Inspection·July 14, 2023

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many 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 maintain a temperature range of 71°F to 81°F for 14 of 14 residents reviewed for exposure to high temperatures in the facility. -The facility air conditioning system had not been working adequately for up to two weeks. -The temperature of a common area (dining room) used by the residents was above 81°F. This failure placed all residents at risk for hyperthermia (elevated body temperature that could result in stroke or death). Findings Include: Observation on 06/27/2023 at 11:40 a.m. revealed the facility was a ground-floor wing of a multi-story hospital. Entry required walking through the main lobby and hallways. Observation during the walk revealed comfortable temperatures. Upon approaching the SNF section of the hospital, the temperature in the hallway became noticeably warmer. In an interview 06/27/2023 at 11:45 a.m. with the DON, she said the air conditioning problem was reported to HHS that morning (06/27/2023). She said the air conditioner had been repaired in the last two weeks because they were having trouble keeping the 1st floor cool in the areas where resident rooms were occupied with residents. She said no residents had been relocated to an area where the air conditioning was functioning. She said they were waiting for State Office to give permission. After the surveyor asked the facility to review its Emergency Plan that they started relocating residents. Observation on 06/27/2023 at 11:46 a.m. revealed a portable air conditioning unit was near the nurses' station. The thermostat on the unit read 64°F. The thermometer on the unit read 77°F. There was a total of five portable air conditioner units operating in the facility. One was at the nurses 'station, and four were in the hallway of the facility. There was one unit in the hallway by room [ROOM NUMBER], near the nurses' station. There were two units in the hallway near room [ROOM NUMBER], near the center of the hall. There was one unit in the hallway by room [ROOM NUMBER], the furthest occupied room from the nurses' station In an interview on 06/27/2023 at 11:50 a.m. with the hospital Director of Quality Management she said the air conditioner repair company would be at the facility on 06/29/2023. She said the hospital could accommodate the residents on the fourth floor of the hospital, which was currently vacant but (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: 455770 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 455770 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/14/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oak Bend Medical Center 1705 Jackson St Richmond, TX 77469 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)