failed to provide the track and trending log to include Resident #45 and Resident #48, who were receiving UTI prophylactic antibiotics. This failure could place residents receiving antibiotics at risk for unnecessary antibiotic use, inappropriate antibiotic use, and increased antibiotic-resistant infections.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents receive care consistent with professional standards of practice, to prevent pressure ulcers unless the individual's clinical condition demonstrates that they were unavoidable; and once developed, failed to ensure necessary treatment and services to promote healing for one (Resident #46) of three residents reviewed for pressure ulcers. The facility failed to ensure Resident #46 who was admitted to the facility on [DATE] without a pressure ulcer to his right lateral calf did not develop a pressure ulcer. The facility failed to ensure interventions were in place to perform skin checks under his right leg brace and Resident #46 developed an unstageable DTI (deep tissue injury, a pressure-related injury to subcutaneous tissues under intact skin.) to his right lateral calf on 09/27/2024 . [...]

Inspectors wroteBased on observations, interviews, and record review, the facility failed to serve foods that were palatable and attractive and prepare food by methods that conserve nutritive value, flavor, and appearance for 1 of 1 kitchen observed. 1. The test tray of the lunch meal included foods that were bland, unappealing, and inedible. 2. The facility failed to follow the recipe of the cabbage and did not include spices or prepare the dish as the recipe was written. These failures could place residents at risk of decreased food intake, hungry, unwanted weight loss, and diminished quality of life.

Inspectors wroteBased on observation, interview and record review, the facility failed to prepare, distribute, and serve food in accordance with professional standards for food service safety in one of one kitchen observed for food storage, preparation, and distribution. 1. The facility failed to ensure the low-temperature dishwasher reached manufacture temperature settings for each cycle. 2. Cook L and Dietary Manger failed to perform hand hygiene when preparing food and performing tasks in kitchen. These failures could place residents at risk for health complications, foodborne illnesses and decreased a quality of life.

Inspectors wroteBased on observation, interviews, and record reviews, the facility failed to treat residents with respect and dignity and care for them in a manner and in an environment that promoted maintenance or enhancement of their quality of life for three (Resident # 33, Resident # 49 and, Resident #162) of seven residents reviewed for resident rights. 1. The facility failed to ensure Resident #33 and Resident #49 were served their lunch tray at the same time as other residents that were seated at the same table. 2. The facility failed to treat Resident #162 with respect and dignity when the staff was standing while feeding Resident #162. This failure placed residents at risk of a diminished quality of life and embarrassment.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the resident's right to a safe, clean, comfortable, and homelike environment for 4 of 9 residents reviewed for environment (Residents #7, #22, #26 and #46). A) The facility failed to ensure Resident #7's wheelchair was clean. B) The failed to ensure Resident #22 and Resident #26's wheelchairs were maintained. C) The facility failed to ensure Resident #46's room was at a comfortable temperature on 01/07/2025 and 01/08/2025 and failed to ensure a broken window in his room was repaired. These failures placed residents at risk of discomfort and diminished quality of life.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure each room was designed or equipped to assure full visual privacy for 6 (Rooms 35, 36, 38, 39, 40, 41) of 6 dual occupancy rooms and 4 of ( Rooms 92, 93, 94 and 95) of 4 single occupancy rooms reviewed for privacy in the facility. The facility failed to ensure that dual occupancy rooms and single occupancy rooms were provided with ceiling suspended curtains, which extended around the bed, to provide total visual privacy. This failure could lead to a lack of privacy for residents, allow residents' private medical treatment to be observed by roommates or others, and lead to a decline in psychosocial well-being.

Inspectors wroteBased on observation, interviews, and record review, the facility failed to ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming and personal and oral hygiene for two of six residents ( Resident #43 and Resident #59) reviewed for quality of life. The facility failed to ensure Resident #43 and Resident #59 nails were cleaned, trimmed, and did not have any rough edges on 01/07/2025. These failures could place residents at risk for not receiving adequate care and services to prevent infection, injury, and diminished quality of life.

Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one of (Resident #33) of five residents reviewed for quality of care. The facility failed to ensure Resident #33's geri sleeves were applied daily as ordered. This failure could place residents at risk of not receiving necessary preventative measures, and result in medical care, harm, and hospitalization.

Inspectors wroteBased on interviews and record reviews, the facility failed to ensure residents who are trauma survivors received culturally competent, trauma-informed care in accordance with professional standards of practice and accounting for residents' experiences and preferences in order to eliminate or mitigate triggers that may cause re-traumatization for one (Resident #35) of two residents reviewed for quality of care. The facility failed to ensure that Resident #33's potential triggers were care planned. This failure could place residents at increased risk for psychological distress due to re-traumatization.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment, and to help prevent the development and transmission of communicable diseases and infections, for one of one medication aides (MA P) observed for infection control practices during medication pass. MA P failed to sanitize the blood pressure cuff during medication pass after using it on Resident #40. This failure could place residents who require assistance with medication administration at risk for healthcare associated cross-contamination and infections.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure each room was designed or equipped to assure full visual privacy for 11 (Rooms 13, 17, 35, 39, 40, 41, 55, 56, 63, 72, and 79) of 11 dual occupancy rooms reviewed for privacy in the facility. The facility failed to ensure that dual occupancy rooms were provided with ceiling suspended curtains, which extended around the bed, to provide total visual privacy. This failure could lead to a lack of privacy for residents, allow residents' private medical treatment to be observed by roommates or others, and lead to a decline in psychosocial well-being.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure 1of 18 residents reviewed with limited range of motion (Resident #11), received appropriate treatment and services to prevent a decline in range of motion. The facility failed to ensure Resident #11 had interventions in place for his bilateral hand contractures (A permanent tightening of the muscles, tendons, skin, and surrounding tissues that causes the joints to shorten and stiffen and a decrease in ROM) to prevent further decline of the range of motion in his hands. This failure could place residents with contractures at risk for decrease in mobility, range of motion, and contribute to worsening of contractures. Findings Include: [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide respiratory care consistent with professional standards of practice for 2 of 4 residents (Resident #11 and Resident #45) reviewed for respiratory care. A) The facility failed to ensure Resident #11's oxygen concentrator filter were kept clean for his use. B) The facility failed to ensure Resident #45's oxygen concentrator filter were kept clean for his use. These failures could place all residents who use respiratory equipment at risk for respiratory infections.