Inspection·August 29, 2025

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to provide a safe, clean, comfortable, homelike environment for 1 (Resident #1) of 5 Residents. The facility failed to clean food and dead fly larvae (maggots) from Resident #1s bed side table on 08/29/25. This failure could place residents at risk of living, and families visiting in an unclean and uncomfortable environment.Record review of Resident #1's undated admission record reflected a [AGE] year-old male who was admitted to the facility on [DATE]. Diagnosis included Alzheimer's disease (a progressive brain disease leading to memory loss), Diabetes Mellitus (elevated blood sugar), High Blood Pressure, and schizophrenia (a chronic mental health disease affecting a person's thoughts, feeling, and behaviors). Record review of Resident #1's Annual MDS, dated [DATE], reflected a BIMS score of 08, indicating Resident #1 had moderate cognitive impairment. The MDs reflected Resident #1 required set up or clean up assistance with eating, toileting, hygiene, upper and lower body dressing, and personal hygiene.Record review of Resident #1's care plan, dated 08/23/2025, reflected he was at risk for violence, directed at self/others, related to Schizophrenia and interventions included: Monitor nutritional status and if the patient thinks his food is poisoned, let him fix his own food if possible or offer him foods in closed containers that he can open.Record review of Pest control invoices reflected the facility had pest control treatments for dates 08/08/2025, 07/08/2025, 06/11/2025, 05/30/2025. 05/19/2025, and 04/25/2025. In an interview and observation on 08/29/25 at 10:15 am, Resident #1's bed side table had dried food on it. The top drawers were opened and revealed approximately 200 or more dead fly larvae (maggots) around the top rim of the drawer and inside the bottom of the drawer. The drawer was empty of personal items. Resident #1 stated he does not use the bedside table. He stated the housekeepers clean his room sometimes, but not all the time . Resident #1 stated he would like the area cleaned so he could use it. In an interview on 08/29/2025 at 10:20 am, LVN A stated residents' rooms were cleaned daily and occasionally deep cleaned. LVN A stated she was not sure how often the residents' rooms were deep cleaned. She stated she had never been instructed on what nursing was responsible for as far as cleaning rooms, but the staff do make sure to assist with trash pickup. LVN A stated she was not aware of Resident #1 having dead maggots in his bedside table. She stated negative effects related to having dried food and dead maggots in the bedside table could be an Infection control risk. In an interview on 08/29/2025 at 10:30 am, the ADM stated there were 3 housekeepers on staff during the day and the housekeeping supervisor does supervise the housekeepers daily by spot checking the rooms. The Housekeeping Supervisor was responsible for monitoring and ensuring the housekeepers completed their jobs. The ADM stated he was not aware of any recent infestation of insects or flies. The ADM stated the drawers were the resident's private property. There was not a policy for monitoring of the drawers for hoarding food or need of cleaning. The ADM stated staff do ask for permission to look through them if food hoarding or insects (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: 455638 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 455638 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/29/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Greenview Nursing and Rehabilitation 401 Owen LN Waco, TX 76710 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)