Health inspection·November 1, 2023

F 0623 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to send a copy of the notice of transfer or discharge and the reasons for the transfer or discharge in writing to the Office of the State Long-Term Care Ombudsman for one (Resident #1) of two residents reviewed for transfer and discharge. The facility failed to send a transfer or discharge notice in writing to the facility's Ombudsman as soon as practicable when Resident #1 was discharged home on 7/14/23. This failure could affect residents at the facility by placing them at risk of being discharged and not having access to available advocacy services, discharge/transfer options, and the appeal processes. Findings included: Record review of Resident #1's electronic face sheet, dated 10/31/23 revealed she was a [AGE] year-old female, admitted to the facility on [DATE] with diagnoses to include fracture of unspecified part of neck, Depressive Disorder, and type 2 diabetes mellitus. Review of Resident #1's progress notes dated 7/14/23 indicated Resident #1 discharged home with her prescriptions and personal items. Resident #1's family member was at the facility to assist with the discharge and transport he resident home. The resident was in stable condition at time of discharge. Electronic communication via email dated 11/1/23 Ombudsman wrote: The Ombudsman Program has not received any 30-day discharge notices since 3.21.2022 and has not received transfer/discharge reports since 6.7.2023, from the facility. During an interview on 11/1/23 at 3:15 PM the ADMIN stated the social worker should be the one that handles all discharges and documentation even with the Ombudsman. She stated a spreadsheet of all residents who were transferred out of the facility should be kept and emailed to the Ombudsman monthly. During an interview on 10/26/2022 at 2:25 the SW stated that for long term care discharges there was 30-day notice but if they were only in the facility for skilled care then it could be up to 48 hours. He stated that he did not know he needed to contact the Ombudsman of all transfers and discharges. (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 2 Event ID: 675593 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 675593 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/01/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wisteria Place 3202 S Willis St Abilene, TX 79605 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)