F 0550
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or
her rights.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observations, interviews and record reviews, the facility failed to treat the residents with respect and dignity
for 1 (Resident #1) of 3 residents reviewed. 1. The facility failed to place Resident #1's name on the
nameplate outside her room. 2. CNA A failed to wear her name tag when she provided care to Resident #1
.This failure placed residents at risk of needs not being met and not having their rights and dignity
respected.Findings Included:Record Review of Resident #1's admission Record revealed Resident #1 was
a [AGE] year-old female admitted to the facility on [DATE] with a primary diagnosis of Acute and Chronic
Respiratory Failure with Hypoxia (a life-threatening, sudden worsening of gas exchange in patients with
pre-existing, long-term lung disease) Record Review of Resident#1's Care Plan revision date 03/20/2025
revealed; Focus for Resident #1 is at increased dependence on staff for activities, cognitive stimulation,
social interaction r/t previous condition. Interventions included introduce Resident #1 to residents with
similar background encourage/facilitate interaction. Focus for Resident #1 communication problem as she is
hard of hearing and required longer time to process. Goal; Resident #1 was able to make basic needs
known on a daily basis through the review date. Interventions: Encourage resident to continue speaking
even if resident was having difficulty. Focus on a word or phrase that makes sense or responds to the
feeling resident is trying to express. Record review of Resident #1's Minimum Data Set Nursing Home
Quarterly Item Set dated 02/01/2026 revealed; Resident #1 had a BIMS score of 14, which indicated the
resident was cognitively intact. Section GG-Functional Abilities (Self-Care); Resident #1 was Dependent
-Helper does ALL of the effort. Resident does none of the effort to complete the activity. Or. The assistance
of 2 or more helpers is required for the resident to complete the activity. Resident #1 required assistance for
Eating, Oral hygiene, Toileting hygiene, Shower/bathe self, Upper body dressing, Lower body dressing,
putting on/taking off footwear, and Personal hygiene. Observation on 02/18/2026 at 11:23 AM revealed the
nameplate outside Resident #1's room was not present even when there was a resident in that room. The
door was closed and when it opened, two staff members, one of them being CNA A, were observed
walking out of the room. CNA A walked out of Resident #1's room without a nametag on her uniform.
Interview on 02/18/2026 at 11:28 AM with Resident #1 revealed not all the staff wear their name tags or
identify themselves when she asks them their names. She stated she wanted to know their names because
she would like to know who was providing care. Interview on 02/18/2026 at 1:02 p.m. with ADON B
revealed Resident #1 was moved from a room on the isolation hall to current. She stated it was important to
have a name on the nameplate, so staff knew whom they were providing care. When the resident moved
rooms, her name should be placed on the nameplate. ADON B stated the risk was not identifying the right
person. Interview on 02/18/2026 at 1:58 PM with CNA C revealed staff were trained to knock on the
resident's door and identify themselves when they enter the room. CNA C stated the risk was if staff were to
go into a resident's room and they do not know who the staff was, the staff may
(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
02/18/2026
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 0550
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
scare the residents. She stated that when a resident's property was moved it was important that the name
was placed outside the new room because staff need to know who was in that room for documentation and
care purposes. Interview on 02/18/2026 at 2:17 PM with CNA A revealed; she forgot her name tag in her
car. She stated it was important to have name tags on to identify themselves to the residents and let them
know what care they will be performing. CNA A stated the residents had the right to proper care, the right to
dignity and respect and the right to a safe space and safe area. Interview on 02/18/2026 at 2:33 PM with
DON revealed the residents had a right to dignity and their room was their home. DON stated staff were to
knock and identify themselves before they enter and provide care. The expectation was staff come to work
in their uniform which included wearing a name tag. Interview on 02/18/2026 at 2:38 PM with ADMIN
revealed residents have a right to safe place and safe care. Staff were expected to provide a homelike
environment. ADMIN stated the expectation was to knock and introduce themselves to the resident before
they provide care. The expectation was that staff wear their name tag. The risk was that residents may not
know which staff member was in their room. Staff were given a name badge as part of their uniform and if
they did not have one, they were to go to HR to receive a replacement. Review of Resident Rights policy
date revised: 8/2020 revealed; Employees are to treat all residents with kindness,respect, and dignity and
honor the exercise of residents' rights. D. Be fully informed and participate in his/her treatment including
being fully informed in alanguage that he or she can understand of his/her total health status including
his/her medical condition.Review of Dress Code policy titled Dress Code and Personal Appearance not
dated revealed; Employees are required to wear a nametag unless the facility has a specific policy stating
otherwise (e.g. IDD facilities). This identifies you and prevents unauthorized people from being in the
location.
Event ID:
Facility ID:
455494
If continuation sheet
Page 2 of 2