Health inspection·February 27, 2025

F 0583 Keep residents' personal and medical records private and confidential. 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 provide the right to personal privacy which includes accommodations during personal care for one (Resident #1) of ten residents reviewed for Privacy. Residents Affected - Few The facility failed to ensure CNA A and CNA B provided privacy when they transferred Resident #1 in the hallway on 02/27/2025. This failure could place the residents at risk of not having their personal privacy maintained during medical treatment. Findings included: Review of Resident #1's Face Sheet, dated 02/27/2025, reflected a [AGE] year-old female admitted on [DATE]. Resident #1 was diagnosed with muscle wasting (thinning of muscle mass due to disuse) and atrophy (decrease in size of a body part). Review of Resident #1's Quarterly MDS Assessment, dated 01/27/2025, reflected the resident was cognitively intact with a BIMS score of 15. The Quarterly MDS Assessment indicated the resident was dependent on staff for transfer bed-to-chair transfer. Review of Resident #1's Care Plan, dated 02/27/2025, reflected the resident required an extensive assistance by 2 staff to transfer via mechanical lift (devices used to move a person from one position to another). Observation and interview with CNA B on 02/27/2025 at 10:31 AM revealed CNA B was inside Resident #1's room and was about to transfer the resident via Hoyer lift (device that holds a person in a hammock-type sling to lift and transfer). She said she was waiting for CNA A to assist her with transfer. It was observed that CNA B already placed the Hoyer sling under the resident and the Hoyer lift was already at the left side of the bed. Observation and interview on 02/27/2025 at 10:34 AM revealed CNA A entered Resident #1's room to assist CNA B in transferring the resident to her wheelchair. The CNAs hooked the Hoyer sling to the Hoyer lift and raised the resident. CNA B closed the door before raising the resident. When the resident was already raised, CNA A told CNA B to unlock the bed and push the rear end of the bed towards the right. When the rear end of the bed was already pushed to the right side, both CNAs started to maneuver the Hoyer lift. When asked where the resident's wheelchair was, CNA A said it was in the hallway. CNA B opened the door and both CNAs continued to move the Hoyer lift outside the room and into the hallway. It was observed that the resident's wheelchair was in the hallway, near the adjacent (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: 675790 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 675790 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/27/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Garland Nursing and Rehabilitation 321 N Shiloh Rd Garland, TX 75042 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)