Inspection·October 14, 2024

F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interviews and record reviews, the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (Resident #1) of four residents reviewed for falls. Residents Affected - Few The facility failed to conduct neurological assessments on Resident #1 per facility protocol after Resident #1 returned from the hospital the same day of her unwitnessed fall at the facility. This failure could place residents at risk of a change in condition and not receiving proper treatment and care in a timely manner. Findings included: Review of Resident #1's face sheet, dated 10/14/24, reflected she was an [AGE] year-old female who was admitted to the facility on [DATE] and discharged home on [DATE]. Review of Resident #1's medical diagnoses list, dated 10/14/24, reflected she had acute on chronic systolic (congestive) heart failure, generalized muscle weakness, unsteadiness on feet, cognitive communication deficit, need for assistance with personal care, and a presence of a cardiac pacemaker. Review of Resident #1's comprehensive MDS assessment, dated 09/04/24, reflected she had a BIMS score of 9, which indicated she had moderate cognitive impairment. Resident #1 also had no falls since admission and was taking an anticoagulant (blood thinner) medication. Review of Resident #1's comprehensive care plan, dated 09/12/24, reflected she was at risk for falls, had an unwitnessed fall, and staff were required to conduct neurological checks per facility protocol. Resident #1 was also on anticoagulant therapy (Apixaban). Review of Resident #1's MAR, dated 10/14/24, reflected she took one Apixaban Oral Tablet 2.5 MG tablet by mouth on 10/01/24 at 8:00 AM. Review of Resident #1's change in condition evaluation, dated 10/14/24, reflected Resident #1 had a fall in the afternoon on 10/01/24 and was transferred to the hospital for further evaluation. Clinician and family were notified on 10/01/24 at 12:32 PM. Review of the facility's provider investigation report, dated 10/02/24, reflected Resident #1 fell from her wheelchair to the floor in her room on 10/01/24 at 12:30 PM, which was shortly before lunch meal service. Resident #1 was observed on the floor lying face down, bleeding from skin tears on (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 4 Event ID: 455866 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 455866 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/14/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Brookdale Westlake Hills 1034 Liberty Park Dr Austin, TX 78746 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)