F 0575
Level of Harm - Potential for
minimal harm
Residents Affected - Many
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy
groups and a statement that the resident may file a complaint with the State Survey Agency.
Based on observation, interview and record review the facility failed to post in a form and manner
accessible and understandable to residents and resident representatives a list of names, addresses
(mailing and email, and telephone numbers of all pertinent State agencies and advocacy groups, such as
the State Survey Agency, the State licensure office, the protection and advocacy network, home and
community based service programs, and the Medicaid Fraud Control Unit for 1 of 1 buildings reviewed for
postings
The facility failed to ensure the number to HHS Long Term Care Regulatory (state survey and certification
agency) number for filing grievances, or complaints or suspected violations of state or Federal violations
was posted.
This failure could place residents at risk of lack of knowledge of who to contact should they require
advocacy, investigation, and not knowing their rights, how to exercise their rights, or investigations into
violations of their rights.
Findings include:
Observation and interview on 7/10/24 at 12:30 p.m., the ADON stated she knew what to do monitor for
abuse and neglect. The ADON knew to report to the Administrator for abuse and neglect. The ADON stated
if the Administrator was told of the abuse and neglect and did nothing she would call the State Survey
Agency herself. When asked where the number was located the ADON left and checked all 6 halls including
the three secured halls. At 12:41 p.m. the ADON returned and said, I have no idea where the darn thing is.
Observation with the ADON revealed all public areas of the facility including the dining room and lobby and
the posting for the abuse number was not posted.
Observation and interview on 7/10/24 at 12:45 p.m. revealed CNA A went looking for the State Number and
the ADON told him the number was not posted. CNA A said he guessed he would google the number on
the phone. CNA A, the ADON, and some unidentified staff were gathered at the nurse's station trying to find
the number on their phone and/or computer.
Interview on 7/10/24 at 12:52 p.m. revealed DON said state number was posted on a hallway across from
her office, and then realized when the facility was repainted the postings were taking down. The DON said,
it's not posted, I don't know why it's not posted, it should be posted, I can't find it. The DON said she was
aware it was a requirement and did not know why it was not posted. The DON said it was posted across
from her office for years and she thought the numbers were posted.
Interview on 7/10/24 at 1:08 p.m., the Administrator said she was informed of the missing posting.
(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:
675985
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
675985
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
07/15/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Focused Care at Midland
2000 N Main
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)
F 0575
Level of Harm - Potential for
minimal harm
Residents Affected - Many
The Administrator said she was aware the posting needed to be up, and she did not know what happened
to the posters either.
Interview on 7/15/24 at 1:40 p.m., the Administrator stated the Corporate [NAME] President was supposed
to bring them a new poster with the numbers on it and had not yet. The Administrator said the poster had
disappeared in the Bermuda Triangle and she had not found it, so she posted the 1-800 number up in the
meantime .
Record review of the facility's policy and procedure on Resident Rights, revised December 2016, reflected:
Federal and state laws guarantee certain basic rights to all residents of this facility. These rights include the
resident's right to:
Communicate with outside agencies (e.g. local, state, or federal officials, state and federal surveyors, state
long-term-care ombudsman, protection or advocacy organizations etc .) regarding any matter.
Record review of the facility's policy and procedure on Abuse, revised 1/1/23, reflected: The administrator
and/or designee are responsible for maintain all facility policies that prohibit abuse, neglect, and
misappropriation of funds/personal belongings, involuntary seclusion, or corporal punishment.
Ò
Posting of HHS abuse hotline number.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675985
If continuation sheet
Page 2 of 2
