Inspection·March 1, 2024

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Based on observation, interview, and record review, the facility failed to promote and maintain the residents' right to be treated with respect and dignity for 4 of 4 residents (Residents #1, #2, #3, and #4) reviewed for dignity and respect, in that: RN A referred to residents who required assistance with dining as feeders within the hearing of residents. This deficient practice could place residents at risk of psychosocial harm due to diminished self-image. The findings were: Observation on 02/27/2024 at 11:40 a.m. revealed RN A was sitting at a dining table with unidentified Residents #1, #2, #3, and #4, two CNAs, and one Medication Aide. RN A was sitting between two residents who require assistance with dining. RN A waved her arm to indicate the residents at the table and stated, These are all feeders in reference to the residents. During attempted interviews with unidentified Residents #1, #2, #3, and #4 on 02/27/2024 at 11:40 a.m., Residents #1, #2, #3, and #4 were not responsive to questions and unable to be interviewed due to cognitive deficits. During an interview with the DON on 02/27/2024 at 1:00 p.m., the DON stated she would have chosen a more appropriate word in reference to residents who require assistance with dining and that she has provided training to staff regarding dignity and respect. During an interview with RN A on 02/27/2024 at 4:30 p.m., RN A stated she could have chosen more respectful phrasing and that she meant no disrespect toward the residents. During attempted interviews with unidentified Residents #1, #2, #3, and #4 on 02/27/2024 at 4:55 p.m., Residents #1, #2, #3, and #4 were not responsive to questions and unable to be interviewed due to cognitive deficits. During attempted interviews with unidentified Residents #1, #2, #3, and #4 on 02/28/2024 at 11:45 a.m., Residents #1, #2, #3, and #4 were not responsive to questions and unable to be interviewed due to cognitive deficits. During attempted interviews with unidentified Residents #1, #2, #3, and #4 on 02/29/2024 at 11:55 (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: 675736 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 675736 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/01/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Yoakum Nursing and Rehabilitation Center 1300 Carl Ramert Dr Yoakum, TX 77995 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)