Health inspection·January 24, 2025

F 0919 Make sure that a working call system is available in each resident's bathroom and bathing area. 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 an adequate communication system to allow residents to call for staff assistance for 1 of 6 rooms (Room # 1's room) on the PCC hallway reviewed for an operating call light system. Residents Affected - Few The facility failed to ensure Resident #1's room had an operating call light system. This deficient practice could place residents at-risk of not being able to call for staff assistance to meet care needs. The findings include: Record review of (Resident #1's) face sheet, dated 1/22/25, revealed an admission date of 3/5/24 for the [AGE] year male with diagnoses which included: type 2 diabetes( a condition in which the body does not control blood sugar), essential hypertension( a condition in which high blood pressure develops), and unspecified gout (a painful form of arthritis). Record review of (Resident #1's) Quarterly MDS assessment, dated 11/29/24, revealed the resident had a BIMS score of 13, which indicated intact cognition. Resident #1 needed moderate assistance with ADL care. Record review of (Resident #1's) care plan, initiated on 2/1/24 revealed the resident was at risk for injury due to a history of falls and that call light accessibility was monitored. Observation on 1/21/25 at 2:40 p.m., revealed that the call light for Resident #1 was not working with a visible light above the resident room when the call light was engaged and an audible call signal was not heard at the nurses station During an interview on 1/21/25 at 2:45 p.m., Resident #1 stated that he does use his call light sometimes to request nursing assistance. Resident #1 stated he was not aware the call light was not working. During an interview on 1/21/25 at 3:10 p.m., with the Maintenance Director he stated that Resident #1's call light was not working with a visible light above the resident room or an audible call signal heard at the nurses station when the call light was engaged. He stated that he was not made aware of the call light malfunction and would repair it immediately. During an interview on 1/21/25 at 3:20pm with LVN-B she stated that she was not aware of the call Page 1 of 3 455597 455597 01/24/2025 Memorial Medical Nursing Center 307 W Cypress St San Antonio, TX 78212

F 0919 Level of Harm - Minimal harm or potential for actual harm light malfunction. LVN-B stated that a working call light system was necessary in order for resident care needs to be met. Review of Facility's policy titled Answering the Call Light dated 07/23 revealed the call light is to be plugged in and operating at all times. Residents Affected - Few 455597 Page 2 of 3 455597 01/24/2025 Memorial Medical Nursing Center 307 W Cypress St San Antonio, TX 78212

F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public on 1 (West Hall Downstairs) of 4 resident hallways reviewed for environmental concerns. On [NAME] Hallway Downstairs- the facility failed to repair the overhead 5x2 ft light in the unmarked resident shower room on the right side of the resident hallway between resident rooms [ROOM NUMBERS] which was not operable and the overhead 1 ft circular ceiling heater in the unmarked resident shower room on the left side of the resident hallway between rooms [ROOM NUMBERS] was not operable. These failures could place residents at risk of a diminished quality of life due to exposure to an environment that was unpleasant and unsafe. The findings included: During an observation on 01/22/25 from 10:20 a.m to 10:30 a.m. with the Maintenance Director and the Assistant Director of Nurses(ADON-A) revealed the following: a- in the unmarked resident shower room on the right side of the resident hallway between resident rooms [ROOM NUMBERS] the overhead ceiling light which measured approximately 5x2 ft would not turn on when the light switch was engaged. b-in the unmarked resident shower room on the left side of the resident hallway between resident rooms [ROOM NUMBERS] the overhead ceiling heater which measured approximately 1 foot in diameter would not turn on when the on/off switch was engaged. During an interview with the Maintenance Director and the ADON-A on 01/22/25 at 10:35 a.m. the Maintenance Director stated that he was not made aware by staff that the overhead ceiling light and heater in the resident shower rooms which were being used were in-operable. He stated that that diminished lighting in the resident shower room could affect resident safety. The Maintenance Director stated he would repair the overhead light and overhead heater. The Assistant Director of Nurses stated that she was not aware that the overhead light and heater in the resident shower rooms which were being used were inoperable. She stated that the diminished lighting in the resident shower room could affect resident safety. Record review of the facility's policy on Maintenance Service dated 12/2009 revealed the buildings, grounds, and equipment would be maintained in a safe and operable manner at all times. 455597 Page 3 of 3