Health inspection·October 23, 2024

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 provide services with reasonable accommodation of needs for 1 of 11 (Resident #1) residents reviewed for resident call system. Residents Affected - Few The facility failed to provide a working communication system on 10/23/2024 that was easily at reach and that would allow Resident #1 the ability to safely call for staff for assistance. This failure could place residents at risk of not having a means of directly contacting caregivers in an emergency or when they need support for daily living. The findings included: Record review of Resident #1's admission record dated 10/23/24 revealed Resident #1 was a [AGE] year-old male with an admission date of 09/27/2018. Medical diagnosis that included spinal stenosis (the narrowing of the space around your spinal cord or nerves), muscle weakness, muscle wasting, and quadriplegia (paralysis of both arms and legs). Record review of Resident #1's MDS dated [DATE] revealed a Brief Interview for Mental Status (BIMS) of 11 indicating a moderately impaired cognition. under Section GG - Functional Abilities and Goals revealed the resident requires Substantial/maximal assistance for oral hygiene, shower/bathe self, upper body dressing, lower body dressing, putting on/taking off footwear, and personal hygiene . Record review of Resident #1's care plan dated 09/25/24 revealed Focus - The resident is at risk for falls and fractures as evidence by: residents diagnosis of quadriplegia. Goal - The resident will be free of falls through the review date. Interventions/ Task - Be sure The resident's call light is within reach and encourage the resident to use it for assistance as needed. The resident needs prompt response to all requests for assistance. And Focus - Resident has an ADL self-care performance deficit r/t disease processes. Resident has a diagnosis of quadriplegia. Goal - Will maintain ability to participate with self care at current level QD through review date. Interventions/ Tasks - Keep call light within reach and encourage resident to use it for assistance. Respond promptly to all requests for assistance. (resident uses specialized call light). Observation on 10/ 23 / 2024 at 11:50 a.m., revealed Resident #1 lying in bed asking for help. Resident #1 asked if surveyor would be able to get his call light to call staff into his room. Resident #1 stated he is able to use his call light as long as the staff give it to him and place it over his chest. Resident #1 stated the staff will clip it to his pillow, but they do not always ensure it is over his chest. Surveyor pressed the call light that was observed hanging off the side of the bed out of reach of Resident #1. An unknown staff entered the room, asked what was needed, turned off (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: 675910 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 675910 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/23/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Focused Care at Hogan Park 3203 Sage St Midland, TX 79705 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)