Health inspection·January 8, 2026

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to ensure allegations of abuse were reported immediately, but not later than 2 hours after the allegation was made to the State Agency for 1 of 4 residents (Resident #20) reviewed for abuse in that: The facility did not report to the State Survey Agency that Resident #20 reported an allegation of abuse to the administration within 2 hours of the incident. This deficient practice could place residents at risk for not having all allegations of abuse and neglect reported to the State Survey Agency in a timely manner.Findings Include: Record review of Resident #20's admission record dated 01/07/2026 revealed he was admitted to the facility on [DATE] with diagnosis of Parkinson's disease, schizophrenia, muscle wasting and atrophy. He was [AGE] years of age. Record review of Resident #20's MDS assessment dated [DATE] revealed in part: BIMS = 5 indicating severe impairment. Mobility devices wheelchair. Functional abilities - Chair/bed-to-chair transfer: The ability to transfer to and from a bed to a chair (or wheelchair) = Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity Or, the assistance of 2 or more helpers is required for the resident to complete the activity. Record review of the current care plan for Resident #20, last reviewed/revised: 11/05/2025, revealed in part: The resident has limited physical mobility related to weakness. The resident will maintain current level of mobility through review date. The resident uses wheelchair for locomotion on and off unit, requires limited to extensive staff assistance to propel. The resident is dependent on staff for assistance with transferring X 2 person assist using Hoyer lift. The resident requires extensive staff assistance with bed mobility. Record review of an undated note written by CNA F indicated in part [CNA F] saw [LVN C] grab Resident #20 and pulled him by his shirt and pulled him up in an abusive manner I was walk to lay him down and I asked him for help and that when pulled him in abuse manner I look at [Resident #20] and he stated I think he broke my leg all I could do was say I'm sorry and I cried because I thought it was very wrong signed [CNA F]. Record review of LVN C's facility's Disciplinary Action Record dated 01/02/2026 revealed in part: Recommended action - suspend. Facts regarding incident: Violation of policy - Resident [#20] states pulled him up with shirt. Corrective action to be taken suspension for 3 day. Team member signature and date = done over phone. Record review of LVN C's facility's employee termination form dated 01/06/2026 revealed in part: Reason for separation failure to adhere to company policies. Description of incident: Resident [#20} states employee [LVN C] pulled him up by his shirt. During an interview and observation on 01/07/2026 at 3:40 PM revealed Resident #20 was in his bed awake and alert. Resident #20 said that LVN C had been rude to him. The resident said he felt intimidated by him just by the way the LVN looked at him. Resident #20 said whenever LVN C was working at the facility and was his nurse, he felt scared and threatened by the LVN. Resident #20 said he did not recall if he had reported LVN C to someone. Resident #20 said he did not recall being physically mistreated by LVN C just that he felt the LVN did not like him. During a (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 01/08/2026 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)