Health inspection·February 28, 2023

F 0679 Provide activities to meet all resident's needs. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview and record review, the facility failed to provide an ongoing program to support residents in their choice of activities, both facility-sponsored group and individual activities and independent activities, designed to meet the interest of and support the physical, mental, and psychosocial well-being of 8 of 16 residents. Residents Affected - Some The facility failed to: 1. Engage in activities at scheduled times. 2. Engaging activity replacement for scheduled activities that were cancelled or not completed. These failures could affect residents of the facility by not addressing their physical, mental, and psychosocial needs for each to attain or maintain their highest practicable physical, mental, and psychosocial outcome. The findings include: Observations on 2/26/2023, the AD was in the building, Surveyor was in the building from 11:00am-4:00pm, Bingo was held in the dining hall at 2:00pm, there were no other activities occurring throughout the hours of 11:00am-4:00pm. Observations of resident rooms on 2/26/2023 at 12:30pm revealed no activity calendars displayed in any of the resident rooms. There was no activity calendar displayed on the bulletin board labeled Activities. Observations on 2/27/2023 at 8:30am revealed a sheet of paper on the Activities bulletin board listing the activities for 2/27/2023. These activities included: 10:00am Color with AD, 10:30am Parachute Exercise, 2:00pm Dominoes/Chess, 3:00pm Bingo with Treats. Observation 2/27/2023 10:00am Resident Council held until 10:16am; Coloring with AD did not occur after Resident Council, Parachute Exercise was not held at 10:30am, 10:50am 12 residents were sitting in the dining room doing nothing. 11:26am observation of the dining room revealed no activity with 5 residents sitting in the dining room doing nothing. 11:26am observed AD walked out of the front door of the building with her purse on her arm. Observation at 2:06pm Checkers/Chess did not occur in the dining hall, 2:18pm 10 residents were sitting in the dining room doing nothing. 2:20pm observation AD was sitting at her desk. Observation at 3:11pm Bingo was occurred in the dining room; 8 residents were in attendance. Observation 2/28/2023 at 9:52am revealed the AD was walking around inviting residents to color with her in the dining room. Coloring occurred in the dining hall at 10:00am, 12 residents were 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: 455936 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 455936 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/28/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Focused Care at Lamesa 1201 N 15th St Lamesa, TX 79331 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)