Inspection·January 31, 2026

F 0557 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure residents were treated with respect and dignity for 2 of 6 residents (Residents #1 and #) reviewed for resident rights. 1. The facility failed to ensure Resident #1 was not exposed while in a public area of the facility. 2. The facility failed to ensure Resident #2's urine collection bag had a privacy cover. These failures could cause the residents to become embarrassed and have lowered levels of self-esteem. Findings included:1. Record review of Resident #1's quarterly MDS assessment, dated 01/21/26, reflected the resident was an [AGE] year-old female admitted to the facility on [DATE] with diagnoses which included dementia, diabetes, and heart failure. The MDS reflected the resident severe cognitive impairment with a BIMS score of 7, she used a wheelchair for mobility, and she was totally dependent on staff for her ADLs, including lower body dressing. Record review of Resident #1's care plan, dated 11/20/25, reflected she had an ADL self-care deficit, and was incontinent of bowel and bladder. Observation and interview on 01/31/26 at 9:00 AM revealed Resident #1 was by the front door, in the main lobby in a reclining chair, watching television. The resident had a blanket that had been moved to the side of the chair, and she was not clothed from the waist down, leaving her brief exposed. The resident was asked if she wanted to cover up, which she replied she did not want to cover up. When asked about her pants, she stated she did not need them. Observation on 01/31/26 at 12:05 PM revealed Resident #1 was sitting in the dining room eating her noon meal, still in her reclining chair, with her left leg exposed up to her hip with her brief exposed. Other residents were observed in the immediate area around the resident. 2. Record review of Resident #2's quarterly MDS assessment, dated 01/11/26, reflected the resident was a [AGE] year-old male admitted to the facility on [DATE] with diagnoses which included kidney failure, complications of indwelling urinary catheter, and Parkinson's disease. The MDS reflected that the resident had moderate cognitive impairment with a BIMS score of 9, and he was dependent on staff for most of his ADLs. Record review of Resident #2's care plan, dated 12/19/25, reflected he had bladder incontinence and had an indwelling catheter, and he had an ADL self-care deficit. Observation on 01/31/26 at 12:08 PM revealed Resident #2 was eating his noon meal in the main dining room. His urine collection bag was hanging from his wheelchair and did not have a privacy cover. Interview on 01/31/26 at 2:11 PM with the Activity Director revealed respect was important for the overall dignity of the resident, and it was just respectful to protect it. She stated it was important to protect the resident's dignity for their self-esteem. Interview on 01/31/26 at 2:15 PM with LVN A revealed respect and dignity were important for all residents for their self-esteem. She stated the facility was their home, and they deserved to feel comfortable in their environment. Interview on 01/31/26 at 2:18 PM with CNA B revealed protecting the residents' right to privacy included keeping them from being exposed to other residents, and it was important for their dignity and self-esteem. Interview on 01/31/26 at 2:24 PM with CNA C revealed all residents deserved to be respected and (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 3 Event ID: 675089 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 675089 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/31/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Focused Care at Sherman 817 W Center Sherman, TX 75090 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)