Health inspection·October 31, 2023

F 0700 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview, and record review the facility failed to review the risks and benefits of bed rails with the resident or resident's representative and obtain informed consent prior to installation of bed rails for 1 (Resident #1) of 8 residents reviewed for bedrails. The facility failed to inform Resident #1 or her representative of the use of bed rails and obtain consent for the use of bed rails. This deficient practice could place all residents with bed rails at risk for injuries such as abrasion, fractures, and entrapment. Finding include: Record review of Resident #1's clinical record revealed an [AGE] year-old female admitted to the facility on [DATE] with diagnoses to include dementia (a group of thinking and social symptoms that interferes with daily functioning), anxiety (a mental health disorder characterized by feeling of worry, anxiety, or fear that are strong enough to interfere with one's daily activities), pain, hypertension (a condition in which the foresee of the blood against the artery walls is too high), coronary artery disease (damage or disease in the hearts major blood vessels), arrythmia (a condition in which the heart beats with an irregular or abnormal rhythm), osteoarthritis (a type of arthritis that occurs when flexible tissue at the ends of bones wears down), cardiovascular accident (occurs as a result of disrupted blood flow to the brain due to problems with the blood vessels that supply it, and history of falling. Record review of Resident #1's clinical record revealed her last MDS was an admission completed 9-25-2023 which indicated her BIMS was 00 indicating she was severely cognitively impaired, and she had a functionality of requiring one-person assistance with most activities of daily living. Record review of the facility provided Side Rail Release Form for Resident #1 completed by PT/OT revealed the following: Date: 9-18-2023 Patient is released to have one/both side rails on bed by PT/OT Description: Patient released to use handrails for bed mobility, transfer, and repositioning. Record review of the facility provided Side Rail Release Form for Resident #1 completed by PT/OT (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: 675498 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 675498 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/31/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Hillside Heights Rehabilitation Suites 6650 South Soncy Road Amarillo, TX 79119 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)