Health inspection·August 2, 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 Observations & Interviews, the facility failed to ensure that residents 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 6 residents (Resident # 31) reviewed for call light. Residents Affected - Few The facility failed to ensure Resident # 31's call light was within reach. This failure could place residents at risk of achieving independent functioning, dignity, and well-being. Findings include: Record review of Resident # 31's face sheet dated 7/30/24 revealed a 64 - year old female admitted to the facility on [DATE]. Resident # 31 had diagnoses that included Chronic obstructive pulmonary disease (lung disease that damages the airways or other parts of the lungs, making it difficult to breathe), Major Depressive Disorder ( a severe mood disorder that can affect a person's thoughts, feelings, and ability to perform daily activities) and Paraplegia( is a term used to describe the inability to voluntarily move the lower parts of the body). Record review of Resident # 31's admission MDS assessment dated [DATE] reflected a BIMS score of 13 which suggested intact cognition. under section G, G0300, option # 3, which stated that the patient was unsteady on their feet and required assistance X 2. Record review of Resident 31's care plan dated 7/09/24 did not address the use of call light. Observation and interview on 7/30/24 in Resident # 31's room at 9:45 AM revealed that the call light was found on the floor under the bed. Resident # 31 stated, I would be in a pickle if I need to call for help. Resident # 31 expressed that they did not know how the call light ended up on the floor. On 7/30/24 at 9:50 AM, during an interview, CNA A stated that she was the assigned nursing assistant for Resident #31. She mentioned that she did not know how Resident #31's call light ended up on the floor, but she picked it up and clipped it to Resident #31's bedspread. She also noted that if Resident #31 lacked access to the call light, it could potentially lead to a fall if Resident #31 needed assistance. During an interview with the DON on 7/30/24, at 10:05 AM, she mentioned that she was the assigned (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 11 Event ID: 675922 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 675922 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/02/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Parkview Manor Nursing and Rehabilitation 206 N Smith St Weimar, TX 78962 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)