Inspection·February 10, 2026

F 0693 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to provide a resident who is fed by enteral means receives the appropriate treatment and services to restore, if possible, oral eating skills and to prevent complications of enteral feeding including but not limited to aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, and nasal-pharyngeal ulcers to meet the needs of each resident for 1 of 1 (Resident #1) that received Enteral Feedings.LVN A failed to administered Resident #1's Enteral feeding for two hours after his feeding bag of nutrition ran out on 12/22/25. This deficient practice placed Resident #1 at risk for dehydration and insufficient caloric intake.Findings Included:Record Review of Resident #1's Face Sheet dated 02/10/26 revealed a [AGE] year-old male, initially admitted to the facility on [DATE] with the latest return date of 11/08/25. Resident #1 had a primary diagnosis of Parkinson's Disease (progressive neurological disorder that primarily affects movement) and additional diagnosis of moderate protein-calorie Malnutrition (an imbalance between the nutrients your body needs and the nutrients it gets), dysphagia (swallowing disorder), aphasia (absence of speech) and quadriplegia (paralysis that affects all a person's limbs and body from the neck down). He received his nutrition by enteral feeding (a method of delivering nutrition directly into the gastrointestinal tract via a feeding tube).Record review of Resident #1's Quarterly MDS assessment, dated 11/12/25 revealed a BIMS score of 99 (unable to complete interview). The resident was positive for tube feedings. Record review of Resident #1 Care Plan, initiated on 12/23/22, revealed Resident #1 required tube feeding related to dysphagia. Record Review of Resident #1's Physician Orders dated 02/10/26 revealed the order: Enteral Feed, every shift, related to moderate protein-calorie malnutrition. Tube Feeding Continuous: Formula Jevity 1.5 at 70 cc/hr with H20 flush at 50 cc/hr, for 22 hours to allow for ADL care. Record Review of the Medication Administration Record for December dated 12/22/23 revealed Resident #1 Enteral feeding was given on the night shift 6:00 pm - 6:00 am, time was not specified. Resident #1 received a one-time bolus order on 12/22/23 at 9:30 pm for Jevity 1.5. Give 240 ml via PEG-Tube one time only due to extended period without feeding.In an interview with the DON on 2/10/26 at 9:15 am, she said she reported and investigated the incident. She said Resident #1 had an order for enteral continuous feeding for 22 hours in a 24-hour period. On 12/22/25 at approximately 2:30 pm, CNA B noted that Resident's #1 feeding pump was beeping. His assigned nurse, LVN A, was on break at that time, so she went and told RN C. RN C reported to LVN A when she came back from her break at 3:30 pm. LVN A said she did not know about it until 5:30 pm, at dinner time, when CNA D told her. LVN A told LVN E at shift change at 6:00 pm, his feeding pump needed to be changed, and he said he would take care of it. Resident #1 failed to receive his enteral feeding for approximately 2 hours. The Medical Director was notified of the incident, and he ordered a one-time bolus feeding. The resident was assessed with no injury, nor did he display any reported effects from the incident. In an (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: 675128 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 675128 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/10/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Midwestern Healthcare Center 601 Midwestern Pkwy Wichita Falls, TX 76302 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)