Inspection·July 10, 2023

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 each resident received services in the facility with reasonable accommodation of resident needs and preferences for 2 of 4 residents (Resident #1 and Resident #2) reviewed for accommodation of needs. Residents Affected - Few The facility failed to ensure that on 7/4/2023 Resident #1 and Resident #2 had properly fitting bariatric briefs available for incontinent episodes to meet the needs of each resident. This failure could place residents at risk of not receiving care or attention needed. Findings include: Record review of Resident #1's face sheet dated 7/6/2023 revealed a [AGE] year-old female admitted to the facility 4/30/2021 and re-admitted on [DATE]. Her diagnoses included: Fracture of the large bone of the left thigh, muscle weakness with repeated falls and difficulty walking. Record review of Resident #1's quarterly MDS assessment dated [DATE] revealed her BIMS score was 15 of 15 which indicated no cognitive impairment. Resident #1 required 2-person assistance regarding transfers and required 1 person physical assistance with bed mobility, toileting and bathing. Urinary Continence was coded as 2 -Frequently incontinent (7 or more episodes). Bowel continence was coded as 2 - frequently incontinent (2 or more episodes). Record review of Resident #1's weight summary revealed a height of 67 inches and as of 7/6/2023 a weight of 249 pounds with a BMI (measure used to calculate a healthy weight) of 39.1 indicative of obesity. Record review of Resident #2's face sheet dated 7/10/2023 revealed a [AGE] year-old female admitted to the facility 12/23/2022. Her diagnoses included: morbid obesity due to excess calories, generalized muscle weakness, stage 3 kidney disease. Record review of Resident #2's quarterly MDS assessment dated [DATE] revealed her BIMS score was 15 of 15 which indicated no cognitive impairment. Resident #2 required 2-person assistance regarding transfers and required 1 person physical assistance with bed mobility and toileting. Resident #2 was dependent on facility staff for bathing. Urinary Continence was coded as 2 -Frequently incontinent (7 or more episodes). Bowel continence was coded as 2 - frequently incontinent (2 or more episodes). Record review of Resident #2's weight summary revealed a height of 63 inches and as of 6/2/2023 a weight of 391.4 pounds with a BMI of 69.3 indicative of morbid (life threatening) obesity. (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: 455576 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 455576 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/10/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Richland Hills Rehabilitation and Healthcare Cente 3109 Kings CT Fort Worth, TX 76118 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)