Health 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 Page 1 of 2 675736 675736 03/01/2024 Yoakum Nursing and Rehabilitation Center 1300 Carl Ramert Dr Yoakum, TX 77995

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some 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 03/01/2024 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 an interview with the Administrator on 03/01/2024 at 11:45 a.m., the Administrator stated that she had begun in-service training regarding maintaining respect and dignity while speaking to and about residents. Record review of the facility policy, Maintaining Resident Dignity During Mealtimes, dated 01/13/2023, revealed, All staff members involved in providing feeding assistance to residents promote and maintain resident dignity during mealtimes. 675736 Page 2 of 2