Health inspection·May 16, 2023

F 0660 Plan the resident's discharge to meet the resident's goals and needs. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review the facility failed to develop and implement an effective discharge planning process that focused on the resident's discharge goals, the preparation of residents to be active partners and effectively transition them to post-discharge care, and the reduction of factors leading to preventable readmissions for 1 of 3 residents (Resident # 1) reviewed for discharge planning. Residents Affected - Few The facility failed to develop and implement a discharge plan after Resident #1 requested to be discharged to another facility. This failure could place residents at risk of not receiving a discharge plan prior to their discharge which could lengthen their stay at the facility. Findings include: Record review of Resident #1's, undated, face sheet reflected the resident was a [AGE] year-old male who was admitted to the facility on [DATE]. His diagnosis included quadriplegia (paralysis of arms and legs). Record review of Resident #1's, undated, care plan reflected no care plans related to discharge. Record review of Resident #1's progress notes reflected the following: 11/02/22 at 9:32 AM Resident wants to be discharged to a different nursing home. I sent the referral, and they quickly denied him. The reason is he is going to be a problem for our facility. - written by Discharge Planner 11/03/22 at 11:37 AM I spoke with the resident, and he feels that he is being held here at the facility against his will. He stated that his previous facility lied to him about where he was going, he thought he was going to a different nursing facility. I informed him that the other facility denied him. He became very upset. I told him not to worry, that I am trying to find him a place soon just give me a second. - written by Discharge Planner 11/09/22 at 9:06 AM (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: 675877 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 675877 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/16/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Greenbrier Health Care Center 301 W Randol Mill Rd Arlington, TX 76011 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)