Inspection·August 15, 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, interview and record review, the facility failed to ensure residents had the right to reside and receive services in the facility with reasonable accommodation of resident needs and preference for one (Resident #10) of three residents reviewed for call light. Residents Affected - Few The facility failed to ensure Resident #10's call light was within reach and functioning properly. This failure could place residents at risk of being unable to obtain assistance when needed and help in the event of an emergency. Findings were: Record review of Resident #10's admission record dated 08/15/24 reflected a [AGE] year-old male with an initial admission date of 10/14/22 and a readmission date of 07/02/24 with diagnoses of Dysphagia oropharyngeal phase (difficulty swallowing), Unspecified convulsion (rapid involuntary muscle contractions resulting in uncontrolled shaking), Unspecified Speech disturbance, Cognitive communication deficit (trouble with communication), and Muscle Weakness (Generalized). Record Review of Resident #10's Quarterly MDS dated [DATE] reflected a BIMS score of 0 indicating severe cognitive impairment. Record review of Resident #10's MDS dated [DATE] reflected no impairment of Resident #10's functional range of motion of upper extremity shoulder, elbow wrist, or hand. The ability to come to a standing position from sitting in a chair or wheelchair Resident #10 requires supervision or touching assistance. Resident #10 uses manual wheelchair. Observation and interview on 08/13/24 at 11:53 a.m. revealed the call light was on the floor near the wall in Resident #10's room. The call light was pressed, but light outside Resident #10's room did not turn on. When interviewed, Resident #10 was alert, when asked questions, however he was non-verbal. When handed call light, Resident #10 was able to press it when asked to do so. Resident #10 was communicating by hand gestures and sounds. During an interview on 08/13/24 at 12:05 p.m. the Maintenance Supervisor said that she was not aware that Resident #10's light was not working. She said managers were assigned to each Resident rooms and they were supposed to check every morning on each resident ensuring that rooms were clean, residents were not in need of assistance and were also supposed to check that call lights are within residents reach and working properly. She said if they were not working the staff will let her know and also input a work order on their computer program system which automatically sends her an alert to (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 4 Event ID: 675933 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 675933 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/15/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Treasure Hills Healthcare and Rehabilitation Cente 2204 Pease St Harlingen, TX 78550 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)