Health inspection·September 21, 2023

F 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Based on observation, interview, and record review the facility failed to store all drugs and biologicals in locked compartments under proper temperature controls and permit only authorized personnel to have access to the keys for one medication cart (carts A and C) of four medication carts reviewed for label and storage of drugs and biologicals. The facility failed to ensure treatment cart A was locked when unattended. The facility failed to ensure medication cart C was locked when unattended. This failure could place residents at risk of having access to unauthorized medications and/or lead to possible harm or drug diversions. Findings included: During an observation and interview on 09/20/2023 from 8:30 AM to 09:00 AM, revealed treatment cart A and medication cart C were found unlocked and unattended in front of the nurses station with no staff in sight. The Surveyor waited by the carts until the ADON came around the corner, from the dining room and stated that she had only walked away for a little bit. The ADON stated that she knew that she shouldn't have left the cart unattended while unlocked. During an observation and interview on 09/20/2023 from 10:30 AM to 10:40 AM, revealed medication cart C was found unlocked and unattended in front of the nurses station. RN D was on the other side of desk, on the computer, not paying attention as the Surveyor opened the drawers to the medication cart. The Regional Compliance Nurse and the DON were called over to observe. The Regional Compliance Nurse stated that the nurse was in-serviced about unlocked carts 09/19/23 and should know better. The DON stated that she would in-service all staff immediately regarding locking medication carts and how it can lead to possible harm or drug diversions. During an observation and interview on 09/21/2023 from 11:30 AM to 11:37 AM, revealed medication cart C was found unlocked and unattended in front of the nurses station, no staff in sight. RN D came by and stated it was her cart. RN D stated that it is dangerous to leave carts unlocked when unattended. Anybody could get in the cart which contained over-the-counter medications, zofran, anti-anxiety medications, and blood pressure medications. RN D stated that there were residents who wander around the facility and could hurt themselves by ingesting thee medications. RN D stated that she knew better than to leave the carts unlocked when unattended and that the DON just did an in-service with her yesterday. (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: 675614 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 675614 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/21/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ballinger Healthcare and Rehabilitation Center 2001 6th St Ballinger, TX 76821 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)