Health inspection·January 10, 2026

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 interview and record review, the facility failed to develop a complete care plan that meets all of a resident's needs, with timeframes and actions that can be measured for 1 of 8 residents (Resident #1) reviewed for care plan. The facility failed to develop Resident #1's care plan to reflect refusals of showers and interventions which included skin assessment and reduction of risk for skin breakdown. This failure could place residents at risk of not receiving appropriate interventions to meet their current needs.Findings include: During an interview with the DON on 01/10/2026 at 10:48 a.m., she said she was trained on completing care plans. She said the residents' participation in ADLs and if they refused care, this information should go on the care plan. She said the care plan should be updated and she did not know why Resident #1's care plan was not updated. She said if something was not on the care plan it could affect the quality of care for the residents. She said the DON, ADON and the social worker were responsible to ensure the care plan was updated continuously when new problem care area was identified. She said it was monitored through IDT care plan meetings. She said she did not know why Resident #1's care plan did not have risk/goals/interventions for her refused care including showers and changing briefs. She stated that not updating her care plan could increase Resident #1's risk for skin breakdown and infection (UTI). During an interview with the ADM on 01/10/2026 at 12:44 p.m., he said he was trained on residents' care plans. He said the training covered the overall protocol for the care plan. He said the care plan should be person centered. He said if a resident refused services often then it should be in the care plan so staff would know she refused. He said the facility had an IDT team that put information in the care plan. He said the care plan if not revised could cause the residents to have inadequate care. He said the DON monitored to ensure the care plan was correct. The ADM said he did not know how the DON monitored the revision of care plans. He said he had asked the DON at the time to care plan Resident #1's care refusals back in September 2025 and he did not care plan it himself. Record review of Resident #1's face sheet, dated 1/09/2026, revealed an 80-years-old female who was admitted to the facility on [DATE]. Resident #1 had diagnoses which included Cerebral infarction (the death of brain tissue [infarct] due to a blocked artery, cutting off oxygen and nutrients, typically from a blood clot), chronic pain, depression (a serious mood disorder causing persistent sadness and loss of interest, affecting how you feel, think, and behave, interfering with daily life), morbid obesity (a severe form of obesity defined by a Body Mass Index [BMI] of 40 or higher), altered mental status (a general term for a sudden change in brain function, causing confusion, disorientation, decreased alertness, or unusual behavior), hemiplegia (paralysis affecting one side of the body) and hemiparesis (weakness on one side of the body, often affecting an arm, leg, or face, resulting from brain damage) following cerebral infarction affecting right dominant side. Record review of Resident #1's comprehensive care plan reflected it consisted of the last revisions to Resident #1's ADL self-care performance goals, dated (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: 455799 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 455799 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/10/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Austin Wellness & Rehabilitation 11406 Rustic Rock Drive Austin, TX 78750 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)