Inspection·August 7, 2024

F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to provide pharmaceutical services to include procedures that assured the accurate administration of all drugs to meet the needs of each resident for 15 of 44 residents ( CR # 1, CR # 2, Resident # 3, Resident # 4, Resident # 5, Resident # 6, Resident # 7, Resident# 8, Resident # 9, Resident # 10, Resident # 11, Resident # 12, Resident # 13, Resident # 14, and Resident # 15) reviewed for pharmacy services. The facility failed to ensure medications that were scheduled three and four times daily were administered at their scheduled times, resulting in medications being administered with only 2-4 hours between doses for Residents (CR # 1, CR# 2, Resident # 3, Resident # 4, Resident #5, Resident # 6, Resident # 7, Resident #8, Resident # 9, Resident # 10, Resident # 11, Resident # 12, Resident # 13, Resident # 14, and Resident # 15). The facility failed to ensure medications were administered timely between 7/22/2024 and 7/31/2024 which resulted in extremely late administration, up to 8 hours, of medications, such as insulin, diuretic, anticonvulsant, anticoagulant, anti-hypertensive, anti-depressive, and hypoglycemia. These failures placed residents at risk of experiencing exacerbation of pain and other health and psychiatric diagnoses, harmful drug to drug interactions, and other serious health related complications from taking prescribed medication after the scheduled times. Findings include: Observation and interview during medication pass with LVN A on 7/31/2024 at 1:00 pm, LVN A stated she passed morning and afternoon medications to 100 hall and 200 hall (approximately 40 residents). Other than the memory care unit. She said that on 7/31/2024 (approximately 6:00 am) she stated that the DON called her and informed her that she would pass medication on 7/31/2024 as MA A would not report to work. She said her shift was from 8:00 am-8:00 pm. She said she does not pass medication. She said she began passing medication on 100 hall at 8:15 am. She said being that she had not passed medication at this facility she was a little slow. She stated that she had given medication to residents on hallway one and she was giving medication to resident on hallway two. LVN A said she still had to pass medications to the residents on 200 hall (ten residents) and all the resident's medication were red on the EMAR at 1:15 pm, indicating they were all late at that time. Observation of the computer screen at that time revealed the medication on each resident's EMAR were highlighted red. LVN A said she was doing her best to administer medication to the residents. She stated that a contractor arrived at 11:00 am to assist with passing medication. (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 12 Event ID: 675214 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 675214 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/07/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Solidago Health and Rehabilitation 1720 N Logan St Texas City, TX 77590 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)