Health inspection·November 10, 2025

F 0627 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few had not had a meeting regarding the discharge. During a telephone interview on 11/07/2025 at 3:15pm Attempted to reach Resident #1 via his phone on several occasions and there was no answer. The resident's phone was not set up to leave messages. During a telephone interview on 11/07/2025 at 3:20pm with Resident #1's family member, she said that she was not sure if the facility was able to do that, meaning to discharge him. The family member said she felt she had no say regarding that since Resident #1 was his own responsible party. The family member said she was not sure if the facility could just discharge someone. The family member was made aware of surveyor reaching out to Resident #1 but he did not answer his phone. The family member said the resident was very deaf and for surveyor to consider texting him. The family member said she knew Resident #1 had been discharged to a facility out of town, knew what facility it was and also was aware that Resident #1 was currently residing there. During a telephone interview on 11/07/2025 at 3:40 pm Resident #1's doctor stated that he recalled having a talk with Resident #1 regarding him drinking alcohol and it being mixed with his medications. The doctor said apparently the resident would continue to be non-compliant. The doctor said if Resident #1 continued to mix the alcohol with his medication that could lead to a bad effect. The doctor said he did not recall signing a discharge notice or letter regarding the resident's discharge from the facility. The physician said he did not recall having some kind of meeting regarding Resident #1's discharge plans. During an interview on 11/07/2025 at 3:52 pm with t he facility he said he did not recall them issuing Resident #1 a 30-day notice or notifying the Ombudsman regarding the discharge. The RCN said he would have been aware if they had issued one because that meant they would have had a discharge plan meeting. During an interview on 11/07/2025 at 3:54pm the ADON said she did not recall them notifying the Ombudsman regarding Resident's #1 discharge nor that they conducted a discharge plan. During an interview on 11/07/2025 at 3:56 pm with MDS coordinator said the previous Administrator had found Resident #1 another place to move to and that he had agreed to go because that way he could do as he wanted to including keeping alcohol as they were not as strict. The MDS coordinator said when they discharge a resident they first have a care plan meeting to see what the resident needs are, if any other options they can have and, also consists of a discharge care plan. During a telephone interview on 11/07/2025 and on 11/08/2025 at different times of the day attempted to reach out to Resident #1 but resident did not answer his phone. Resident was then texted and he replied to the texts as follows. 11/07/2025 at 4:46 pm resident was asked if had agreed to move to another facility. Resident replied he had but once he got there the conditions were horrible. 11/07/2025 at 4:49 pm resident was asked if he was given an option to stay at this facility and he replied Yes. 11/08/2025 at 2:24 pm resident was asked if they had had a discharge meeting prior to being discharged from the facility and he replied no. During a telephone interview on 11/10/2025 at 9:50 am with the previous Administrator stated he had contacted Resident #1's family member and she was in agreement with the resident moving to another facility. The previous Administrator said that he had even offered to send the resident to another state but the family member had refused as she was unable to provide care for him. The previous Administrator said the previous DON had assisted with the discharge and they had a file in her office but he would not know where it would be located as he no longer worked at the facility. The previous Administrator said Resident #1 had signed himself out as he was his own RP. The previous Administrator said Resident #1 had signed a document indicating he was in agreement to leave the facility on his own will and that it should have been filed by the facility but he would not know where it was. The previous Administrator said there had not being any discharge plan meeting as far as he knew. During an interview on 11/10/2025 at 10:50 am with the RCN, he said they had searched for any documentation regarding Resident 1's discharge plans and there (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675317 If continuation sheet Page 2 of 3 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 675317 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/10/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Deerings Nursing and Rehabilitation, LP 1020 N County Rd West Odessa, TX 79763 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)

F 0627 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete were none found. The RCN said whenever there was a discharge it had to be signed by the doctor and none of that was found. The RCN said he believed that Resident #1 might have left the faciity on his own will and was not necessarily discharged by the facility so no 30-day notice was issued but that they should have still contacted the Ombudsman. During a telephone interview on 11/10/2025 at 11:15 am the previous DON said there had not been a 30-day discharge done for Resident #1 that she could recall before he discharged from the facility. She said that the previous Administrator knew about a facility in Houston Texas and had contacted them and they had accepted Resident #1. The previous DON said that she was present in the previous Administrators office when he had told Resident #1 if he would like to move to another facility. She said that the resident had agreed to go on his own will thus reason there was no 30-day notice given. The previous DON said she did not recall if the Ombudsman was notified of the discharge. The previous DON said they had not had a discharge plan meeting before the resident was discharged . During a telephone interview on 11/10/2025 at 3:00pm LVN A said that Resident #1 willingly left the facility and that he was happy to leave the facility and start in a new place. LVN A said as far as he knew there was no 30-day discharge notice given probably because the resident willingly left the facility. LVN A said that he did not recall if Resident #1 had signed a discharge document. LVN A said he did remember the resident signing a form but it could have been the list of medications he was taking with him. LVN A said as far as he knew the only thing that was done was that they contacted Resident 1's family member about the move to which at first she was kind of not sure but then later she was okay with the move. LVN A said as far as he knew that was the only discharge plan that was done. During an interview on 11/10/2025 at 4:52 pm the interim Administrator said she did not know much regarding Resident #1's discharge as she was not at the facility when it occurred. The interim Administrator said the facility should have followed their policy on how to perform a safe discharge so that the resident could receive the best care when discharged to another facility. Review of the facility undated policy titled Discharge planning process policy revealed in part: Nursing facility must complete discharge planning when discharge is anticipated to a private residence, assisted living, another nursing facility or another type of residential location. Assess the residents continuing care needs including consideration of the residents and family/caregivers preferences for care, include regular re-evaluations of the resident to identify changes that require modification of the discharge plan. The discharge plan must be updated as needed to reflect these changes. Develop an interdisciplinary team discharge plan designed to ensure that the residents needs will be met after discharge from the facility including resident and family/caregiver education needs. Initiate and maintain collaboration between the nursing facility and the local contact agency to support the residents transition to community living as applicable includes making referrals to the local agency under the process established by the state and assisting the resident and family./caregivers in locating and coordinating post discharge services. Discharge summary must include, a recapitulation of the residents stay that includes but is not limited to, diagnoses course of illness/treatment or therapy and pertinent labs, radiology and consultation result. A post discharge plan of care. A post discharge plan of care will help the resident adjust to their new living environment. The final discharge summary will be filed in the residents medical record. Event ID: Facility ID: 675317 If continuation sheet Page 3 of 3