Health inspection·July 24, 2025

F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to develop and implement a comprehensive, person-centered care plan for each resident, consistent with the resident rights, that included measurable objectives and time frames to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment and described services that attained or maintained the resident's highest practicable physical, mental, and psychosocial well-being for 1 of 7 residents (Resident #2) reviewed for care plans. : The facility failed to ensure a Care Plan was developed to address Resident #2's dry skin (skin was not falling off the body the way it should). This failure could place residents at risk of not receiving individualized care and services to meet their needs. The findings include:Record review of Resident #2's admission Record, dated 7/23/25, revealed an [AGE] year-old male who was admitted to the facility on [DATE]. Resident #2 had diagnoses which included Vitamin D deficiency (deficiency that may cause skin to become dry and flakey) and Diabetes (a condition where the body cannot regulate its blood sugar effectively). Record review of Resident #2's Quarterly MDS Assessment, dated 4/23/25, revealed:He scored an 8 of 15 on his Brief Mental Status exam, which indicated he was moderately cognitively impaired.Resident #2 did not receive any Skin Treatments. Record review of Resident #2's Order Summary, dated 7/23/25, revealed an order dated 6/6/25 for lotion to bilateral (both sides) upper extremities every day. Record review of Resident #2's Care Plan, last updated 4/30/25, revealed no care plan for the order of lotion. Observation and interview on 07/22/2025 at 11:31 AM revealed Resident #2 in the dining room. Resident #2's cheeks were covered with flakes of dead skin build up. Resident #2 stated it was just old man stuff. The resident stated he didn't like to take shower. Interview on 07/24/2025 at 9:45 AM, the DON said Resident #2 had dry-skin scales all over his face and arms and used regular lotion to soften it. The DON stated it helped, but Resident #2 did not like to take showers. The DON said Resident #2 had a diagnosis of seborrheic keratosis, which meant the skin did not want to detach the way it should. The DON said Resident #2 stated he had a history of skin cancer years ago, but she did not follow up with Resident #2's responsible party to confirm that the information. The DON stated it did not look like Resident #2's skin condition was care planned. The DON said if the facility was doing the lotion as a treatment it should be care planned. The DON stated she had been at the facility six weeks and had not had a chance to review charts, so she did not know why the care plan was missed. The DON said the order for the lotion was signed on 6/8/25 so the facility had a month to get it into the care plan. Interview on 07/24/2025 at 11:07 AM, the MDS Coordinator stated after 14 days of admission she was responsible for the initial care plan and any MDS update. The MDS Coordinator stated the DON was responsible for putting in acute care plans which was anything between the MDS cycles. The MDS Coordinator stated the facility had Standards of Care meetings where doctor orders were discussed. The MDS Coordinator stated frequently the computer was in with the nurses at the (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 3 Event ID: 455737 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 455737 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/24/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Concho Health & Rehabilitation Center 613 Eaker St Eden, TX 76837 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)