Inspection·September 15, 2024

F 0728 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. Based on interview and record review, the facility failed to not use any individual working in the facility as a nurse aide for more than four months, on a full-time basis, unless that individual is competent to provide nursing and nursing related services; and that individual has completed a training and competency evaluation program, or a competency evaluation program approved by the State for 4 of 4 Student Nurse Aide (NA) reviewed for training and competency ( NA B, NA C, NA D and NA E). The facility failed to ensure NA B, NA C, NA D and NA E were certified nurse aides and had the appropriate training/competency to provide care to residents within four months of hire. This failure could place residents at risk for injury or receiving improper care by unlicensed personnel. Findings included: Record review of employee roster dated 9/13/24 revealed NA B had a hired date of 3/21/24 and position: nurse aide; NA C had a hired date of 3/21/24 and position: nurse aide; NA D had a hired date of 12/15/23 and position: nurse aide; NA E had a hired date of 12/13/23 and position: nurse aide. Record review of NA B's Texas Nurse Aide Performance Record revealed a training begin date of 3/27/24 and an end date of 4/19/24. Record review of NA C's Texas Nurse Aide Performance Record revealed training a begin date of 3/27/24 and an end date of 4/19/24. Record review of NA D's Texas Nurse Aide Performance Record revealed a training begin date of 12/18/23 and an end date of 1/12/24. Record review of NA E's Texas Nurse Aide Performance Record revealed training a begin date of 3/27/24 and an end date of 4/19/24. During an interview on 9/15/24 at 10:21 a.m., NA E said she had worked at the facility full time since April or May 2024 and was not a certified NA. She said she worked the 100 Hall from 6am-2pm shift and sometimes double shifts if needed independently. NA E said she had not scheduled to retake the state certification at this time and planned on scheduling to take the test soon. She said she previously took the test but did not pass. NA E said when she first started, she did some training and she worked with another CNA for a few days to know how to care for the residents. She said she did a peri care check off with the DON. She said she now worked independently when providing care to 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: 675774 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 675774 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/15/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Legend Healthcare and Rehabilitation - Greenville 2300 Jack Finney Blvd Greenville, TX 75402 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)