Inspection·March 1, 2024

F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to provide services in the facility memory unit with reasonable accommodation of resident needs and preferences, for 6 of 19 residents (Resident # 83 (R#83), Resident #35 (R#35), Resident #414 (R#414), Resident #49 (R#49), Resident 8 (R#8) and Resident #78 (R #78)) reviewed for accommodation of needs. Residents Affected - Some The facility staff did not provide R#83, R#35, R#414, R#49, R #8, and R #78 with a call light that was within reach in the female memory unit which could result in the potential outcome of being unable to call for assistance in the event of an emergency. This failure could place residents who utilized call lights at risk for not having his/her needs met. Findings included: Review of R #83's Face Sheet dated 03/01/24 documented a [AGE] year-old female admitted on [DATE] with the diagnoses of: ALZHEIMER'S DISEASE WITH EARLY ONSET, NEED FOR ASSISTANCE WITH PERSONAL CARE, REPEATED FALLS, and DEMENTIA IN OTHER DISEASES CLASSIFIED ELSEWHERE, UNSPECIFIED SEVERITY, WITH OTHER BEHAVIORAL DISTURBANCE . The resident resides in the facility memory unit. Review of R #83's Quarterly Minimum Data Set, dated [DATE] revealed R #83: -required extensive assistance with two-person physical assist for bed mobility, transfers, dressing, toilet use, and personal hygiene -had impairment on both sides of lower extremity (hip, knee, ankle, foot) Review of R #83's comprehensive care plan dated 10/23/23 documented: Resident is at risk for falls related to FRONTOTEMPORAL NEUROCOGNITIVE DISORDER ( a common cause of dementia. A group of disorders that occur when the nerve cells in the frontal and temporal lobes of the brain are lost) Gait/balance problems, Psychoactive drug use interventions: Anticipate and meet the resident's needs, Call light within reach . Observation on 02/29/24 at 8:48 AM revealed R #83 was lying in bed and was not able to get out of bed on her own. Review of R #35's Face Sheet dated 03/01/24 revealed a [AGE] year-old male admitted on [DATE] with the diagnoses of: Lack of Coordination, DEMENTIA IN OTHER DISEASES CLASSIFIED ELSEWHERE, UNSPECIFIED (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: 675104 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 675104 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/01/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Live Oak Nursing and Rehabilitation Center 2951 Hwy 281 George West, TX 78022 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)