Health inspection·June 11, 2025

F 0850 Hire a qualified full-time social worker in a facility with more than 120 beds. Level of Harm - Minimal harm or potential for actual harm Based on interview and record review, the facility with more than 120 beds failed to employ a qualified social worker on a full-time basis, for 1 of 1 social services staff reviewed for qualifications of Social Worker. Residents Affected - Some 1. The facility, licensed for 144 beds, did not employ a full-time social worker from 3/26/25 to 6/11/25. This failure could place residents at risk of social service and psychosocial needs not being met. The findings included: Record review of the facility's Daily Census Report, dated 6/10/25, noted the facility had a total licensed bed capacity of 144. Record review of the Facility Summary Report from the Texas Unified Licensure Information Portal (TULIP) date 06/06/25 noted the facility had a total licensed capacity of 144 beds. Record review of an undated document titled Job Details reflected the Previous Social Worker was employed from 7/11/23 to 3/26/25. In an interview on 6/10/25 at 2:37 PM, ADON B stated the facility did not have a social worker and had not had a social worker since the end of March. ADON B stated the Previous Social Worker left on vacation and decided not to return to work. In an interview on 6/10/25 at 2:51 PM, the DON stated there was not a social worker currently employed by the facility and that the social work duties were divided up between different staff members. The DON stated she did not believe it was a risk to the residents due to herself and the Administrator who covered the social worker duties. In an interview on 6/10/25 at 5:05 PM, the Administrator stated the social worker duties were divided between herself and the DON. The Administrator stated she did not think it was a risk to not have a social worker because she and the DON spoke with the residents daily and all appointments were automatically scheduled by a third party. The Administrator continued to state if a resident had an issue arise which required a social worker the resident would tell her about it or a staff member. The Administrator also stated she was advised by her corporate leadership she should contact a social worker from another facility to assist if needed. The Administrator stated she had not contacted Page 1 of 2 675033 675033 06/11/2025 Mesquite Tree Nursing Center 434 Paza Dr Mesquite, TX 75149

F 0850 another facility's social worker for assistance. Level of Harm - Minimal harm or potential for actual harm Record review of the facility's policy titled Social Services Department Policies and Procedures dated 12/97 reflected: Residents Affected - Some If the social worker is on leave or the position is vacant, the Administrator will develop a plan to cover the department duties. 675033 Page 2 of 2