Health inspection·December 5, 2025

F 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview, observation and record review, the facility failed to store all drugs and biologicals in locked compartments under proper temperature controls and permit only authorized personnel to have access to the keys for 3(Resident#1, Resident#2 and Resident#3) of 10 residents reviewed. The facility failed to ensure Resident#1, Resident#2 and Resident#3 did not have drugs and biologicals at their bedside. This failure could place residents at risk of consuming or using wrong medications and biologicals that could lead to harm.Findings included:Record review of Resident #1's face sheet, dated 09/23/25, reflected the resident was an [AGE] year-old female who admitted to the facility on [DATE] with diagnoses that included: adult failure to thrive (decline in overall health and functional abilities), dizziness and giddiness (sensations of imbalance or lightheadedness, often caused by various underlying conditions, and it's important to distinguish between them), parkinsonism (conditions that affect movement), unspecified, chronic pain syndrome (persists or recurs for longer than 3 months) and Dementia (Describe a group of symptoms affecting memory, thinking and social abilities) in other diseased classified elsewhere, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety. Record review of Resident #1's entry MDS Assessment, dated 09/17/25, reflected Resident #1 had no BIMS documented. Record review of Resident #2's face sheet, dated 09/23/25, reflected the resident was an [AGE] year-old female who admitted to the facility on [DATE] with diagnoses that included: malignant neoplasm of anal canal (anal cancer which arises from the anus, the distal opening of the gastrointestinal tract), squamous cell carcinoma of anal skin( type of anal cancer), hemorrhage of anus and rectum(rectal bleeding can be caused by various conditions), other low back pain and unspecified Dementia (persists or recurs for longer than 3 months) and Dementia (Describe a group of symptoms affecting memory, thinking and social abilities), unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety. Record review of Resident #2's entry MDS Assessment, dated 09/16/25, reflected Resident #2 had no BIMS documented. Record review of Resident #3's face sheet, dated 09/23/25, reflected the resident was an [AGE] year-old female who originally admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses that included: Parkinson's disease (conditions that affect movement)without dyskinesia (involuntary muscle movements), without mention fluctuations, unspecified Asthma, uncomplicated and unspecified Dementia (Describe a group of symptoms affecting memory, thinking and social abilities), unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety. Record review of Resident #3's quarterly MDS Assessment, dated 09/05/25, reflected Resident #3 had a BIMS of 07 which indicated severe impairment. During an observation and interview on 09/23/25 at 6:50 am Resident#1 stated she used the cream for her hand sometimes when it felt tight. Observation at Resident#1's bedside revealed: * Aspercreme(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: 455763 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 455763 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/05/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Park Bend Rehabilitation and Healthcare Center 301 Huguley Blvd Burleson, TX 76028 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)