Health inspection·August 14, 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, and record reviews, the facility failed to ensure residents received services in the facility with reasonable accommodations of each resident's needs for 1 of 8 residents (Resident #1) reviewed for resident rights in that: Residents Affected - Few The facility failed to ensure Resident #1's call light was within reach on 08/14/24. This failure could affect residents who needed assistance with activities of daily living and could result in needs not being met. Findings included: Record review of Resident #1's admission record dated 08/14/24 documented a 63year-old female admitted on [DATE]. Resident #1 had diagnoses which included: cerebral infarction (disrupted blood flow to the brain due to problems with the blood vessels that supply it) essential primary hypertension (abnormally high blood pressure that not caused by a medical condition), dysphagia (difficulty swallowing), and general anxiety disorder (mental health condition that causes people to feel constant, excessive, and unrealistic worry about everyday things). Record review of Resident #1's Quarterly MDS assessment, dated 06/05/24, revealed the resident had a BIMS score of 03 indicating the resident had severe cognitive impairment. The MDS also revealed Resident #1 was dependent in various areas of activities of daily living such as eating, oral hygiene, toileting hygiene, shower/bathe self, upper and lower dressing, and personal hygiene. Record review of Resident #1's care plan, dated 07/26/24, revealed Resident #1 was care planned for falls and had an intervention resident needs a safe environment with: (a working and reachable call light). No interview could be conducted with Resident #1 due to the resident not being interview able. Observation on 08/14/24 at 11:11am, revealed Resident #1's call light was underneath her bed and out of her reach. Observation on 08/14/24 at 1:23pm, revealed Resident #1's call light was underneath her bed and out of her reach. An interview with CNA A on 08/14/24 at 1:45pm, CNA A stated the call lights should always be in reach so a resident can call for assistance. CNA A stated that if a call light was not in reach, then (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: 676019 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 676019 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/14/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Lampstand Nursing and Rehabilitation 2001 E 29th St Bryan, TX 77802 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)