Health inspection·February 10, 2026

F 0773 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review the facility failed to promptly notify the ordering physician regarding laboratory results outside of clinical reference range for 1 of 3 residents (Resident #1) reviewed for laboratory services. The facility did not ensure the physician was promptly notified when Resident #1's urinalysis results completed on 01/29/26 indicated a urinary tract infection, resulting in a delay in treatment until 02/04/26. This failure could place residents at risk of not receiving lab services as ordered and not providing timely treatment.Findings included: Record review of Resident #1's quarterly MDS assessment, dated 12/11/25, reflected a [AGE] year-old female with an admission date of 09/27/24. Resident #1 had a BIMS score of 15, which indicated she was cognitively intact. She required partial to moderate assistance with activities of daily living, was occasionally incontinent of bladder and frequently incontinent of bowel. Diagnoses included heart failure, dementia and chronic obstructive pulmonary disease (lung diseases that make it hard to breath by restricting air flow). Record review of Resident #1's physician's verbal orders dated 01/27/26, reflected, UA with C&S if indicated one time only. written by LVN C. Record review of Resident #1's Urinalysis lab report completed on 01/29/26, reflected, Urine Nitrates- Positive- (usually indicate a urinary tract infection) .Urine WBC- too many to count (indicate the immune system is fighting infection or inflammation in the urinary tract) . Record review of Resident #1's Physician order summary report dated 02/10/2026 reflected, Macrobid oral capsule 100 mg (antibiotic used to treat uncomplicated urinary tract infections) Give 1 capsule by mouth two times a day for UTI for 10 days.start date 02/04/26. In an interview with Resident #1 on 02/10/26 at 8:30 a.m. she stated she was finally feeling a little better. She stated it took the facility forever to treat her urinary tract infection. She said she told the staff she was having burning on urination and knew she had a urinary tract infection. She stated LVN C brought her a specimen cup, but stated she could not remember the exact date. She stated after they took the specimen it took 5-6 days to get any medication. She stated the urinary burning had stopped. She stated she was still taking the medication the doctor ordered for her. In an interview with LVN A on 02/10/26 at 2:20 p.m. she stated she was the primary charge nurse on the 6 a.m. to 2 p.m. shift. She stated the process they had in place when labs were ordered was they place it on the 24-hour report for follow up. She stated when they received the lab results they review it and either text the MD with the results or faxed it to the physician's office. She stated she notified the physician on 02/03/26 by text message. She stated she was not sure why the MD was not notified sooner. She stated that was the week of the ice storm and stated the MD's office was closed during that time. In an interview with LVN B on 02/10/26 at 2:35 p.m. she stated she worked the 10 p.m. to 6 a.m. shift. She stated any time they have outstanding labs she checks the electronic record to see if the lab results have been uploaded. She stated if they had been uploaded, she prints off the results and places them in the physician's binder for the day shift to call the MD with results. She stated (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: 455563 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 455563 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/10/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Denison Nursing and Rehab 601 E Hwy 69 Denison, TX 75021 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)