Health inspection·June 27, 2023

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review the facility failed to provide a comfortable environment for residents, staff, and the public for 1 of 5 halls reviewed for temperatures. The facility failed to ensure the air conditioning unit in the women's secured unit was functioning properly to maintain comfortable temperatures. This failure could put residents at risk of being too hot and suffering heat related illness. Findings include: During an observation on 6/27/23 at 9:14 a.m. the women's unit was noted to be warmer than other halls in the facility. There were 5 stationary fans observed in day/dining room. There was 1 stationary fan observed in one resident room. There were 3 residents observed in rooms with doors closed. Thermostat was observed to be set on 70 degrees F, but reading approximately 76 degrees F. Record review on 6/27/23 at 10:40 a.m. of Weather Channel.com indicated temperature in [NAME], TX was 88 degrees F with excessive heat warning in place. During an observation on 6/27/23 at 10:43 a.m. thermostat in women's secured unit read approximately 77-78 degrees F. During an interview on 6/27/23 at 10:58 a.m. the Maintenance Director said AC to women's unit was working, but the return vent was outside the hallway and needs to be in the unit hallway to keep the unit cooler. The Maintenance Director said he had been looking since Friday 6/23/23 and found a small window unit that was placed in the day/dining room this morning to aide in cooling the women's unit. The Maintenance Director said there were no vents to the unit except in resident rooms and he encouraged staff to leave the doors to resident rooms open to aide in keeping the hallway cool. The Maintenance Director said where the return vents to the women's secured unit were located it was drawing heat from the back nurse's station. The Maintenance Director showed the surveyor the thermostat in the women's secured unit which read 75 degrees F. During an observation on 6/27/23 at 11:04 a.m. a small window unit had been put in day/dining room of women's secured unit. During an observation on 6/27/23 at 1:05 p.m. the thermostat in women's secured unit read approximately 76-77 degrees F. Page 1 of 2 675439 675439 06/27/2023 Mullican Care Center 105 N Main St Savoy, TX 75479

F 0584 Level of Harm - Minimal harm or potential for actual harm Record review on 6/27/23 at 1:10 p.m. Weather Channel.com indicated temperature in [NAME], TX was 92 degrees F with heat index of 106 and excessive heat warning in place. During an observation on 6/27/23 at 1:43 p.m. the thermostat in women's secured unit read approximately 78-79 degrees F. Residents Affected - Some Record review on 6/27/23 at 1:46 p.m. of Weather Channel.com indicated temperature in [NAME], TX was 94 degrees F with heat index of 108 and excessive heat warning in place. During an observation on 6/27/23 at 2:15 p.m. the thermostat in women's secured unit reading approximately 79-80 degrees F. During an interview on 6/27/23 at 2:55 p.m. the Administrator said it was brought to his attention the AC in the women's secured unit was not keeping up on Friday, June 23, 2023. The Administrator said the facility had been monitoring temperatures in the building via the AC thermostats and a handheld vent thermometer. During observations on 6/27/23 between 3:00-3:30 p.m. temperatures on women's secured unit were as follows: Resident room [ROOM NUMBER]-77 degrees F Resident room [ROOM NUMBER] 78 degrees F Hallway at end of unit-78 degrees F Shower Room-81 degrees F Day/Dining Room-79 degrees F Hallway entering secured unit-80 degrees F All temps taken with the Administrator present using a digital thermometer. During an interview on 6/27/23 at 3:15 p.m. Resident #1 said she was doing well at the facility. Resident #1 said she just wished it would cool down. During an interview on 6/27/23 at 4:15 p.m. the Administrator said he expected temperatures throughout the facility to be comfortable which was different for everyone. The Administrator said his opinion on what was considered comfortable did not matter. The Administrator said the temperature in the women's secured unit was not comfortable for Resident #1. The Administrator said he felt like the AC for the women's secured unit was doing its job keeping up with the heat and cooling the secured unit. The Administrator said the facility had placed another bigger window unit in the women's secured unit after the surveyor began investigating and after temperatures were obtained with a digital thermometer in preparation for the hotter weather forecast for 6/28/23 and 6/29/23. 675439 Page 2 of 2