Health inspection·May 16, 2024

F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews, and record review the facility failed to provide reasonable accommodation of resident needs for one out of seven Residents (Resident #6) reviewed for resident rights. Residents Affected - Few On two occasions 05/11/2024 and 05/13/2024 Resident #6 was left alone in her room on the bed without being able to reach her call light. This deficiency could put other residents who are unable to use their call lights at risk of not having their care needs met by not having access to call lights to communicate their needs. Findings Included: Review of the face sheet for Resident #6 dated 05/13/2024 revealed a [AGE] year-old female and who was admitted to the facility on [DATE], with a diagnoseis of Cerebral Palsy (a congenital disorder of movement, muscle tone, or posture), muscle weakness (decreased strength in muscles), and contracture of muscle (a permanent tightening of muscles, tendons, skin, and nearby tissues that cause joints to shorten and become very stiff) . Review of the History and Physical for Resident #6 dated 03/15/2023 revealed that she had diagnoses including Spastic quadriplegic cerebral palsy, Spinal stenosis, (osteo)arthritis, and contracture of muscle in multiple sites. Review of the Annual Minimum Data Set assessment (MDS) dated [DATE] revealed Resident #6 had no BIMS score reported on her MDS. All functional abilities and goals for everyday living were left blank. Review of the care plan for Resident #6 dated 03/13/2024 revealed she had a communication problem with impaired cognition, cerebral vascular disease, and required specialized services. She required staff to ensure/provide a safe environment: Call light in reach. Observation on 05/11/2024 at 11:32 AM revealed that Resident #6 was in bed, alert and oriented, and her head was leaning downward towards the left side of the bed. Resident #6 asked the state surveyor to help her pick up her head as she was sliding down and not comfortable. The state surveyor asked the resident if she could use her call light, which the call light was not near a place the resident could reach. Resident #6 ' s hands were contracted and unable to use the call light. The call light was under the bed sheet near her left elbow. The state surveyor advised residents that nurses were being called and to give them a second to get into the room. The state surveyor called out for the nurse. LVN A walked in to assist Resident #6. (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 4 Event ID: 675479 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 675479 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/16/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Franklin Heights Nursing & Rehabilitation 223 S Resler El Paso, TX 79912 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)