Health inspection·November 18, 2025

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews, and records review the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life for 1 of 5 residents (Resident #1) reviewed for Resident Rights. The facility failed to ensure Resident #1 was treated with respect and dignity on 9/22/25 from approximately 9:00 a.m. to 1:00 p.m. when there was a brown substance that looked and smelled like feces smeared on the floor in her bathroom.The facility failed to ensure Resident #1 was treated with respect and dignity on 9/21/25 at approximately 6:00 p.m. when staff failed to provide assistance with ADLs.These failures could place residents at risk of psychosocial harm, self-isolation, and diminished quality of life.Findings included: 1.Review of an admission Record for Resident #1 dated 9/22/25 indicated she was a [AGE] year-old female admitted to the facility on [DATE] with diagnoses of type 2 diabetes, vascular dementia (altered cognition), and muscle wasting and atrophy (muscle weakness). Review of a quarterly admission MDS for Resident #1 dated 8/16/25 indicated she had intact cognition with a BIMS score of 13. She required maximum staff assistance with putting on/taking off footwear, lower body dressing, showers/bathing, and toileting hygiene; she required supervision with personal hygiene; she required cleanup/setup assistance with eating and oral hygiene. She was occasionally incontinent of bladder and frequently incontinent of bowel. Review of the care plan for Resident #1 dated 8/15/24 indicated she had an ADL self-care performance deficit, and appropriate interventions were in place including encouraging resident to use bell to call for assistance. During an interview on 9/22/25 at 10:40 a.m., CNA A said she was working on Resident #1's hall and she rounded on every resident at least once every 2 hours. CNA A said she asked each resident if they needed any assistance and addressed their needs as part of routine rounding. She said she typically rounded at 7:30 a.m. when she came in to work and then she rounded again after breakfast at around 9:00 a.m. During an observation and interview on 9/22/25 at 10:50 a.m., Resident #1 was observed in her room sitting in a wheelchair. She appeared poorly groomed; she had stains on her shirt, a soiled wound-dressing on her right wrist, and a brown smear on her right leg which she identified as feces. Resident #1 said she had IBS and sometimes had episodes of bowel incontinence. Resident #1 said she had an episode of bowel incontinence this morning after breakfast. Resident #1 said she accidentally got feces on the floor and herself and activated her call light for assistance to clean up. Resident #1 said CNA A answered her call light but told her she could clean up the mess herself and did not offer any assistance. Resident #1 said staff did not like to help clean her up when she had bowel incontinence and it made her feel small, like I wanted to hide in my shell, it was humiliating, and it kept her from socializing with other residents because of embarrassment. During an interview on 9/22/25 at 11:00 a.m., a private sitter for Resident #1 said she comes daily to sit with Resident #1 on weekdays. The sitter said there was feces smeared in Resident #1's bathroom, on the floor in (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: 455840 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 455840 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/18/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Arbors Healthcare and Rehabilitation Center 1884 Loop 343 West Rusk, TX 75785 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)