Inspection·October 24, 2024

F 0842 Diet: Regular fortified food item Texture: Puree Level of Harm - Minimal harm or potential for actual harm Fluid Consistency: Thin Use Plate-guard. Residents Affected - Few Special Instructions: Offer Additional Puree Dessert with Lunch Offer 2.0 Supplement Give 90ml TID Special Instructions: Offer 2.0 Supplement Give 90ml TID. Three Times A Day 08:00 AM, 12:00 PM, 04:00 PM. During an observation on 10/22/24 at 5:40 PM revealed Resident # 1 was fed by the ADON and ate only 1-2 bites. She did not swallow her food and it was removed from her mouth by the ADON. Resident #1 unable to drink through a straw or drink from a cup. Resident #1 was only able to take drops of water in her mouth from a sponge mouth cleaner or dropped into her mouth from a straw. Record review of Resident #1's meal intake log which was signed by CNA B and had an entry date and time of 10/23/24 at 3:29 AM indicated Resident #1 ate 75-100 percent of her dinner. During an interview on 10/23/24 at 10:30 AM the ADON stated Resident #1 did not eat more than 2 bites of her dinner meal on 10/22/24. She stated it should have been marked refused due to her condition. She stated she did not document the diet after she fed her. She stated she should have done the documentation herself and that failure to document diets accurately could result in the resident not receiving needed care and treatment to prevent a decline in their health. During an interview on 10/23/24 at 10:40 AM the DON stated Resident #'1's diet should have been marked refused due to her condition if she was unable to eat. She stated her expectation was for the diets to be documented in a timely and accurate manner by the person that did the care. She stated the ADON should have done the documentation herself, and the failure to document diets accurately could result in the resident not receiving needed care and treatment to prevent a decline in their health. During an interview on 10/23/24 at 3:16 PM, the Administrator said he expected for nurses to document accurately and completely. The Administrator said it was important for diets to be documented accurately to prevent weight loss. During an interview with CNA C on 10/24/24 AT 4:45 pm he stated he did document the diet on 10/23/24 at 3:29 AM He stated he usually did pick Resident #1'stray up on the 6 PM to 6 AM shift and sometimes fed her on that shift if the trays were late coming out. He stated she hadn't been eating due to a recent decline in her health. He stated he was in a hurry and just made a mistake. He stated he tries to be very meticulous about documenting diets and always tries to pass his snacks and document them accurately. He stated it is important to be accurate when documenting diets and snacks, because a resident might be a diabetic and it could make them sick if the nurse thought they ate and they really didn't. He stated he didn't intentionally document inaccurately, and that the incident has taught him to be more careful. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675330 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 675330 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/24/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Oaks at Radford Hills Healthcare Center 725 Medical Dr Abilene, TX 79601 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 0842 Record review of the facility's policy dated July 2017, titled, Charting and Documentation, indicated: Level of Harm - Minimal harm or potential for actual harm All services provided to the resident, progress toward the care plan goals, or any changes in the resident's medical, physical, functional, or psychosocial condition, shall be documented in the resident's medical record. The medical record should facilitate communication between the interdisciplinary team regarding the resident's condition and response to care. Residents Affected - Few Documentation of procedures and treatments will include care-specific details, including: a. The date and time the procedure/treatment was provided. b. The name and title of the individual(s) who provided the care. c. The assessment data or any unusual findings obtained during the procedure/treatment. d. How the resident tolerated the procedure/treatment. e. Whether the resident refused the procedure/treatment. f. Notification of family, physician, or other staff, if indicated; and g. The signature and title of the individual documenting Documentation in the medical record may be electronic, manual or a combination. 2. The 'following information is to be documented in the resident medical record: a'. Objective observations; Medications administered; Treatments or services performed; Changes in the resident's condition. e. Events, incidents or accidents involving the resident; Progress toward or changes in the care plan goals and objectives. 3 Documentation in the medical record will be objective (not opinionated or speculative), complete, and accurate. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675330 If continuation sheet Page 3 of 3