Inspection·March 29, 2024

F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to residents had the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences except when to do so would endanger the health or safety of the resident or other residents for 1 of 15 residents (Resident #75) reviewed for call light; in that: Residents Affected - Few The facility failed to ensure Resident #75's call light was with in reach. This failure could place residents at risk of achieving independent functioning, dignity, and well being. Findings include: Record review of Resident #75's face sheet, dated 3/27/24, reflected a [AGE] year-old male who was admitted to the facility on [DATE] with diagnoses which included: dementia (impaired ability to remember, think, or make decisions that interfere with doing everyday activities), Benign prostatic hyperplasia (a noncancerous enlargement of the prostate gland), and Peripheral vascular disease (systemic disorder that involves the narrowing of peripheral blood vessels). Record review of Resident #75 Quarterly MDS, dated [DATE], reflected a BIMS score of 13, which indicated intact cognition. Review of Resident #75's Quarterly MDS, dated [DATE], reflected under section G, G0300, option # 3 which stated, the patient was unsteady on his feet and required assistance X 1. Record review of Resident #75's care plan, dated 4/17/23, revealed Resident #75 was at risk for falls related to weakness and unsteadiness. Intervention: Be sure the residents' call light is within reach. Observation on 3/27/24 at 10:21 a.m. revealed Resident #75's call light was not visible, and instead the call light was wrapped on the call light box on the wall. During an interview with Resident #75 on 3/27/24 at 10:25 a.m., he stated, They always move that call light away from me. During an interview on 3/27/2024 at 10:55 a.m, with CNA B, she stated she was the assigned nursing assistant for Resident #75, and the call light was wrapped on the wall call light box. CNA B stated, I must have forgotten to move it back to resident #75's reach when I provided incontinent care this (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 10 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 03/29/2024 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)