Inspection·February 26, 2026

F 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review the facility failed to update the care plan after quarterly assessment was completed for 1 of 3 residents (Resident #1) reviewed for care plans.The facility failed to update the care plan as there were no interventions to prevent falls added to the care plan for Resident #1's fall sustained on 2.6.26.This failure could place residents at risk of not receiving the necessary care or services and having personalized plans developed to address their needs.Findings included: Record review of Resident #1's detailed summary report/face sheet, dated 2.26.26, indicated she was [AGE] year old female admitted to facility on 12.15.25 with diagnoses of dementia (a progressive, irreversible syndrome characterized by a decline in memory, language, and cognitive function severe enough to disrupt daily life), diverticulosis of intestine (is the formation of small, bulging pouches (diverticula) in the lining of the intestine, most commonly the colon, often due to high pressure from low-fiber diets), and heart failure. Record review of Resident #1's MDS, dated 2.26.26, indicated the BIMS score of 14 indicating the resident was cognitively intact. Resident was independent in all ADLs. Record review of Resident #1's care plan, dated 2.9.26, indicated she was a fall risk but there was no incident under falls dated 2.6.26. There were no fall interventions put in place, due to no previous falls. Record review of Resident #1's Risk management note, dated 2/6/2026, 19:08 indicated, During shift change report, CAN (CNA A) informed nurse that resident had fallen. Writer immediately responded and discovered resident sitting on the floor by her bed. Assessed for signs of possible injuries. Noted redness to the right side of the waist. Skin is intact and area is not raised. No bruising noted at this time. Resident denies hitting head. Stated, She was trying to get something from her bedside table and lost her balance and fell. Complaint of pain/discomfort to the right side of the waist. Administered PRN tramadol as ordered. No lumps or bumps to head. Pupils equal and reactive to light. Denies headache. Denies dizziness or lightheadedness. No nausea/vomiting. Grips are equal and strong. Active rom maintained. Residents was wearing proper footwear and floor is free of clutters. Call light was within easy reach but was not utilized. Resident is currently in the dining hall with her peer playing dominoes. No signs of distress noted. No further complaint of pain. No changes in loc noted. Called and notified resident's daughter and physician A of the incident. Reminded resident to use the call light for assistance. Resident verbalized understanding. Record review of the facility investigation report, 2/6/26, interview with resident fall timeline: On 02/06/2026 at approx. 1800 hrs., resident was found on floor, stated she was trying to get something from her bedside table and lost her balance and fell. She was assessed for injuries, and although she reported having some soreness/discomfort to her right side of waist, she denied headache, dizziness or nausea, active range of motion maintained, and showed no signs of distress. A short time later, she went to the Dining Room to play dominoes.On 02/07/2026 at approx. 0145 hrs., resident complained of continued discomfort to abdomen, physician (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 02/26/2026 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)