Health inspection·August 12, 2025

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 ensure 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 one of five residents (Resident #1) reviewed for Reasonable Accommodation of Needs.1. The facility failed to ensure the call light system in Resident #1's room was in a position that was accessible to the resident on 8/12/25. 2. The facility failed to ensure Resident #1 had a call light system that accommodated her physical limitation. These failures could place residents at risk of being unable to obtain assistance when needed and help in the event of an emergency. Findings include: Record review of Resident #1's face sheet, dated 08/12/25, reflected an [AGE] year-old female who was admitted to the facility on [DATE]. Resident #1's relevant diagnoses included repeated seizures (uncontrolled jerking) and convulsions. Record review of Resident #1's Quarterly Minimum Data Set assessment, dated 07/24/25, reflected she had a BIMS score of 00, which indicated severe cognitive impairment. ADL care reflected the resident required extensive assistance. Record review of Resident #1's Comprehensive Care Plan, dated 08/12/2025, which was updated after the surveyor observed the concern, reflected the resident had limited range of motion bilateral hand contractures (tightening of joints) and one of the interventions was to use a soft touch call light and place in reach of the resident's left hand. In an observation on 08/12/25 at 10:05 AM, Resident #1 was observed lying in bed, and her light touch pad call light was not within reach. The call light was observed to be hanging on the back wall behind the bed. Both resident's hands appeared contracted. An attempt was made to interview the resident, but she did not appear coherent. In an observation and interview on 08/12/25 at 10:07 AM, LVN S stated Resident #1 required total care and had to be fed. She stated they would have to anticipate the resident's needs by checking on her every two hours. She stated she was unsure if the resident could use the call light button or a call light touch pad. She stated the admitting nurse should have assessed the resident for this. She stated the resident was a full code and would need to contact staff if she was in distress. In an interview on 08/12/25 at 10:30 AM, the DON and ADON were advised Resident #1 did not have her call light within reach and based on the resident's contracted hands, it was unclear if the resident could push the call light button. The DON stated the resident was new to the facility and she did not know if the resident could use a call light button or call light touch pad. She stated an assessment was never completed to determine if the resident could use a call light or touch pad to alert staff if she was in distress. The DON stated the nursing staff admitting the resident should have assessed for this when the resident was admitted to the facility. She stated whoever the nurse on duty at the time the resident was admitted , should have completed this task, so there was not a particular nurse assigned, and she could not recall who admitted the resident. The DON stated the resident was a full code and would require assistance if she had any distress. She stated they checked on the resident 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 3 Event ID: 675757 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 675757 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/12/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Signature Pointe 14655 Preston Rd Dallas, TX 75254 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)