Health inspection·February 21, 2024

F 0908 Keep all essential equipment working safely. Level of Harm - Potential for minimal harm Based on observation, interview, and record review, the facility failed to maintain all mechanical, electrical, and patient care Residents Affected - Some Equipment in safe operating condition for 1 (Hot water heater) of 3 reviewed for essential equipment. The facility failed to repair or replace the hot water heater that supplied hot water for Halls 1, 2 and 3 for 7 days. This was determined to be past noncompliance because the facility took corrective actions prior to surveyor entry. This failure could place residents at risk for poor hygiene and health. Findings include: During an interview on 2/21/24 at 10:10am with the facility Administrator, Administrator stated on 1/31/24 the hot water heater which supplied hot water to Hall 1, 2 and 3 stopped working. The Administrator stated local plumbing was contacted. The blower motor on the water heater had failed and ordered a new blower. On 2/6/24 the blower motor was replaced by and hot water was restored to Halls 1, 2 and 3. The Administrator stated between 1/31/24 to 2/6/24 resident in Halls 1, 2, and 3 were able to take showers in rooms in Halls 4, 5 and 6. The Administrator stated residents residing in Halls 1, 2, and 3 were informed that showers will be taken in the Hall 4, 5 or 6 until repairs are made. The Administrator stated no showers for residents living in Halls 1, 2 and 3 were missed. During and interview on 2/21/24 at 10:34am, the Maintenance Director stated the hot water heater for Halls 1,2 and 3 went down on 1/31/24. The Maintenance Director stated he called immediately, and they arrived that day, 1/31/24. A Heater blower was needed, and the plumber ordered the part. Repairs were made on 2/6/24. Observation on 2/21/24 at 11:00am revealed hot water was being supplied to Halls 1, 2 and 3. Record review of invoices from revealed invoice 42671 dated 1/31/24 that blower was ordered and invoice #42656 dated 2/7/24 revealed replacement of blower on 2/6/24. During an interview on 2/21/24 at 1:54pm, Resident #3 stated that facility informed Resident #3 Page 1 of 2 455931 455931 02/21/2024 Advanced Rehabilitation and Healthcare of Vernon 4401 College Dr Vernon, TX 76384

F 0908 Level of Harm - Potential for minimal harm Residents Affected - Some that the hot water heater was out, and showers would be performed in another hall. Resident #3 stated they did not miss any shower times and was not inconvenienced during this time until repairs could be made. During an interview on 2/21/24 at 2:05pm, Resident #4 stated that the facility informed her of the hot water heater not working and that showers will be done in other halls. Resident #4 stated she did not miss any showers during this time and was not inconvenienced. During an interview on 2/21/24 at 2:18pm, Resident #5 stated that the facility informed him that until water heater was repaired showers will be done in Halls 4, 5 or 6. Resident #5 stated he was not inconvenienced during this time and did not miss any of his shower times. 455931 Page 2 of 2