Health inspection·November 18, 2025

F 0695 Provide safe and appropriate respiratory care for a resident when needed. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews, and record review the facility failed to ensure that a resident who needs respiratory care was provided such care, consistent with professional standards of practice for 6 (Residents #6, #7, #8, #9, #10, and #11) of 6 residents observed for oxygen management. The facility failed to ensure that Residents on oxygen (#6, #7, #8, #9, #10, and #11) had oxygen signs posted outside their bedrooms (Rooms 4, 14, 15, 20, 26, and 33). This failure could place residents on oxygen therapy at risk of receiving incorrect or inadequate oxygen support and decline in health. Findings included: Resident #6Record review of Resident #6's admission record dated 10/10/25, revealed an admission on [DATE] and re-admission on [DATE] to the facility. The admission record revealed, a [AGE] year-old male diagnosed with heart failure and respiratory failure. Record review of Resident #6's MDS dated [DATE], revealed a BIMS score of 3, indicating the resident had severely impaired cognition. The MDS was marked for oxygen therapy. Record review of Resident #6's order summary dated 10/10/25, revealed oxygen via nasal cannula at 2 liters per minute to maintain SpO2 (blood oxygen level) greater than 90% as needed for shortness of breath. Record review of Resident #6's care plan dated 08/08/25, revealed oxygen therapy via nasal cannula at 2 liters per minute to maintain SpO2 greater than 90%. Observation on 10/07/25 at 1:20 PM, revealed Resident #6 was asleep in bed, with nasal cannula on, and oxygen set at 2 liters per minute. No Oxygen Sign was placed outside of Resident #6's room. Resident #7Record review of Resident #7's admission record dated 10/10/25, revealed an admission on [DATE] and re-admission on [DATE] to the facility. The admission record revealed, a [AGE] year-old male diagnosed with heart failure, paraplegia (type of paralysis that affects the lower body) and COPD (chronic obstructive pulmonary disease-a lung condition caused by damage to parts of the lungs).Record review of Resident #7's MDS dated [DATE], revealed a BIMS score of 14, indicating the resident had relatively good cognitive function. The MDS was marked for oxygen therapy. Record review of Resident #7's order summary dated 10/10/25, revealed, may have O2 to keep SpO2 above 92. Record review of Resident #7's care plan dated 07/30/25, revealed O2 at 2 liters per minute per nasal cannula to maintain SpO2 at 93-100%. Observation on 10/07/25 at 1:24 PM, revealed Resident #7 was not in the room, nasal cannula connected to the oxygen port and oxygen set at 2 liters per minute. No Oxygen Sign was placed outside of Resident #7's room. Resident #8Record review of Resident #8's admission record dated 10/09/25, revealed an admission on [DATE] to the facility. The admission record revealed, a [AGE] year-old male diagnosed with heart failure, COPD and nicotine dependence. Record review of Resident #8's MDS dated [DATE], revealed a BIMS score of 11, indicating the resident had moderate impaired cognition. The MDS was marked for oxygen therapy. Record review of Resident #8's order summary dated 10/09/25, revealed oxygen via nasal cannula at 2-6 liters per minute to maintain SpO2 greater than 90% every shift for COPD. Record review of Resident #8's care plan dated 09/12/25, revealed oxygen therapy via nasal cannula at 2-6 liters per minute to maintain SpO2 greater than 90%. Observation on 10/07/25 at 1:26 PM, revealed Residents Affected - Some (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: 675751 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 675751 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/18/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Focused Care at Odessa 2443 W 16th St Odessa, TX 79763 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)