Health inspection·December 18, 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 the resident 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 1 of 3 residents (Resident #1) reviewed for resident rights. The facility failed to ensure Resident #1 had her call light within reach on 12/18/2025. This failure could put residents at risk of being unable to contact staff in the event of an emergency or when assistance was needed with daily care.Findings include: Review of Resident #1's face sheet dated 12/18/2025 reflected a [AGE] year-old female admitted on [DATE] with diagnoses of unspecified dementia (significant memory and thinking problems), unspecified macular degeneration (the area of the eye responsible for sharp vision breakdown which causes vision loss), weakness, and generalized anxiety disorder (mental health condition marked by excessive uncontrollable worry about everyday things). Review of Resident #1's quarterly MDS dated [DATE] reflected a BIMS score of 7 (severe impairment). Further review reflected Resident #1 required supervision or touching assistance (helper provides verbale cues and steading) for chair/bed-to-chair transfers. Review of Resident #1's care plan with revision date of 07/31/2025 reflected Resident #1 had an ADL self-care performance deficit related to weakness. Interventions included to encourage Resident #1 to use the call bell for assistance. Review of care plan dated 07/31/2025 reflected Resident #1 was a high risk for falls with interventions to ensure the resident's call bell was within reach and encourage the resident to use it for assistance when needed. Interventions also included that the resident needed prompt response to all requests for assistance. During an interview and observation on 12/18/2025 at 10:49 AM it was revealed that CNA B exited Resident #1's room. Resident #1 laid in bed and with her call light on the floor between the wall and head of her bed. Resident #1 stated that she got herself in and out of bed. Resident #1 stated that staff told to ask for help, but she forgets. Resident #1 stated she could not reach her call light. Observation on 12/18/2025 at 11:57 AM revealed Resident #1's call light on the floor between her wall and headboard as she laid in bed. Observation on 12/18/2025 at 2:46 PM revealed Resident #1's call light on the floor between her wall and headboard as she laid in bed. Observation on 12/18/2025 at 3:31 PM revealed Resident #1's call light on the floor between her wall and headboard as she laid in bed. During an interview on 12/18/2025 at 1:00 PM, LVN A stated that Resident #1's fall interventions were to encourage her to use her call light if she needed anything and to ensure her call light was within reach. LVN A stated she usually worked overnight and that during the night Resident #1 did not use her call light. During an interview on 12/18/2025 at 1:23 PM CNA C stated that fall prevention interventions included to ensure a resident had their call light in place. During an interview on 12/18/2025 at 2:18 PM, LVN D stated that residents who were at risk of falling had interventions in place to ensure their call light is within reach. During an interview on 12/18/2025 at 2:41 PM, CNA B stated she usually worked from 6:00 am to 6:00 PM. CNA B 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: 675799 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 675799 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/18/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Brenham Nursing and Rehabilitation Center 400 E Sayles St Brenham, TX 77833 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)