Health inspection·June 27, 2024

F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Based on observations, interviews, and record reviews, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public for 4 of 4 (Resident # 2, 7, 8, &9) rooms reviewed for environment. The facility window blinds in Resident #2, 7, 8, &9's rooms were inoperable and damaged. This failure could place residents at risk for diminished quality of life due to the lack of a well- kept environment. Findings included: Observation on 6/26/24 at 9:10 am revealed that in 4 rooms (Resident #2, 7, 8, 9's room) observed during initial rounds the white 1-inch vinyl blinds being used for window covering were damaged, had broken blades, missing blades, cords in knots, inoperable. Interview on 6/26/24 at 10:45am Resident #2, stated that the broken window blinds were already damaged when she arrived. Resident #2 stated it made the room look junky and cheap. Resident #2 stated she did not mention the damaged blinds to any staff but wished they would replace them. Interview on 6/26/24 at 1:30pm Resident #7, stated blinds were damaged when she admitted , and it makes the room look junky. Resident #7 stated that the facility has known about the blinds but has done nothing. Resident #7 stated staff are nice and respectful, food is good, and she likes the facility but wishes they would fix the blinds. Resident #7 stated she did not ask or tell anyone about the blinds because they can see they are broken themselves. Interview on 6/26/24 at 1:40pm Resident #8, stated the blinds were broken when she arrived at the facility, and they let too much light in. Resident #8 said she knows the facility knows about the blinds, and she wished they would repair them. She said she has not asked anyone to fix the blinds and thinks they should know to do this. Interview on 6/27/24 at 1:10pm Resident #9, stated the blinds have been broken since she has been here. Resident #9 stated she has told them she would like them to be replaced or fixed to keep out the light. Resident #9 stated she thinks she has told the nurse and maintenance man about the blinds. Interview on 6/27/24 at 10:05am CNA L stated she has noticed broken blinds in resident's rooms and Page 1 of 2 675722 675722 06/27/2024 Focused Care at Fort Stockton 501 N Sycamore Fort Stockton, TX 79735

F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some has reported to charge nurse but did not write in the logbook. CNA L stated she has worked on night shift for most of her time at the facility and only started day shift. CNA L stated many of the blinds have been broken since she started 8 months ago. Interview on 6/27/24 at 10:35am LVN I stated when things need to be fixed or looked at you can tell the maintenance man or write it down in the Logbook at the nurse's station. LVN I stated she has noticed blinds being broken but stated residents have done this and they will continue to damage blinds even if replaced. LVN I stated she knew some residents would not break blinds, but have had broken blinds in their room before they arrived. LVN I stated yes the broken blinds need to be replaced. Record review of the Maintenance Logbook located at the nurse's station. Reviewed dates 6/26/24 back to 2/15/24. No request was made for broken window blinds in any resident rooms. Interview by phone on 6/27/24 at 2:45pm, Maintenance man stated any repairs are either written in the Maintenance Log or told to Maintenance man by staff. He said the maintenance log is checked throughout the day. Maintenance man stated he had trouble getting blinds ordered, and the company where the facility orders from did not have the size they needed in stock. Maintenance man stated the facility has a few new blinds in storage, but he has not been able to put them up at this time but will when he is back from vacation. Maintenance man stated he knows there are a lot of blinds in resident's rooms that need to be replaced. Interview on 6/27/24 at 3:05pm, Admin stated replacing the broken window blinds has been one of the things he has been working on. Admin stated they have some new blinds in storage but have not used them yet. Admin has noticed that there are a lot of window blinds in resident's rooms that are broken. Admin stated he understands it is important for the residents to live in a clean facility, have privacy, security, and have all repairs done in a timely manner. Record review of Maintenance Service Policy, no date reflected: 2. Functions of maintenance personnel include, but are not limited to: B. Maintaining the building in good repair and free from hazards. 675722 Page 2 of 2