F 0880
Provide and implement an infection prevention and control program.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, and record review, the facility failed to establish and 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 1 of 3 (Resident #1)
reviewed for infection control. The facility failed to identify on the exterior of Resident #1's room that contact
precautions were required before entering and did not provide the appropriate PPE at or near the door for
Resident #1. This failure could place residents at risk of being infected by staff in contact with other
residents with infections. Findings Included: A record review of Resident #1's MDS, dated [DATE], reflected
that she was a [AGE] year-old female that admitted to the facility on [DATE] and she had a BIMS score of
14, which indicated intact cognitive function. She was incontinent of bowel and bladder, and she required a
wheelchair for mobility. A record review of Resident #1's face sheet, dated 12/28/2025, revealed her primary
diagnosis was enterocolitis due to clostridium difficile (severe inflammation of the intestines, usually the
colon, triggered by C. diff bacteria overgrowth after antibiotics disrupt gut flora, causing watery diarrhea,
cramping, fever, and potentially life-threatening complications like sepsis or toxic megacolon). A record
review of Resident #1's physician orders revealed an order for an infectious disease consult dated
12/19/2025. An observation of the exterior of Resident #1's door on 12/28/2025 at 10:05am revealed there
were not any signs posted on the exterior of the room indicating the resident was on enhanced barrier
precautions and/or contact precautions. Additionally, there was not any PPE outside the room in a cart nor
hanging on the exterior of the door. No staff were observed to enter the room between 10:10am and
10:30am. During an interview with Resident #1 on 12/28/2025 at 10:10am, she stated she still had diarrhea
sometimes and her stomach was not the best. Resident #1 stated she received antibiotics twice a day.
Resident #1 stated she cannot leave the room because she was in isolation for her infection, but she wants
to go back to her room and be able to go to the dining room. During an interview with the DON on
12/28/2025 at 11:30am, she stated there was one resident in the facility that was on contact precautions
due to a C. diff infection. She further stated that resident was previously on enhanced barrier precautions
due to a wound on her bottom that she had taken antibiotics for. The DON further stated that resident
returned from the hospital about a week ago where she was not in isolation because her hospital lab tests
came back negative for C. diff, but the facility tests resulted in a negative and then positive result, so they
have implemented contact precautions and placed the resident on isolation, in accordance with their policy.
The DON stated a referral has been requested for infectious disease to evaluate Resident #1 to determine
if she still needs to be in isolation or not. When told that there was not any indication on the door that
contact precautions were required and there was not any PPE outside the room, she stated there should be
a sign on the door and she did not know why it was not. The DON further stated the PPE cart had been
taken by the staff to the supply closet to be refilled and was
Residents Affected - Few
(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 2
Event ID:
455494
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
455494
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/28/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Glenview Wellness & Rehabilitation
7625 Glenview Dr
North Richland Hills, TX 76180
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)
F 0880
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
placed back by the door. The DON stated that staff knew they needed to wear the appropriate PPE (gowns
and gloves) to provide care to Resident #1 and all residents identified to require enhanced barrier
precautions. The DON stated the risk of not identifying contact precautions were in place is that the
infection could spread. A record review of the facility's Infection Prevention and Control Program, dated
10/24/2022, did not directly address the need to have signs posted on the door for infection control, but
reflected the following: The facility must establish an Infection Prevention and Control Program under which
it: Infection Control Committee:iii. Develop isolation precaution protocols when control of an infectious or
communicable disease or disease risk is required in accordance with current Centers of Disease Control
(CDC) guidelines and recommendations including but not limited to: The type and duration of the isolation
depending on the infectious agent organism involved, and a requirement that the isolation should be the
least restrictive possible for the resident under the circumstances. iv. Identify situations that may result in
the employee's exposure to blood, body fluids, or other potentially infectious materials. Duties and
Responsibilities: iv. Review food handling practices, laundry practices, waste disposal, pest control, traffic
control, visiting rules for high-risk areas, and sources of airborne infection. xv. Reviews isolation precaution
techniques and procedures and helps ensure that Facility staff, residents and visitors follow established
procedures/precautions. xxi. Help assure that an adequate amount of protective supplies (i.e., gowns,
gloves, masks, etc.) are on hand and readily accessible for handling infectious wastes, blood and/or body
fluids.
Event ID:
Facility ID:
455494
If continuation sheet
Page 2 of 2