Inspection·March 31, 2025

F 0585 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interviews and record review, the facility failed to ensure prompt efforts were made to resolve grievances for 1 of 5 (Resident #1) residents reviewed for grievances. The facility did not thoroughly investigate or take prompt action to resolve grievances voiced by Resident #1 that she did not want CNA A or CNA B enter her room or provide care. This failure could place residents at risk of unresolved grievances and decreased quality of life. Findings included: Record review of Resident #1's face sheet indicated she was a [AGE] year old female, admitted on [DATE], and her diagnoses included dementia (loss of cognitive functioning), anxiety (intense, excessive and persistent worry and fear about everyday situations), schizophrenia (serious mental health condition that affects how people think, feel and behave), unspecified mood disorder (complex mental health condition), paranoid personality disorder (mental health condition marked by a long-term pattern of distrust and suspicion of others without adequate reason to be suspicious (paranoia). People with PPD often believe that others are trying to demean, harm or threaten them.), major depressive disorder (persistent feeling of sadness and loss of interest), and bipolar disorder (mental health condition that causes extreme mood swings). Record review of Resident #1's quarterly MDS assessment dated [DATE] indicated she was able to make herself understood and understood others and she was cognitively intact (BIMS-15). Record review of Resident #1's care plan dated 08/25/23 indicated she had a history of confabulation (a memory error consisting of the production of fabricated, distorted, or misinterpreted memories about oneself or the world. It is generally associated with certain types of brain damage (especially aneurysm in the anterior communicating artery) or a specific subset of dementia) presented false information she believed to be true, and indicated aides did not provide the right care. Interventions included allow resident to verbalize feelings, redirect resident during episodes of confabulation, psych consult as ordered, and report to MD as needed and document episodes of confabulation in the clinical record. Record review of Resident #1's care plan dated 04/06/2021 indicated Resident #1 had a behavior problem related to confabulation, schizophrenia, major depressive disorder, and bipolar disorder. Interventions included administer medications as ordered, anticipate and meet her needs, and assist her to develop more appropriate methods of coping and interacting without confabulation. (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: 675595 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 675595 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/31/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Harmony Care at Beaumont 2660 Brickyard Rd Beaumont, TX 77703 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)