Inspection·December 10, 2025

F 0558 Reasonably accommodate the needs and preferences of each resident. 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 ensure the resident had the right to reside and receive services in the facility with reasonable accommodations of resident needs and preferences except when to do so would endanger the health or safety of the resident or other residents for 3 of 8 residents (Residents #1, #2, & #3) reviewed for resident rights.The facility failed to ensure Residents #1, #2, & #3's call lights were within reach on 12/09/2025.This failure could place residents at risk of their needs not being metFindings include:Record review of Resident #1's admission record, dated 12/10/2025, reflected a [AGE] year-old female who was admitted to the facility on [DATE]. Resident #1 had diagnoses which included: Epilepsy (a brain disorder causing recurrent seizure), Alzheimer's disease (progressive brain disorder that slowly destroys memory and thinking skills), and muscle weakness (loss of strength in muscles making it difficult to move or perform physical task).Record review of Resident #1's admission MDS assessment, dated 10/15/2025, reflected Resident #1 had a BIMS score of 99, which indicated severe cognitive impairment. Resident #1 was dependent in the areas of shower/bathe self, upper body dressing, lower dressing, putting on/taking off footwear and personal hygiene. Record review of Resident #1's care plan, dated 12/10/2025, reflected Resident #1 was care planned for high risk for fall r/t unaware of safety needs, gait/balance problems, and seizure activity. Resident #1 had an intervention of be sure the resident's call light is within reach and encourage the resident to use it. During observations on 12/09/2025 at 10:29am and 2:47pm, Resident #1's call light was observed hanging towards the ground on the right side of her bed Resident #1 could not be interviewed due to her cognitive status. Record review of Resident #2's admission record, dated 12/10/2025, reflected a [AGE] year-old male who was admitted to the facility on [DATE]. Resident #2 had diagnoses which included: chronic idiopathic constipation (long last/frequent constipation), essential primary hypertension (high blood pressure), unsteady feet (feeling wobbly, off balance, or like you might fall while walking or standing), and muscle weakness (loss of strength in muscles making it difficult to move or perform physical task).Record review of Resident #2's Quarterly MDS assessment, dated 10/08/2025, reflected Resident #2 had a BIMS score of 07, which indicated severe cognitive impairment. Resident #2 was dependent in the areas of toileting hygiene, shower/bathe self, upper body dressing, lower dressing, putting on/taking off footwear and personal hygiene. Record review of Resident #2's care plan, dated 12/10/2025, reflected Resident #2 was care planned for at risk for falls. Resident #2 had an intervention of be sure the resident's call light is within reach and encourage the resident to use it. During an observation on 12/09/2025 at 10:31am, Resident #2's call light was observed hanging towards the ground on the left side of his bed. During an interview with Resident #2 on 12/09/25 at 10:31am, Resident #2 stated that he could not reach his call light, and he would have to yell for assistance if he needed it. Resident #2 stated his call light was never in reach and must wait for staff to pass by to get assistance. Record review of Resident #3's admission record, dated 12/10/2025, Residents Affected - Some (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: 455515 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 455515 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/10/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Copperas Cove Nursing & Rehabilitation 607 W Ave B Copperas Cove, TX 76522 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)