Inspection·March 7, 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 ensure residents have a right to a safe, clean, comfortable, and homelike environment for 2 of 85 residents (Resident #1 and Resident #2) reviewed for safe, clean, and comfortable environment. The facility failed to recognize and repair water damage to the ceiling, in two rooms occupied by Resident #1, and Resident #2. This deficient practice failure could place residents at risk of a diminished quality of life due to exposure to an environment that is unpleasant, unsanitary, and unsafe. The findings included: 1). Record review of Resident #1's admission Record, dated 03/07/2025, reflected she was a [AGE] year old female, initially admitted on [DATE], with diagnoses of dementia (a general term for loss of memory, language, problem-solving and other thinking abilities that are severe enough to interfere with daily life). Record review of Resident #1's Quarterly MDS dated [DATE], reflected Resident #1 had a BIMS score of 12 which suggests moderate cognitive impairment. Resident #1 was always incontinent of bowel and bladder according to section H in the MDS. Record review of Resident #1's Care Plan, dated 02/15/2025 was up-to-date with interventions in place. Record review revealed on 02/21/2025 at 02:26 pm, a Progress Note was written by the Social Worker documenting Resident #1 had a room change due to inclement weather and roof renovations with the RP being notified. Observation on 03/03/25 at 02:55 pm Resident 1's previous room had slight bubbling to seams on ceiling by light and vent. In an interview on 03/07/2025 at 04:11 pm, the DON stated he did not notice anything wet or damaged in Resident #1's room during his tour of the rooms on Saturday and Sunday (02/22/2025 and 02/23/2025) with the ceiling in Resident #1's original room except being able to see the seams in the drywall, but he could see the seams in the drywall in the ceilings in some of the rooms. The DON stated he had not known it was wet until Life Safety notified them of what they had seen from the attic side (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: 455802 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 455802 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/07/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Spanish Meadows 440 E Ruben Torres Blvd Brownsville, TX 78520 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)