Health 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 Page 1 of 2 455638 455638 08/29/2025 Greenview Nursing and Rehabilitation 401 Owen LN Waco, TX 76710

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few were r suspected. The ADM stated there was a deep cleaning schedule the housekeepers followed, and pest control treated the facility. The ADM stated it was not reported to him there were any issues with Resident #1's bedside table being soiled with dry food or insects' larvae in the drawer. In an interview on 08/29/2025 at 10:52 am, the Housekeeping Supervisor stated rooms were cleaned daily and every resident got a deep cleaned room [ROOM NUMBER] times a month. The last time Resident #1's room was deep cleaned was 08/12/2025. She stated the drawers were the residents' private areas, and the Nursing staff were responsible for monitoring for insects or a need to clean the drawers. There had been issues with rodents and maggots under beds, behind bedside tables, and in closets. She stated it was reported to the administrator and pest control did come out and treated the facility. The Housekeeping Supervisor stated it defeated the purpose when the residents were stuffing food in their table drawers, and never monitored for food hoarding . She stated having dead maggots in drawers could make the residents feel dirty. Record review of undated facility policy titled Cleaning and Disinfecting Residents' Rooms reflected: Housekeeping surfaces (floors, tabletops) will be cleaned on a regular basis, when. spills occur, and when these surfaces are visibly soiled. Environmental surfaces will be disinfected (or cleaned) on a regular basis (daily, three times per week) and when surfaces are visibly soiled. Personnel should remain alert for evidence of rodent activity (droppings) and report such findings to the Environmental Services Director. 455638 Page 2 of 2