Inspection·March 20, 2024

F 0726 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on, interviews, and record reviews, the facility failed to ensure hospitality aides with the supervision of a CNA can care for resident's needs, as identified through resident assessments, and described in the plan of care for 1 of 4 Residents (Resident #1) in that: 1. The facility failed to ensure CNA C supervised hospitality aide HA B in assisting Resident #1 to the toilet. These deficient practices affect residents who require assistance from trained staff which could contribute to possible adverse reactions. The findings included: Review of an admission Record for Resident #1 dated 3/20/24 reflected she was a [AGE] year-old female, admitted to the facility on [DATE] with diagnosis including Neurocognitive disorder, aphasia, type 2 diabetes, and Parkinson's disease. BIMs of 7 indicating sever cognitive impairment. Review of an annual MDS assessment for Resident #1 dated 1/17/24 reflected, Toilet use: I require limited assistance x1 staff support with toileting task and toilet hygiene. Progress notes of Resident #1 dated 3/6/24 at 1:32 AM entered by LVN A indicated: Note Text: Resident was being assisted to the bathroom by CNA B. CNA had resident ride in wheelchair to the bathroom due to resident's weakness noted. When CNA asked resident if she was ready to stand and get onto the toilet resident responded that she was ready. When resident stood up, she leaned back against CNA and her legs could not hold resident up. CNA lowered resident onto the floor Infront of the toilet and got this nurse. When this nurse entered room. Resident was assessed for injuries. Resident stated that her legs were sore but did not hurt from the fall. CNA B and X2 staff members (LVN A and HA B) lifted resident with gait belt and placed resident onto the toilet. Staff are now to use X2 staff for all transfers as of this time. Physician and resident's spouse has been notified. During an interview on 3/20/24 at 10:45 AM ADON stated the normal process was for a hospitality aide to go through training to be able to be a CNA. She stated a HA was to only assist and help around the facility but should always have a CNA with them. During a phone interview on 3/20/24 at 11:05 AM LVN A stated that she was working 3/6/24 that Resident #1 had her fall. She stated that it was her understanding that HA B was a CNA. She stated that night she did not witness what happened, but it was brought to her attention by HA B the moment the (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: 675681 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 675681 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/20/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Bronte Health and Rehab Center 900 S State St Bronte, TX 76933 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)