Health inspection·May 28, 2023

F 0727 Level of Harm - Minimal harm or potential for actual harm Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Based on interviews and record reviews, the facility failed to utilize the services of an RN for 8 consecutive hours 7 days a week and did not designate an RN as a Director of Nurses on a full-time basis. Residents Affected - Many The facility failed to have an RN for 8 consecutive hours 7 days a week. The facility failed to designate an RN as a Director of Nurses on a full-time basis. These failures could place all residents at risk for their clinical needs not being met. Findings included: During an interview on 05/27/23 at 10:31 AM with the BOM, she said the facility did not have a DON. She stated a DON had been hired and was scheduled to start working on Monday, May 29, 2023. The BOM stated the facility had not had a DON or weekend RN for quite some time. During an interview on 05/28/23 at 11:08 AM, the BOM stated the ADON was responsible for creating the nursing staff schedules and completing the daily staffing form. The BOM acknowledged the daily staffing form had not been posted since the ADON left week before last. The BOM stated the ADON left without notice. The BOM stated she had been trying to locate the daily staffing postings. During an interview on 05/28/23 at 12:31 PM, the Regional Director of Operations, stated the facility was advertising for a weekend RN on a job search web site. She stated the facility had recently hired a DON. The RDO explained with a small facility in a small town close to a city with a large hospital, it was difficult to attract nurses, especially RNs. During an interview on 05/28/23 at 12:31 PM, the RDO stated the facility was advertising for an RN on a job search web site. The RDO stated she would prefer to hire an RN to fill the ADON position and schedule the RN for Saturday & Sunday with time off during the work week so 2 issues were resolved at once. The RDO located nursing schedules for April and May 2023 but stated she was still looking for March 2023. During an interview on 05/28/23 at 1:28 PM, the RDO explained the facility's plan to resolve staffing shortage was to keep trying. The RDO and RNC were not able to provide an explanation of the effect on residents when an RN was not on site 7 days a week. Review of Facility's Nursing Staff schedules from January 2023 to May 2023 revealed no evidence of (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 3 Event ID: 675364 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 675364 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/28/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Homestead Nursing and Rehabilitation of Baird 224 E 6th St Baird, TX 79504 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)