Inspection·June 4, 2025

F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few resident and then the MDS calculated how much assistance the resident needed. She stated a resident was considered a one person transfer because the resident could bear weight and could participate or assist in helping with the transfers. The DON stated the consequences of not transferring residents correctly using the recommendations of the care plan would be injuries to the resident. In an observation and interview on 6/4/25 at 10:39 am, CNA A transferred Resident #1 from her bed to a wheelchair using a gait belt. CNA A toileted Resident #1 with no other staff assistance. Resident #1 was observed with left sided weakness of her arm. Resident #1 did not assist CNA A with the transfer. CNA A stated Resident #1 was a one-person transfer. CNA A stated she had always transferred Resident #1 by herself. CNA A stated Resident #1 was a left sided weakness so she could use her good side to assist with transfers. She stated Resident #1 did not weigh much so she could complete the transfer by herself. In an interview on 6/4/25 at 11:00 am, PTA B stated the facility had several residents who needed to be a 2 person transfer that were not a 2 person transfer at the present time. In an interview on 6/4/25 at 1:10 pm Resident #1 stated since she had been admitted to the facility, she had always been transferred with one person for the bathroom and getting out of the bed. She stated, It had always been with just one person. Resident #1 stated she had to go to the bathroom at least once every hour since she had been on dialysis. She stated when she needed to go, she had to go right then and could not wait. She stated she could not move her left side or assist at all. In an interview on 6/4/25 at 4:30 pm, CNA A stated Resident #1had been a one person transfer and a one person assist for toileting. She stated Resident #1 had left sided weakness, but she could use her right side to assist with the transfers. CNA A stated she had not been aware Resident #1 's care plan revealed she was a total dependence x's 2 and a two-person transfer and toilet. CNA A stated she had always transferred and toileted Resident #1 by herself. She stated all the facility staff only transfer Resident #1 as a one-person transfer. She stated she did not look at the care plan. She stated the care plan was available on the computer, but she had not looked at it. She stated when she was hired, she had been trained by the facility staff and had in-services on transfers since her hire. She stated the consequences of Resident #1 being transferred with only one person would be she could get hurt. In an interview on 6/4/25 at 5:00 pm, the DON stated she was not sure what Resident #1's assistance level would be, but it should be in the care plan. She stated the care a resident had gotten was driven by the lookback of 7 days in the MDS and the care level of residents could change every time the MDS was redone. She stated the nursing staff used the care plans to know how to care for resident. She stated the MDS drove the care plans and the care plans would change with every look back period. During exit conference on 6/4/25 at 6:45 pm, the ADM stated she had scheduled a training for facility staff for transfers with the therapy department and all care plans would be reviewed. Record review of facility's policy Care Plans, Comprehensive Person -Centered, dated March 2022, reflected. A comprehensive person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident. The comprehensive care plan describes the services that are to be furnished to attain or maintain the residents highest practicable physical, mental and psychosocial well-being. Services provided for or arranged by the facility and outlined in the comprehensive service plan are (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675336 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 675336 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/04/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Kirkland Court Health and Rehabilitation Center 1601 Kirkland Dr Amarillo, TX 79106 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 0656 Level of Harm - Minimal harm or potential for actual harm provided by qualified persons. Care plan interventions are chosen only after data gathering, proper sequencing of events, careful consideration of the relationship between the resident's problem area s and their causes, and relevant clinical decision making. Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675336 If continuation sheet Page 3 of 3