Health inspection·March 14, 2024

F 0620 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review the facility failed to establish and implement policies addressing resident admission to the facility for one (Resident #1) of three residents reviewed for admissions. The facility failed to provide Resident #1 with an admission packet upon admission. This failure could affect residents by placing them at risk for not being aware of what services the facility is providing. Findings included: Review of Resident #1's facesheet printed on 03/14/24 revealed the resident was a [AGE] year-old female admitted to the facility on [DATE]. Her diagnoses included cerebral infarction (heart attack), aphagia (difficulty speaking), muscle weakness, dysphagia (difficulty swallowing), need for assistance for personal care, and seizures. Review of Resident #1's progress notes revealed she was discharged from the facility on 02/05/24. Interview on 03/13/24 at 10:25 AM with Resident #1's family revealed when Resident #1 was admitted to the facility, they were not asked to fill out any type of admission paperwork or given any paperwork from anyone . Interview on 03/14/24 at 2:12 PM with the BOM revealed she began working at the facility on 02/05/24 and things in the business office were a mess. The BOM said admission paperwork had not been completed for some of the residents by the previous BOM. She further stated Resident #1 did not have any admission paperwork in her file. She stated they were trying to go back and complete things that had not been done and she was now making sure all new residents has admission paperwork and was trying to complete the paperwork on the residents that did not have any. Interview on 03/14/24 at 3:24 PM with the Administrator revealed she began working at the facility on 02/05/24. She stated she was not aware admission paperwork had not been completed for some residents by the previous BOM. The Administrator said the admission packet contained financial information such as the transition from Medicare and Medicaid. Other things included in the packet included, resident rights, and who to contact in case they had a grievance. The Administrator further stated it was important to residents/responsible parties to have the admission packet because it gave residents/responsible parties financial information to ensure they were being billed correctly. Page 1 of 2 455572 455572 03/14/2024 Wedgewood Nursing Home 6621 Dan Danciger Rd Fort Worth, TX 76133

F 0620 Review of the facility's Admissions policy, revised April 2008, reflected the following: Level of Harm - Minimal harm or potential for actual harm It is Company policy that the Financial and Social admission Agreement be used for every admission. The goals of an effective admission process are to: Residents Affected - Few .Inform residents, family members, and resident representatives of their rights and responsibilities .Educate the resident about all available third party programs Inform the resident about any programs in which he/she is entitled to participate and about any benefits available under these programs .A. admission Packets The Financial and Social admission Agreements should be printed from [computer location] on each facilities computer system .2. Providing the resident/representative with: A. Copy of admission Agreements 455572 Page 2 of 2