Health inspection·March 31, 2025

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to ensure that all alleged violations involving abuse, neglect, or mistreatment, including injuries of unknown source were reported immediately to the State Survey Agency, within two hours, if the events that cause the allegation involve abuse or result in serious injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury for 1 resident (Resident #2) of 3 residents reviewed for abuse/neglect, The facility did not report the allegation of resident abuse to the State Survey Agency within the frame for Resident #1 who had been found with drug paraphernalia in his room. This failure could place all residents at increased risk for potential abuse due to unreported allegations of abuse and neglect. The findings included: Record review of Resident #2's face sheet dated 03/30/2025 reflected she was a [AGE] year-old male who was admitted to facility on 7/19/2023, relevant diagnoses were cerebral infarction (disrupted blood flow to the brain), gastrostomy (an opening into the stomach from the abdominal wall for introduction of food), chronic obstructive pulmonary disease ( a group of diseases that cause long-term inflammation and damage to the airways and lungs, leading to breathing difficulties). Record review of Resident #2's quarterly MDS dated [DATE] reflected, Resident #2's BIMS score was 11 (moderate cognitive impairment). Resident #2 was impaired on both upper and lower extremities. Record review of Resident #2's progress notes dated 02/03/2025 at 23:16 p.m., revealed in part Staff detected a strong smoke odor from resident's room. Asked if he had been smoking and flatly denied hadn't smoked in his room and that he did not have anything with him. Staff searched drawers and found drug paraphernalia, removed from room. During an interview on 03/30/2025 at 11:45 a.m., LVN C said she was walking down the 100 hallway and detected a strong smoke odor from Resident #2's room. LVN C said that she asked resident if he had been smoking and resident denied been smoking in his room. LVN C said that she searched the room and found drug paraphernalia (refers to any equipment used for producing, concealing, or consuming illicit drugs. This includes items like bongs, roach clips, miniature spoons, and various types of pipes. In general, paraphernalia are the tools, accessories, or objects associated with a particular activity or lifestyle) and immediately removed it from room. LVN C said that she reported to the ADON. (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 7 Event ID: 455423 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 455423 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/31/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Mesa Hills Post Acute 901 Wildrose LN Brownsville, TX 78520 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)